We are in the home stretch with Tjeltveit, and in Chapter 11 (“Profession and Professional Ethics”) he describes how psychotherapists are professionals, by which he means:
When psychotherapists assert that they are professionals, they announce, they profess, they make public testimony that they possess specialized knowledge and technical skills that help people with psychological problems. (p. 255)
More is expected of psychotherapists. This includes beneficence, because the work of the therapist is characterized by concern and service, as well as client welfare and social responsibility. It is in this chapter that Tjeltveit talks about an ethic for “moral strangers” (p. 262). He recognizes that psychotherapists work with moral strangers. Further, that psychotherapists are part of “ethical communities” that (drawing on Doherty and Cushman here) ”encourage clients to consider their progressive political agendas, as do feminist therapists and therapists from particular religious communities” (p. 262). Tjeltveit says it is “appropriate only when client autonomy is preserved, clinical sensitivity employed, and informed consent obtained” (p. 262).
Tjeltveit also points out a few weaknesses pointed out by others in various professional codes of ethics – as being too cautious or not validated or for failing to articulate their ethical foundations. He believes most psychotherapists draw upon even deeper ethical sources in the process of providing psychotherapy rather than rely on the minimal standards often articulated in codes of ethics.
For reflection: Do you agree that psychotherapists are part of ethical communities that have ethical claims that may be relevent to their clinical work? Is this best handled with sensitivity and informed consent? Should codes go “deeper” as an ethical source or is their current depth sufficient?