Child Psych

Category - Ethics and Legality

Some patients are incapable of giving informed consent to participate in the treatment plan mapped out for them. In instances where this problem appears likely, what, from an ethical standpoint, would be inappropriate for the psychologist to do?
  1. Try to put the request into simpler language so that the patient will be able to understand and respond.
  2. To save time, and based on the patient’s clinical diagnosis of schizophrenia, and a previous situation in which the patient could not give informed consent, proceed without it since further attempts would be unsuccessful anyway.
  3. Proceed with court ordered or otherwise mandated services without informed consent.
  4. Obtain substitute consent from another person who is legally authorized.
Explanation
Answer: B - It is ethically wrong for a psychologist to assume, solely based on the clinical diagnosis in the patient’s chart and difficulty obtaining informed consent in the past, that an attempt this time would also be unsuccessful. Each situation is different, and unless the psychologist is mandated to do otherwise, every effort must be made to obtain the necessary informed consent-either from the patient directly or from a legally authorized representative.
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