Ethics Guidelines of the American
Psychological
GENERAL PRINCIPLES
This section consists of General Principles. General Principles, as opposed
to Ethical Standards, are aspirational in nature. Their intent is to guide and
inspire psychologists toward the very highest ethical ideals of the profession.
General Principles, in contrast to Ethical Standards, do not represent obligations
and should not form the basis for imposing sanctions. Relying upon General Principles
for either of these reasons distorts both their meaning and purpose.
Principle A: Beneficence and Nonmaleficence
Psychologists strive to benefit those with whom they work and take care to do no harm. In their professional actions, psychologists seek to safeguard the welfare and rights of those with whom they interact professionally and other affected persons, and the welfare of animal subjects of research. When conflicts occur among psychologists' obligations or concerns, they attempt to resolve these conflicts in a responsible fashion that avoids or minimizes harm. Because psychologists' scientific and professional judgments and actions may affect the lives of others, they are alert to and guard against personal, financial, social, organizational, or political factors that might lead to misuse of their influence. Psychologists strive to be aware of the possible effect of their own physical and mental health on their ability to help those with whom they work.
Principle B: Fidelity and Responsibility
Psychologists establish relationships of trust with those with whom they work.
They are aware of their professional and scientific responsibilities to society
and to the specific communities in which they work. Psychologists uphold professional
standards of conduct, clarify their professional roles and obligations, accept
appropriate responsibility for their behavior, and seek to manage conflicts
of interest that could lead to exploitation or harm. Psychologists consult with,
refer to, or cooperate with other professionals and institutions to the extent
needed to serve the best interests of those with whom they work. They are concerned
about the ethical compliance of their colleagues' scientific and professional
conduct. Psychologists strive to contribute a portion of their professional
time for little or no compensation or personal advantage.
Principle C: Integrity
Psychologists seek to promote accuracy, honesty, and truthfulness in the science,
teaching, and practice of psychology. In these activities psychologists do not
steal, cheat, or engage in fraud, subterfuge, or intentional misrepresentation
of fact. Psychologists strive to keep their promises and to avoid unwise or
unclear commitments. In situations in which deception may be ethically justifiable
to maximize benefits and minimize harm, psychologists have a serious obligation
to consider the need for, the possible consequences of, and their responsibility
to correct any resulting mistrust or other harmful effects that arise from the
use of such techniques.
Principle D: Justice
Psychologists recognize that fairness and justice entitle all persons to access
to and benefit from the contributions of psychology and to equal quality in
the processes, procedures, and services being conducted by psychologists. Psychologists
exercise reasonable judgment and take precautions to ensure that their potential
biases, the boundaries of their competence, and the limitations of their expertise
do not lead to or condone unjust practices.
Principle E: Respect for People's Rights and Dignity
Psychologists respect the dignity and worth of all people, and the rights of
individuals to privacy, confidentiality, and self-determination. Psychologists
are aware that special safeguards may be necessary to protect the rights and
welfare of persons or communities whose vulnerabilities impair autonomous decision
making. Psychologists are aware of and respect cultural, individual, and role
differences, including those based on age, gender, gender identity, race, ethnicity,
culture, national origin, religion, sexual orientation, disability, language,
and socioeconomic status and consider these factors when working with members
of such groups. Psychologists try to eliminate the effect on their work of biases
based on those factors, and they do not knowingly participate in or condone
activities of others based upon such prejudices.
ETHICAL STANDARDS
1. Resolving Ethical Issues
1.01 Misuse of Psychologists' Work
If psychologists learn of misuse or misrepresentation of their work, they take
reasonable steps to correct or minimize the misuse or misrepresentation.
1.02 Conflicts Between Ethics and Law, Regulations, or Other Governing
Legal Authority
If psychologists' ethical responsibilities conflict with law, regulations, or
other governing legal authority, psychologists make known their commitment to
the Ethics Code and take steps to resolve the conflict. If the conflict is unresolvable
via such means, psychologists may adhere to the requirements of the law, regulations,
or other governing legal authority.
