Ethical or legal
dilemmas can arise easily in the work of psychologists, particularly when
working with children and adolescents (Behnke, 2006). Adolescence is a time
when individuals are seeking freedom, independence and going through rapid
cognitive development. This is also a time when cultural and family bindings
can be overwhelming. As a psychologist helping adolescents it is important to
understand the culture of an adolescent’s family, especially if it differs from
the culture of majority.
Growing up in cross
culture is especially hard on adolescents and can be a contributing factor to
mental disorders (Hovey & King, 1996). Sometimes a family based approach
maybe the need to help an adolescent but it may require going beyond some
cultural boundaries. It may also require the psychologist to expose or talk
about issues that maybe taboo for some cultures. Sex education and even dating
for teenagers is considered unacceptable in Indian, Middle Eastern or Jewish
cultures (Hickey, 2008). An adolescent may refer themselves to a psychologist
or the parents may refer their child. Post therapy the psychologist assessment
shows a need to reach out to the family. The adolescent is not comfortable with
the idea of involving the parents but the intervention will not be effective
without a family approach. The adolescent may make a request to respect family
culture and expectation of his parent. The intervention may involve dealing
with issue of being sexually active and this is considered an extremely grave
situation in some cultures (Schlegel,
1995).
This may cause an
ethical dilemma for the psychologist and require specific strategies to handle
it. One strategy to stay focused on the adolescent and what benefits their
mental health. Even in different cultures there are varying kinds of families
and their values may differ from their culture. It may be an effective strategy
for the psychologist to understand the family dynamics not in the light of
their culture but as a family on its own. This will help the psychologist and
intervention bring the family out of their cultural conflict that is affecting
the adolescent.
If the psychologist is absolutely certain that family
based approach is the solution to the adolescent’s problem, then involving the
family may be the only option. According to American Psychological Association
(APA) code of conduct, Amendment 7.04 and 7.05 ‘Psychologists
do not require students or supervises to disclose personal information in
course- or program-related activities, either orally or in writing, regarding
sexual history, history of abuse and neglect, psychological treatment and
relationships with parents, peers and spouses or significant others except if
(1) the program or training facility has clearly identified this requirement in
its admissions and program materials or (2) the information is necessary to
evaluate or obtain assistance for students whose personal problems could
reasonably be judged to be preventing them from performing their training- or
professionally related activities in a competent manner or posing a threat to
the students or others’.
This amendment allows
the psychologist to use a family based intervention to the benefit of the
adolescent.
References
American Psychological
Association. (2011). Ethical principles of psychologists and code of conduct.
Retrieved from http://www.apa.org/ethics/code/index.aspx
Behnke, S. (2006). Beyond mere compliance: Three metaphors to
teach the APA Ethics Code. Monitor
on Psychology, 37(11).
Hickey, M. G. (2008). New worlds, old values: Cultural
maintenance in Asian Indian women immigrants’ narratives. Cultural education-cultural
sustainability: Minority, diaspora, indigenous, and ethno-religious groups in
multicultural societies, 363-382.
Hovey, J. D., & King, C. A. (1996). Acculturative stress,
depression, and suicidal ideation among immigrant and second-generation Latino
adolescents.Journal of the American Academy of Child & Adolescent
Psychiatry, 35(9),
1183-1192.
Schlegel, A. (1995). The cultural management of adolescent
sexuality. Sexual nature,
sexual culture, 177-194.
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