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Code of Ethics and Professionalism in Light of Cultural Competency: A Guideline for Saudi Psychologists, Supervisors, and Trainees

Abstract

This paper presents an overview of ethical issues in professional psychology. Specifically, it addresses the broad ethical ideas and views of psychological practices, in light of cultural competency. Its aim is to be the first Saudi document about ethics and professionalism, with a specific purpose as a guideline for trainees becoming culturally competent ethical psychologists. This paper describes the ethical code through three main categories: General Ethical Standards; Ethical Issues about Assessment and Treatments; and Cultural Competency and Professionalism Issues. Furthermore, it attempts to illustrate some of the cultural dilemmas connected with the application of international psychological ethical guidelines, particularly in Saudi Arabia. This project concludes it is essential for trainees, supervisors, and training program advisors to understand ethical and professional responsibilities, as they relate to culture competence and work, during trainees’ internships.

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References

  • Aldughaither, S. K., Almazyiad, M. A., Alsultan, S. A., Al Masaud, A. O., Alddakkan, A. R. S., Alyahya, B. M., et al. (2012). Student perspectives on a course on medical ethics in Saudi Arabia. Journal of Taibah University Medical Sciences, 7(2), 113–117.

    Article  Google Scholar 

  • Al-Eraky, M. M., Chandratilake, M., Wajid, G., Donkers, J., & van Merriënboer, J. (2013). Medical professionalism: Development and validation of the Arabian LAMPS. Medical Teacher, 35(s1), S56–S62.

    Article  PubMed  Google Scholar 

  • Al-Eraky, M. M., Donkers, J., Wajid, G., & van Merrienboer, J. J. (2014). A Delphi study of medical professionalism in Arabian countries: The Four-Gates model. Medical Teacher, 36(S1), S8–S16.

    Article  PubMed  Google Scholar 

  • Ali, K. (2008). Sexual ethics and Islam: Feminist reflections on Qur’an, Hadith, and jurisprudence. London: Oneworld Publications.

    Google Scholar 

  • Ali, S. R., Liu, W. M., & Humedian, M. (2004). Islam 101: Understanding the religion and therapy implications. Professional Psychology: Research and Practice, 35(6), 635.

    Article  Google Scholar 

  • Al-Sheikh Alsharawi. (1990). 100 questions with answers in the Islamic low (in Arabic). Cairo n.d. pp. 9–10.

  • American Psychological Association. (1992). Ethical principles of psychologists and code of conduct. American Psychologist, 47, 1597–1611.

    Article  Google Scholar 

  • Atighetchi, D. (2007). Some aspects of medical ethics (pp. 31–64). Islamic Bioethics: Problems and Perspectives.

    Google Scholar 

  • Aviera, A. (2002). Culturally sensitive and creative therapy with Latino clients. California Psychologist, 35(4), 18–25.

    Google Scholar 

  • Barnett, J. E., & Bivings, N. D. (2002). Culturally sensitive treatment and ethical practice. The Maryland Psychologist, 48(2), 8.

    Google Scholar 

  • Burke, M. T., Hackney, H., Hudson, P., Miranti, J., Watts, G. A., & Epp, L. (1999). Spirituality, religion, and CACREP curriculum standards. Journal of Counseling and Development, 77(3), 251–257.

    Article  Google Scholar 

  • Burke, A., Harper, M., Rudnick, H., & Kruger, G. (2007). Moving beyond statutory ethical codes: Practitioner ethics as a contextual, character-based enterprise. South African Journal of Psychology, 37(1), 107–120.

    Article  Google Scholar 

  • Cannon, E. P. (2008). Promoting moral reasoning and multicultural competence during internship. Journal of Moral Education, 37(4), 503–518.

    Article  Google Scholar 

  • Colnerud, G. (1997). Ethical dilemmas of psychologists—A Swedish example in an international perspective. European Psychologist, 2(2), 164–170.

    Article  Google Scholar 

  • Corey, G., Corey, M., Corey, C., & Callanan, P. (2014). Issues and ethics in the helping professions (pp. 356–359). Boston: Cengage Learning.

    Google Scholar 

  • Dickens, B. M. (2005). The challenges and opportunities of ethics. American Journal of Public Health, 95(7), 1094.

    Article  PubMed Central  Google Scholar 

  • El-Islam, M. F. (2008). Arab culture and mental health care. Transcultural Psychiatry, 45(4), 671–682.