1.03 Conflicts Between Ethics and Organizational Demands
If the demands of an organization with which psychologists are affiliated or
for whom they are working conflict with this Ethics Code, psychologists clarify
the nature of the conflict, make known their commitment to the Ethics Code,
and to the extent feasible, resolve the conflict in a way that permits adherence
to the Ethics Code.
1.04 Informal Resolution of Ethical Violations
When psychologists believe that there may have been an ethical violation by
another psychologist, they attempt to resolve the issue by bringing it to the
attention of that individual, if an informal resolution appears appropriate
and the intervention does not violate any confidentiality rights that may be
involved. (See also Standards 1.02, Conflicts Between Ethics and Law, Regulations,
or Other Governing Legal Authority, and 1.03, Conflicts Between Ethics and Organizational
Demands.)
1.05 Reporting Ethical Violations
If an apparent ethical violation has substantially harmed or is likely to substantially
harm a person or organization and is not appropriate for informal resolution
under Standard 1.04, Informal Resolution of Ethical Violations, or is not resolved
properly in that fashion, psychologists take further action appropriate to the
situation. Such action might include referral to state or national committees
on professional ethics, to state licensing boards, or to the appropriate institutional
authorities. This standard does not apply when an intervention would violate
confidentiality rights or when psychologists have been retained to review the
work of another psychologist whose professional conduct is in question. (See
also Standard 1.02, Conflicts Between Ethics and Law, Regulations, or Other
Governing Legal Authority.)
1.06 Cooperating With Ethics Committees
Psychologists cooperate in ethics investigations, proceedings, and resulting
requirements of the APA or any affiliated state psychological association to
which they belong. In doing so, they address any confidentiality issues. Failure
to cooperate is itself an ethics violation. However, making a request for deferment
of adjudication of an ethics complaint pending the outcome of litigation does
not alone constitute noncooperation.
1.07 Improper Complaints
Psychologists do not file or encourage the filing of ethics complaints that
are made with reckless disregard for or willful ignorance of facts that would
disprove the allegation.
1.08 Unfair Discrimination Against Complainants and Respondents
Psychologists do not deny persons employment, advancement, admissions to academic
or other programs, tenure, or promotion, based solely upon their having made
or their being the subject of an ethics complaint. This does not preclude taking
action based upon the outcome of such proceedings or considering other appropriate
information.
1.04 Informal Resolution of Ethical Violations
When psychologists believe that there may have been an ethical violation by
another psychologist, they attempt to resolve the issue by bringing it to the
attention of that individual, if an informal resolution appears appropriate
and the intervention does not violate any confidentiality rights that may be
inv olved.
1.05 Reporting Ethical Violations
If an apparent ethical violation has substantially harmed or is likely to substantially
harm a person or organization and is not appropriate for informal resolution
under Standard 1.04, Informal Resolution of Ethical Violations, or is not resolved
properly in that fashion, psychologists take further action appropriate to the
situation. Such action might include referral to state or national committees
on professional ethics, to state licensing boards, or to the appropriate institutional
authorities. This standard does not apply when an intervention would violate
confidentiality rights or when psychologists have been retained to review the
work of another psychologist whose professional conduct is in question
2. Competence
2.01 Boundaries of Competence
(a) Psychologists provide services, teach, and conduct research with populations
and in areas only within the boundaries of their competence, based on their
education, training, supervised experience, consultation, study, or professional
experience.
(b) Where scientific or professional knowledge in the discipline of psychology
establishes that an understanding of factors associated with age, gender, gender
identity, race, ethnicity, culture, national origin, religion, sexual orientation,
disability, language, or socioeconomic status is essential for effective implementation
of their services or research, psychologists have or obtain the training, experience,
consultation, or supervision necessary to ensure the competence of their services,
or they make appropriate referrals, except as provided in Standard 2.02, Providing
Services in Emergencies.
