Attention deficit-hyperactivity disorder (ADHD) remains a controversial disorder, despite it now being a well validated clinical diagnosis. If a client does not want to be diagnosed, the worker could discuss alternatives, for instance, referring the client for services where a DSM diagnosis is not required. When using the DSM to diagnose, social workers assume the role of expert, taking responsibility for determining which mental conditions clients have, rather than involving clients as full partners in the decision-making process. Search for more papers by this author A key provision in the 2002 Ethics Code concerning such expectations and demands was amended in 2010. This article also provides suggestions for addressing these ethical concerns, allowing social workers to promote social work values and ethics even when using the DSM poses certain risks. Counseling and Values, v55 n1 p101-112 Oct 2010. So, does this mean that using the DSM to diagnose clients runs contrary to social work ethics? The first standard in the Ethics Code provides instructions for resolving conflicts between ethical considerations and the expectations or demands of legal, governmental, or organizational entities. A holistic assessment includes psychological functioning and problems, but also includes social functioning, spirituality, physical health, and coping abilities. Counseling and Values, v55 n1 p101-112 Oct 2010. The growing number of individuals with cognitive impairment, ranging from mild cognitive impairment to severe impairment experienced in Alzheimer’s disease and other dementias, has become a pressing public health concern. Having a DSM diagnosis such as “substance use disorder” suggests that the person has a medical condition rather than a moral weakness. Despite the widespread use of the DSM, social workers should be cognizant of the ethical issues that may arise in the context of using this diagnostic tool. Diagnosing mental illnesses, however, is essentially an exercise in judging clients and focusing on their pathologies or weaknesses. ethical considerations that may restrict that contact. Soc Work Health Care 9, 11–20. MHBK098-C05_75-90.indd 76 5/10/13 11:38 AM . 26. As you reflect on the article for your journal, analyze the ethical considerations of. Educational Objectives:Learn about the ethical issues involved with makingand using a diagnosis, learn about the DSM-5, ICD-10and PDM, and learn how to integrate these systems.Goals:Understand the ethical and risk issues involved in notdiagnosing accurately, identify the ethical … Ethical Considerations: Client Confidentiality Must be Preserved with Withdrawing. “Empowerment” refers to providing clients with time, space, support, and other conditions that allow them to have greater control over their lives. Validity The research design must address specific research questions. Discussion: Ethical Dimensions of Research Studies In the best-selling book, The Immortal Life of Henrietta Lacks (Skloot, 2010), the author highlights the true story of an African-American woman who died in 1951 from cervical cancer. Social workers will need to be particularly cautious with some of the more controversial diagnostic categories. There are many organizations, like the Committee on Publication Ethics, dedicated to promoting ethics in scientific research. Thus, in terms of respect, social workers who use diagnoses should avoid language that reduces the person to a diagnosis—for example, “He is a borderline personality,” or “She is a schizophrenic.” Rather, they should use language that separates the person from the problem—for example, “He is a person with borderline personality disorder,” or “She is coping with schizophrenia.”. Diagnosing the legal implications of a negative diagnosis. For the first week, you will consider six ethical dilemmas confronting marketing research practitioners. Competence – Acquiring It & Maintaining It Personal Competence Professional Competence Using Up-to-Date Tests & […] These include ethics rules regarding contact with unrepresented per-sons and not violating the rights of third parties. The DSM-5 has omitted a number of diagnostic categories used in its previous editions, because they lacked validity and research support. Clinicians who treat patients with schizophrenia may encounter a variety of ethical issues related to both psychiatric and medical treatment of patients. Standard 1: Resolving Ethical Issues. As you reflect on the article for your journal, analyze the ethical considerations of. Harvard Medical School, Boston, MA, USA. Stating that a client has depression, for instance, indicates the worker has made a diagnosis. 2. Diagnosing the legal implications of a negative diagnosis. Course Hero is not sponsored or endorsed by any college or university. Yes, in many contexts of practice, DSM diagnosis is a fact of life. Diagnosing a defendant. These organizations agree that ethics is not an afterthought or side note to the research study. Challenges to Diagnosing process Addictions. Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project Gordon D. Schiff, Seijeoung Kim, Richard Abrams, Karen Cosby, Bruce Lambert, Arthur S. Elstein, Scott Hasler, Nela Krosnjar, Richard Odwazny, Mary F. Wisniewski, Robert A. McNutt Abstract Background: Diagnosis errors are frequent and important, but represent an Ethical Issues Involved with Diagnosing 1. Department of Anesthesiology, Perioperative and Pain Medicine, Children's Hospital Boston, MA, USA. The spirit of the Code, embodied in the language of Standard 9.01, focuses on the quality of the data and processes we use to … What if having a diagnosis serves the agency or practitioner’s needs, but not the client’s? Class actions implicate myriad ethical considerations. Some critics have argued that the DSM is too complex, incoherent, and inconsistent with the research. Social workers should also ensure that they provide holistic assessments, not just focusing on problems or psychopathologies. Kress, Victoria E.; Hoffman, Rachel M.; Eriksen, Karen. There are numerous ethical considerations inherent within the process of assigning a Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev. ; DSM‐IV‐TR; American Psychiatric Association, 2000) diagnosis. Regardless of the context of practice, social workers should mitigate the risks of DSM diagnoses. Diagnosing a defendant. Determine key criteria for evaluating ethical situations. After diagnosis, the patient will inevitably be labeled with the diagnosed illness. Based on your assigned readings, including this article, do you believe that such assessments as the PCL-R Checklist can provide accurate predictions of an individual’s behavior? Conditions such as depression, borderline personality disorder, and autism spectrum disorders also label clients with undesirable client traits. As you reflect on the article for your journal, analyze the ethical considerations of Diagnosing a defendant. 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