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題名：臨床心理師對心理治療知後同意倫理態度與行為之調查研究
書刊名：中華心理衛生學刊
作者：張馥媛／林美芳／王智弘 引用關係
作者(外文)：Chang, Fu-yuan／Lin, Mei-fang／Wang, Chih-hung
出版日期：2012
卷期：25:1
頁次：頁105-134
主題關鍵詞：知後同意；倫理態度；倫理行為；Informed consent；Ethical attitudes；Ethical behavior
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(5) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:5
  • 共同引用共同引用:9
  • 點閱點閱:32
研究目的：本研究旨在探討台灣地區臨床心理師知後同意的倫理態度與行為現況，並提供相關專業倫理省思及未來訂定專業倫理守則與規劃倫理教育之參考。研究方法：以隨機叢集抽樣針對184位臨床心理師進行問卷調查，內容包括知後同意倫理態度、行為及基本資料，以SPSS12.0統計套裝軟體進行描述性統計及差異考驗。研究結果：在臨床實務上，認為符合倫理且經常告知之訊息包括，保密、時間安排、治療目標、終止的權利、應配合事項等；不確定是否合乎倫理且少告知的訊息是治療者專業背景、花費總額、治療技巧發展現況、督導及其他專業者的涉入；合乎倫理但少告知則為接觸治療記錄的權利。不同性別、年齡、工作年資、教育程度、倫理訓練及工作場域之臨床心理師在部分反應上有顯著差異。研究結論：台灣臨床心理師知後同意的倫理態度與倫理行為具一致性；台灣臨床心理師部分知後同意的倫理態度與倫理行為現況與守則要求有落差；部分倫理行為表現有個別差異。
A cluster random sample of 184 licensed Taiwanese clinical psychologists (mean years of experience is 8.02, among them, 80 were male and 104 were female) responded to questionnaires eliciting demographics and ethical attitudes and behavior toward informed consent in psychotherapy. Statistical analysis demonstrated that confidentiality, appointment scheduling, treatment goals, the right to terminate treatment, and professional compliance were recognized ethical codes often executed by respondents. Therapist background and qualification, total treatment cost, treatment development, and collaboration with supervisors and other professionals were areas of ambiguity that respondents were less likely to reveal. The right to access treatment records was recognized as an ethical issue, but seldom complied with it. Some items were significantly influenced by gender, age, years of experience, level of education, ethics education, and work place. In conclusion, in terms of informed consent, the ethical attitudes of clinical psychologists are consistent with their behavior. However, in some areas of informed consent, there were discrepancies between ethical attitudes and behavior and the codes of ethics. There were also discrepancies in ethical behaviors. The results of this study are helpful for formulating codes of ethics and planning for ethics education.
期刊論文
1.Braaten, E. B.、Handelsman, M. M.(1997)。Client preferences for informed consent information。Ethics & Behavior，7(4)，311-328。  new window
2.台灣心理學會(2002)。心理學專業人員倫理準則。《台灣心理學會通訊》，38，3-11。  延伸查詢new window
3.林美芳、張馥媛、王智弘(2009)。臨床心理師非性雙重關係倫理態度與行為之調查研究。《台灣公共衛生雜誌》，28(6)，530-540。new window  延伸查詢new window
4.Knapp, S.、VandeCreek, L.(2003)。An overview of the major change in the 2002 APA ethics code。Professional Psychology: Research and Practice，34(3)，301-308。  new window
5.Miller, D. J.、Thelen, M. H.(1986)。Knowledge and beliefs about confidentiality in psychotherapy。Professional Psychology: Research and Practice，17(1)，15-19。  new window
6.Pomerantz, A. M.、Handelsman, M. M.(2004)。Informed consent revisited: A updated written question format。Professional Psychology: Research and Practice，35(2)，201-205。  new window
7.Shaw, L. R.、Chan, F.、Lam, C. S.、McDougall, A. G.(2004)。Professional disclosure practices of rehabilitation counselors。Rehabilitation Counseling Bulletin，48(1)，38-50。  new window
8.Pomerantz, A. M.(2005)。Increasingly informed consent: Discussing distinct aspects of psychotherapy at different points in time。Ethics & Behavior，15(4)，351-360。  new window