(c) Psychologists planning to provide services, teach, or conduct research involving
populations, areas, techniques, or technologies new to them undertake relevant
education, training, supervised experien ce, consultation, or study.
d) When psychologists are asked to provide services to individuals for whom
appropriate mental health services are not available and for which psychologists
have not obtained the competence necessary, (psychologists with closely related
prior training or experience may provide such services in order to ensure that
services are not denied if they make a reasonable effort to obtain the competence
required by using relevant research, training, consultation, or study.
(e) In those emerging areas in which generally recognized standards for preparatory
training do not yet exist, psychologists nevertheless take reasonable steps
to ensure the competence of their work and to protect clients/patients, students,
supervisees, research participants, organizational clients, and others from
harm.
(f) When assuming forensic roles, psychologists are or become reasonably familiar
with the judicial or administrative rules governing their roles.
2.06 Personal Problems and Conflicts
(a) Psychologists refrain from initiating an activity when they know or should
know that there is a substantial likelihood that their personal problems will
prevent them from performing their work-related activities in a competent manner.
(b) When psychologists become aware of personal problems that may interfere
with their performing work-related duties adequately, they take appropriate
measures, such as obtaining professional consultation or assistance, and determine
whether they should limit, suspend, or terminate their work-related duties.
(See also Standard 10.10, Terminating Therapy.)
3. Human Relations
3.01 Unfair Discrimination
In their work-related activities, psychologists do not engage in unfair discrimination
based on age, gender, gender identity, race, ethnicity, culture, national origin,
religion, sexual orientation, disability, socioeconomic status, or any basis
proscribed by law.
3.02 Sexual Harassment
Psychologists do not engage in sexual harassment. Sexual harassment is sexual
solicitation, physical advances, or verbal or nonverbal conduct that is sexual
in nature, that occurs in connection with the psychologist's activities or roles
as a psychologist, and that either (1) is unwelcome, is offensive, or creates
a hostile workplace or educational environment, and the psychologist knows or
is told this or (2) is sufficiently severe or intense to be abusive to a reasonable
person in the context. Sexual harassment can consist of a single intense or
severe act or of multiple persistent or pervasive acts. (See also Standard 1.08,
Unfair Discrimination Against Complainants and Respondents.)
3.03 Other Harassment
Psychologists do not knowingly engage in behavior that is harassing or demeaning
to persons with whom they interact in their work based on factors such as those
persons' age, gender, gender identity, race, ethnicity, culture, national origin,
religion, sexual orientation, disability, language, or socioeconomic status.
3.04 Avoiding Harm
Psychologists take reasonable steps to avoid harming their clients/patients,
students, supervisees, research participants, organizational clients, and others
with whom they work, and to minimize harm where it is foreseeable and unavoidable.
3.05 Multiple Relationships
(a) A multiple relationship occurs when a psychologist is in a professional
role with a person and (1) at the same time is in another role with the same
person, (2) at the same time is in a relationship with a person closely associated
with or related to the person with whom the psychologist has the professional
relationship, or (3) promises to enter into another relationship in the future
with the person or a person closely associated with or related to the person.
A psychologist refrains from entering into a multiple relationship if the multiple
relationship could reasonably be expected to impair the psychologist's objectivity,
competence, or effectiveness in performing his or her functions as a psychologist,
or otherwise risks exploitation or harm to the person with whom the professional
relationship exists.
Multiple relationships that would not reasonably be expected to cause impairment
or risk exploitation or harm are not unethical.
(b) If a psychologist finds that, due to unforeseen factors, a potentially harmful
multiple relationship has arisen, the psychologist takes reasonable steps to
resolve it with due regard for the best interests of the affected person and
maximal compliance with the Ethics Code.
(c) When psychologists are required by law, institutional policy, or extraordinary
circumstances to serve in more than one role in judicial or administrative proceedings,
at the outset they clarify role expectations and the extent of confidentiality
and thereafter as changes occur. (See also Standards 3.04, Avoiding Harm, and
3.07, Third-Party Requests for Services.)
3.06 Conflict of Interest
Psychologists refrain from taking on a professional role when personal, scientific,
professional, legal, financial, or other interests or relationships could reasonably
be expected to (1) impair their objectivity, competence, or effectiveness in
performing their functions as psychologists or (2) expose the person or organization
with whom the professional relationship exists to harm or exploitation.
