title: Family therapists' ethical decision-making processes in two duty-to-warn situations.
abstract: This quantitative study investigated the ethical decision-making process of 177 Missouri members of the American Association for Marriage and Family Therapy using two in-session duty-to-warn scenarios of child abuse and HIV transmission. The components of the critical-evaluative level of ethical decision making include the lower-level decision components of personal/therapeutic response, professional ethics, and legal considerations/laws of the State, and the components of the higher-level decision base, the meta-ethical principles, which are nonmaleficence, autonomy, beneficence, fidelity, and justice. Statistical results indicated that in the child abuse scenario, professional ethics and legal considerations/laws of the State were considered most important, whereas in the HIV scenario, professional ethics were the preferred lower-level decision base. Across scenarios, the preferred higher-level decision base was nonmaleficence. There were differences across the child abuse and HIV scenarios in the perceived significance of the remaining lower-level decision base items as well as differences in perceived significance and ordering of the remaining meta-ethical principles. Limitations are discussed.
authors.affiliation: School of Social Service, Saint Louis University, 3550 Lindell Blvd., St. Louis, Missouri 63103, USA. burkemem@slu.edu
authors.forename: Ellen M
authors.initials: EM
authors.lastname: Burkemper
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002649:Child Abuse; D002675:Child, Preschool; D003657:Decision Making; D017007:Duty to Warn; D004995:Ethics, Professional; D005196:Family Therapy / Q000592:standards*; D005260:Female; D015658:HIV Infections; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008923:Missouri