    Article  Google Scholar 

  • Falender, C. A., & Shafranske, E. P. (2004). Clinical supervision: A competency-based approach (pp. 37–58). Washington, DC: American Psychological Association.

    Book  Google Scholar 

  • Falender, C. A., & Shafranske, E. P. (2007). Competence in competency-based supervision practice: Construct and application. Professional Psychology: Research and Practice, 38(3), 232.

    Article  Google Scholar 

  • Forester-Miller, H., & Davis, T. E. (1995). A practitioner’s guide to ethical decision making. Alexandria, VA: American Counseling Association.

    Google Scholar 

  • Gatrad, A. R., & Sheikh, A. (2001). Medical ethics and Islam: Principles and practice. Archives of Disease in Childhood, 84(1), 72–75.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hall, C. C. I. (1997). Cultural malpractice: The growing obsolescence of psychology with the changing US population. American Psychologist, 52(6), 642.

    Article  PubMed  Google Scholar 

  • Handelsman, M. M., Gottlieb, M. C., & Knapp, S. (2005). Training ethical psychologists: An acculturation model. Professional Psychology: Research and Practice, 36(1), 59.

    Article  Google Scholar 

  • IMANA Ethics Committee. (2005). Islamic medical ethics: The IMANA perspective. Journal of the Islamic Medical Association of North America, 37(1), 33.

    Google Scholar 

  • Inhorn, M. C., & Serour, G. I. (2011). Islam, medicine, and Arab-Muslim refugee health in America after 9/11. The Lancet, 378(9794), 935–943.

    Article  Google Scholar 

  • Jaspal, R., & Cinnirella, M. (2010). Coping with potentially incompatible identities: Accounts of religious, ethnic, and sexual identities from British Pakistani men who identify as Muslim and gay. British Journal of Social Psychology, 49(4), 849–870.

    Article  PubMed  Google Scholar 

  • Kaslow, N. J. (2004). Competencies in professional psychology. American Psychologist, 59(8), 774.

    Article  PubMed  Google Scholar 

  • Koocher, G. P., & Keith-Spiegel, P. (1998). Ethics in psychology Professional standards and cases (Vol. 3). Oxford: Oxford University Press.

    Google Scholar 

  • Lindén, E., & RÃ¥deström, J. (2008). Ethical dilemmas among psychologists in Sweden and South Africa (Doctoral dissertation). Linköping, Sweden: Linköping University.

  • Lopez, S. R., Grover, K. P., Holland, D., Johnson, M. J., Kain, C. D., Kanel, K., & Rhyne, M. C. (1989). Development of culturally sensitive psychotherapists. Professional Psychology: Research and Practice, 20(6), 369.

    Article  Google Scholar 

  • Makoul, G., Zick, A., & Green, M. (2007). An evidence-based perspective on greetings in medical encounters. Archives of Internal Medicine, 167(11), 1172–1176.

    Article  PubMed  Google Scholar 

  • Mallen, M. J., Vogel, D. L., & Rochlen, A. B. (2005). The practical aspects of online counseling ethics, training, technology, and competency. The Counseling Psychologist, 33(6), 776–818.

    Article  Google Scholar 

  • McLean, M., Al Ahbabi, S., Al Ameri, M., Al Mansoori, M., Al Yahyaei, F., & Bernsen, R. (2010). Muslim women and medical students in the clinical encounter. Medical Education, 44(3), 306–315.

    Article  PubMed  Google Scholar 

  • Miller, W. R., & Thoresen, C. E. (2003). Spirituality, religion, and health: An emerging research field. American Psychologist, 58(1), 24.

    Article  PubMed  Google Scholar 

  • Mir, G., & Sheikh, A. (2010). ‘Fasting and prayer don’t concern the doctors… they don’t even know what it is’: Communication, decision-making and perceived social relations of Pakistani Muslim patients with long-term illnesses. Ethnicity & Health, 15(4), 327–342.

    Article  Google Scholar 

  • Nilchaikovit, T., Hill, J. M., & Holland, J. C. (1993). The effects of culture on illness behavior and medical care: Asian and American differences. General hospital psychiatry, 15(1), 41–50.

    Article  PubMed  Google Scholar 

  • Paasche-Orlow, M. (2004). The ethics of cultural competence. Academic Medicine, 79(4), 347–350.

    Article  PubMed  Google Scholar 

  • Padela, A. I. (2007). Islamic medical ethics: A primer. Bioethics, 21(3), 169–178.