3.07 Third-Party Requests for Services
When psychologists agree to provide services to a person or entity at the request
of a third party, psychologists attempt to clarify at the outset of the service
the nature of the relationship with all individuals or organizations involved.
This clarification includes the role of the psychologist (e.g., therapist, consultant,
diagnostician, or expert witness), an identification of who is the client, the
probable uses of the services provided or the information obtained, and the
fact that there may be limits to confidentiality.
3.08 Exploitative Relationships
Psychologists do not exploit persons over whom they have supervisory, evaluative,
or other authority such as clients/patients, students, supervisees, research
participants, and employees. (See also Standards)
3.09 Cooperation With Other Professionals
When indicated and professionally appropriate, psychologists cooperate with
other professionals in order to serve their clients/patients effectively and
appropriately. (See also Standard 4.05, Disclosures.)
3.10 Informed Consent
(a) When psychologists conduct research or provide assessment, therapy, counseling,
or consulting services in person or via electronic transmission or other forms
of communication, they obtain the informed consent of the individual or individuals
using language that is reasonably understandable to that person or persons except
when conducting such activities without consent is mandated by law or governmental
regulation or as otherwise provided in this Ethics Code.
(b) For persons who are legally incapable of giving informed consent, psychologists
nevertheless (1) provide an appropriate explanation, (2) seek the individual's
assent, (3) consider such persons' preferences and best interests, and (4) obtain
appropriate permission from a legally authorized person, if such substitute
consent is permitted or required by law. When consent by a legally authorized
person is not permitted or required by law, psychologists take reasonable steps
to protect the individual's rights and welfare.
(c) When psychological services are court ordered or otherwise mandated, psychologists
inform the individual of the nature of the anticipated services, including whether
the services are court ordered or mandated and any limits of confidentiality,
before proceeding.
(d) Psychologists appropriately document written or oral consent, permission,
and assent. (See also Standards)
4. Privacy And Confidentiality
4.01 Maintaining Confidentiality
Psychologists have a primary obligation and take reasonable precautions to protect
confidential information obtained through or stored in any medium, recognizing
that the extent and limits of confidentiality may be regulated by law or established
by institutional rules or professional or scientific relationship.
4.02 Discussing the Limits of Confidentiality
(a) Psychologists discuss with persons (including, to the extent feasible, persons
who are legally incapable of giving informed consent and their legal representatives)
and organizations with whom they establish a scientific or professional relationship
(1) the relevant limits of confidentiality and (2) the foreseeable uses of the
information generated through their psychological activities. (See also Standard
(b) Unless it is not feasible or is contraindicated, the discussion of confidentiality
occurs at the outset of the relationship and thereafter as new circumstances
may warrant.
(c) Psychologists who offer services, products, or information via electronic
transmission inform clients/patients of the risks to privacy and limits of confidentiality.
4.03 Recording
Before recording the voices or images of individuals to whom they provide services,
psychologists obtain permission from all such persons or their legal representatives.
4.04 Minimizing Intrusions on Privacy
(a) Psychologists include in written and oral reports and consultations, only
information germane to the purpose for which the communication is made.
(b) Psychologists discuss confidential information obtained in their work only
for appropriate scientific or professional purposes and only with persons clearly
concerned with such matters.
4.05 Disclosures
(a) Psychologists may disclose confidential information with the appropriate
consent of the organizational client, the individual client/patient, or another
legally authorized person on behalf of the client/patient unless prohibited
by law.
(b) Psychologists disclose confidential information without the consent of the
individual only as mandated by law, or where permitted by law for a valid purpose
such as to (1) provide needed professional services; (2) obtain appropriate
professional consultations; (3) protect the client/patient, psychologist, or
others from harm; or (4) obtain payment for services from a client/patient,
in which instance disclosure is limited to the minimum that is necessary to
achieve the purpose.
