Vol XII, Issue 4
                
                Date of Publication: October 04, 2015
            
                             DOI: https://doi.org/10.20529/IJME.2015.055
                            
                     
        
             
            
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         Research Articles  
                
        Ethical dilemmas experienced by clinical psychology trainee therapists
        
        
        
            
                                        
                            Poornima  Bhola                        
                        
                                                
                            Ananya  Sinha                        
                        
                                                
                            Suruchi  Sonkar                        
                        
                                                
                            Ahalya  Raguram                        
                        
                                    
         
        
            Abstract:
             Ethical dilemmas are inevitable during psychotherapeutic interactions, and these complexities and challenges may be magnified during the training phase. The experience of ethical dilemmas in the arena of therapy and the methods of resolving these dilemmas were examined among 35 clinical psychologists in training, through an anonymous and confidential online survey. The trainees' responses to four open-ended questions on any one ethical dilemma encountered during therapy were analysed, using thematic content analysis. The results highlighted that the salient ethical dilemmas related to confidentiality and boundary issues. The trainees also raised ethical questions regarding therapist competence, the beneficence and non-maleficence of therapeutic actions, and client autonomy. Fifty-seven per cent of the trainees reported that the dilemmas were resolved adequately, the prominent methods of resolution being supervision or consultation and guidance from professional ethical guidelines. The trainees felt that the professional codes had certain limitations as far as the effective resolution of ethical dilemmas was concerned. The findings indicate the need to strengthen training and supervision methodologies and professional ethics codes for psychotherapists and counsellors in India.
         
        
            Copyright and license 
            ©Indian Journal of Medical Ethics 2016: Open Access and Distributed under the Creative Commons license (  CC BY-NC-ND 4.0), which permits only non-commercial and non-modified sharing in any medium, provided the original author(s) and source are credited.