    Article  PubMed  Google Scholar 

  • Pope, K. S., Tabachnick, B. G., & Keith-Spiegel, P. (1987). Ethics of practice: The beliefs and behaviors of psychologists as therapists. American Psychologist, 42(11), 993.

    Article  PubMed  Google Scholar 

  • Pope, K. S., & Vasquez, M. J. (2010). Ethics in psychotherapy and counseling: A practical guide. New York: Wiley.

    Google Scholar 

  • Pridmore, S., & Pasha, M. I. (2004). Religion and spirituality: Psychiatry and Islam. Australasian Psychiatry, 12(4), 381–385.

    Article  Google Scholar 

  • Rispler-Chaim, V. (1993). Islamic medical ethics in the twentieth century (Vol. 46). Leiden Netherlands: Brill publishers.

  • Sadat-Ali, M. (2004). Professionalism: Are we doing enough? Saudi Medical Journal, 25(5), 676–677.

    PubMed  Google Scholar 

  • Satterwhite, R. C., Satterwhite, W. M., & Enarson, C. (2000). An ethical paradox: The effect of unethical conduct on medical students’ values. Journal of Medical Ethics, 26(6), 462–465.

    Article  PubMed  PubMed Central  Google Scholar 

  • Shannahan, D. S. (2009). Sexual ethics, marriage, and sexual autonomy: The landscapes for Muslimat and lesbian, gay, bisexual, and transgendered Muslims. Contemporary Islam, 3(1), 59–78.

    Article  Google Scholar 

  • Smith, T. B., Constantine, M. G., Dunn, T. W., Dinehart, J. M., & Montoya, J. A. (2006). Multicultural education in the mental health professions: A meta-analytic review. Journal of Counseling Psychology, 53(1), 132.

    Article  Google Scholar 

  • Stern, D. T. (1996). Values on call: A method for assessing the teaching of professionalism. Academic Medicine, 71(10), S37–S49.

    Article  PubMed  Google Scholar 

  • Sue, D. W. (2001). Multidimensional facets of cultural competence. The Counseling Psychologist, 29(6), 790–821.

    Article  Google Scholar 

  • Sue, D. W., & Sue, D. (2012). Counseling the culturally diverse: Theory and practice. New York: Wiley.

    Google Scholar 

  • Tangwa, G. B. (2004). Between universalism and relativism: A conceptual exploration of problems in formulating and applying international biomedical ethical guidelines. Journal of Medical Ethics, 30(1), 63–67.

    Article  PubMed  PubMed Central  Google Scholar 

  • Vinjamuri, I. S., Nehal, M. A. M., & Latt, M. M. (2009). Greetings survey. Psychiatric Bulletin, 33(8), 313.

    Article  Google Scholar 

  • Winslow, W. W., & Honein, G. (2007). Bridges and barriers to health: Her story—Emirati women’s health needs. Health Care for Women International, 28(3), 285–308.

    Article  PubMed  Google Scholar 

  • Ypinazar, V. A., & Margolis, S. A. (2006). Delivering culturally sensitive care: The perceptions of older Arabian Gulf Arabs concerning religion, health, and disease. Qualitative Health Research, 16(6), 773–787.

    Article  PubMed  Google Scholar 

  • Zur, O. (2006). Therapeutic boundaries and dual relationships in rural practice: Ethical, clinical and standard of care considerations. Journal of Rural Community Psychology, 9(1), 1–40.

    Google Scholar 

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Acknowledgments

The authors would like to thank and acknowledge the following reviewers of this position paper, who provided valuable insights and recommendations on the core of the General Ethical Standards: Dr. Abeer Khayat (King Abdulaziz University); Dr. Ahmed Alkhalaf (Albaha University); Dr. Ahmad Alshayea (King Saud University); Dr. Falah Al-Enez (University of Tabuk); Mr. Khalid Alayed (Saudi Commission for Health Specialties); Dr. Muwafak Al-Eithan (Prince Sultan Military Medical City); Dr. Saeed Wahass (University of Dammam). The thanks extend to all of the Academic Staff of Psychology Department at King Khalid University who participated in the discussions. Finally, we thank the anonymous reviewers who gave us helpful suggestions to improve the final manuscript. The authors did not receive any funding for the work presented in this manuscript.

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Correspondence to Mohammed M. J. Alqahtani.

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Alqahtani, M.M.J., Altamimi, N. Code of Ethics and Professionalism in Light of Cultural Competency: A Guideline for Saudi Psychologists, Supervisors, and Trainees. Psychol Stud 61, 103–112 (2016). https://doi.org/10.1007/s12646-016-0354-x

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