4.06 Consultations
When consulting with colleagues, (1) psychologists do not disclose confidential
information that reasonably could lead to the identification of a client/patient,
research participant, or other person or organization with whom they have a
confidential relationship unless they have obtained the prior consent of the
person or organization or the disclosure cannot be avoided, and (2) they disclose
information only to the extent necessary to achieve the purposes of the consultation.
4.07 Use of Confidential Information for Didactic or Other Purposes
Psychologists do not disclose in their writings, lectures, or other public media,
confidential, personally identifiable information concerning their clients/patients,
students, research participants, organizational clients, or other recipients
of their services that they obtained during the course of their work, unless
(1) they take reasonable steps to disguise the person or organization, (2) the
person or organization has consented in writing, or (3) there is legal authorization
for doing so.
5. Advertising and Other Public Statements
5.01 Avoidance of False or Deceptive Statements
(a) Public statements include but are not limited to paid or unpaid advertising,
product endorsements, grant applications, licensing applications, other credentialing
applications, brochures, printed matter, directory listings, personal resumes
or curricula vitae, or comments for use in media such as print or electronic
transmission, statements in legal proceedings, lectures and public oral presentations,
and published materials. Psychologists do not knowingly make public statements
that are false, deceptive, or fraudulent concerning their research, practice,
or other work activities or those of persons or organizations with which they
are affiliated.
(b) Psychologists do not make false, deceptive, or fraudulent statements concerning
(1) their training, experience, or competence; (2) their academic degrees; (3)
their credentials; (4) their institutional or association affiliations; (5)
their services; (6) the scientific or clinical basis for, or results or degree
of success of, their services; (7) their fees; or (8) their publications or
research findings.
(c) Psychologists claim degrees as credentials for their health services only
if those degrees (1) were earned from a regionally accredited educational institution
or (2) were the basis for psychology licensure by the state in which they practice.
5.02 Statements by Others
(a) Psychologists who engage others to create or place public statements that
promote their professional practice, products, or activities retain professional
responsibility for such statements.
(b) Psychologists do not compensate employees of press, radio, television, or
other communication media in return for publicity in a news item.
(c) A paid advertisement relating to psychologists' activities must be identified
or clearly recognizable as such.
5.03 Descriptions of Workshops and Non-Degree-Granting Educational Programs
To the degree to which they exercise control, psychologists responsible for
announcements, catalogs, brochures, or advertisements describing workshops,
seminars, or other non-degree-granting educational programs ensure that they
accurately describe the audience for which the program is intended, the educational
objectives, the presenters, and the fees involved.
5.04 Media Presentations
When psychologists provide public advice or comment via print, Internet, or
other electronic transmission, they take precautions to ensure that statements
(1) are based on their professional knowledge, training, or experience in accord
with appropriate psychological literature and practice; (2) are otherwise consistent
with this Ethics Code; and (3) do not indicate that a professional relationship
has been established with the recipient..)
5.05 Testimonials
Psychologists do not solicit testimonials from current therapy clients/patients
or other persons who because of their particular circumstances are vulnerable
to undue influence.
5.06 In-Person Solicitation
Psychologists do not engage, directly or through agents, in uninvited in-person
solicitation of business from actual or potential therapy clients/patients or
other persons who because of their particular circumstances are vulnerable to
undue influence. However, this prohibition does not preclude (1) attempting
to implement appropriate collateral contacts for the purpose of benefiting an
already engaged therapy client/patient or (2) providing disaster or community
outreach services.
6. Record Keeping and Fees
6.01 Documentation of Professional and Scientific Work and Maintenance
of Records
Psychologists create, and to the extent the records are under their control,
maintain, disseminate, store, retain, and dispose of records and data relating
to their professional and scientific work in order to (1) facilitate provision
of services later by them or by other professionals, (2) allow for replication
of research design and analyses, (3) meet institutional requirements, (4) ensure
accuracy of billing and payments, and (5) ensure compliance with law.
6.02 Maintenance, Dissemination, and Disposal of Confidential Records
of Professional and Scientific Work
(a) Psychologists maintain confidentiality in creating, storing, accessing,
transferring, and disposing of records under their control, whether these are
written, automated, or in any other medium. (See also
(b) If confidential information concerning recipients of psychological services
is entered into databases or systems of records available to persons whose access
has not been consented to by the recipient, psychologists use coding or other
techniques to avoid the inclusion of personal identifiers.