9.Somberg, D. R.、Stone, G. L.、Claiborn, C. D.(1993)。Informed consent: Therapists' beliefs and practices。Professional Psychology: Research and Practice，24(2)，153-159。  new window
10.Younggren, J. N.、Harris, E. A.(2008)。Can you keep a secret? Confidentiality in psychotherapy。Journal of Clinical Psychology，64(5)，589-600。  new window
11.Baerger, D. R.(2001)。Risk management with the suicidal patient: Lessons from case law。Professional Psychology: Research and Practice，32(4)，359-366。  new window
12.Barnett, J. E.(2008)。The ethical practice of psychotherapy: Easily within our reach。Journal of Clinical Psychology，64(5)，569-575。  new window
13.Barnett, J. E.、Wise, E. H.、Johnson-Greene, D.、Bucky, S. F.(2007)。Informed consent: Too much of a good thing or not enough?。Professional Psychology: Research and Practice，38(2)，179-186。  new window
14.Beahrs, J. O.、Gutheil, T. G.(2001)。Informed consent in psychotherapy。American Journal of Psychiatry，158(1)，4-10。  new window
15.Beeman, D. G.、Scott, N. A.(1991)。Therapists’ attitudes toward psychotherapy informed consent with adolescents。Professional Psychology: Research and Practice，22(3)，230-234。  new window
16.Braaten, E. B.、Otto, S.、Handelsman, M. M.(1993)。What do people want to know about psychotherapy?。Psychotherapy，30(4)，565-570。  new window
17.Claiborn, C. D.、Berberoglu, L. S.、Nerison, R. M.、Somberg, D. R.(1994)。The Client’s perspective: Ethical judgments and perceptions of therapist’s practices。Professional Psychology: Research and Practice，25(3)，268-274。  new window
18.Fisher, C. B.、Oransky, M.(2008)。Informed consent to psychotherapy: Protecting the dignity and respecting the autonomy of patients。Journal of Clinical Psychology，64(5)，576-588。  new window
19.Gutheil, T. G.、Bursztajn, H.、Brodsky, A.(1984)。Malpractice prevention through the sharing of uncertainty: Informed consent and the therapeutic alliance。The New England Journal of Medicine，311(1)，49-51。  new window
20.Haas, Leonard J.(1991)。Hide and seek or show-and-tell? Emerging issues of informed consent。Ethics & Behavior，1(3)，175-189。  new window
21.Hill, S. A.、Laugharne, R.(2006)。Decision making and information seeking preferences among psychiatric patients。Journal of Mental Health，15(1)，75-84。  new window
研究報告
1.陳若璋、王智弘、劉志如、陳梅菁(1997)。台灣地區助人專業實務人員倫理信念、行為及困境之研究 (計畫編號：NSC86-2413-H-007-001)。  延伸查詢new window
學位論文
1.楊淳斐(1997)。大專院校輔導教師諮商倫理信念與行為之調查研究(碩士論文)。國立彰化師範大學。  延伸查詢new window
2.陳文玲(1991)。學校輔導教師諮商倫理信念之調查研究(碩士論文)。國立彰化師範大學。  延伸查詢new window
圖書
1.Corey, G.、Corey, M. S.、Callanan, P.(2003)。Issues and ethics in the helping professions。Pacific Grove, CA：Brooks：Cole：Thomson Learning。  new window
2.牛格正、王智弘(2008)。助人專業倫理。心靈工坊。  延伸查詢new window
3.Pope, K. S.、Vasguez, M. T.(2007)。Ethics in psychotherapy and counseling: A practical guide for psychologist。San Francisco, CA。  new window
4.Rooney, R.(2001)。Guidelines for counseling mandated and nonvoluntary clients。The mental health desk reference: A sourcebook for counselors and therapists。New York。  new window
5.Welfel, E. R.(2006)。Ethics in counseling and psychotherapy: Standards, research, and emerging issues。Belmont, CA。  new window
其他
1.中華民國臨床心理師公會全國聯合會(2010)。臨床心理師倫理準則及行為規範草案，http://www.atcp.org.tw/， 20100910。  延伸查詢new window
2.American Psychological Association.(2002)。Ethical principles of psychologists and code of conduct，http://www.apa.org/ethics/code/index.aspx， 20100501。  new window
 
 
 
 
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