(c) Psychologists make plans in advance to facilitate the appropriate transfer
and to protect the confidentiality of records and data in the event of psychologists'
withdrawal from positions or practice. (.)
6.03 Withholding Records for Nonpayment
Psychologists may not withhold records under their control that are requested
and needed for a client's/patient's emergency treatment solely because payment
has not been received.
7.07 Sexual Relationships With Students and Supervisees
Psychologists do not engage in sexual relationships with students or supervisees
who are in their department, agency, or training center or over whom psychologists
have or are likely to have evaluative authority.
8. Research and Publication
8.01 Institutional Approval
When institutional approval is required, psychologists provide accurate information
about their research proposals and obtain approval prior to conducting the research.
They conduct the research in accordance with the approved research protocol.
(nity for extra credit, the prospective participant is given the choice of equitable
alternative activities.
8.05 Dispensing With Informed Consent for Research
Psychologists may dispense with informed consent only (1) where research would
not reasonably be assumed to create distress or harm and involves (a) the study
of normal educational practices, curricula, or classroom management methods
conducted in educational settings; (b) only anonymous questionnaires, naturalistic
observations, or archival research for which disclosure of responses would not
place participants at risk of criminal or civil liability or damage their financial
standing, employability, or reputation, and confidentiality is protected; or
(c) the study of factors related to job or organization effectiveness conducted
in organizational settings for which there is no risk to participants' employability,
and confidentiality is protected or (2) where otherwise permitted by law or
federal or institutional regulations.
8.06 Offering Inducements for Research Participation
(a) Psychologists make reasonable efforts to avoid offering excessive or inappropriate
financial or other inducements for research participation when such inducements
are likely to coerce participation.
(b) When offering professional services as an inducement for research participation,
psychologists clarify the nature of the services, as well as the risks, obligations,
and limitations. (See also Standard 6.05, Barter With Clients/Patients.)
8.07 Deception in Research
(a) Psychologists do not conduct a study involving deception unless they have
determined that the use of deceptive techniques is justified by the study's
significant prospective scientific, educational, or applied value and that effective
nondeceptive alternative procedures are not feasible.
(b) Psychologists do not deceive prospective participants about research that
is reasonably expected to cause physical pain or severe emotional distress.
(c) Psychologists explain any deception that is an integral feature of the design
and conduct of an experiment to participants as early as is feasible, preferably
at the conclusion of their participation, but no later than at the conclusion
of the data collection, and permit participants to withdraw their data. (See
also Standard 8.08, Debriefing.)
8.10 Reporting Research Results
(a) Psychologists do not fabricate data. (See also Standard 5.01a, Avoidance
of False or Deceptive Statements.)
(b) If psychologists discover significant errors in their published data, they
take reasonable steps to correct such errors in a correction, retraction, erratum,
or other appropriate publication means.
8.11 Plagiarism
Psychologists do not present portions of another's work or data as their own,
even if the other work or data source is cited occasionally.
8.12 Publication Credit
(a) Psychologists take responsibility and credit, including authorship credit,
only for work they have actually performed or to which they have substantially
contributed. (See also Standard 8.12b, Publication Credit.)
(b) Principal authorship and other publication credits accurately reflect the
relative scientific or professional contributions of the individuals involved,
regardless of their relative status. Mere possession of an institutional position,
such as department chair, does not justify authorship credit. Minor contributions
to the research or to the writing for publications are acknowledged appropriately,
such as in footnotes or in an introductory statement.
(c) Except under exceptional circumstances, a student is listed as principal
author on any multiple-authored article that is substantially based on the student's
doctoral dissertation. Faculty advisors discuss publication credit with students
as early as feasible and throughout the research and publication process as
appropriate. (See also Standard 8.12b, Publication Credit.)
8.13 Duplicate Publication of Data
Psychologists do not publish, as original data, data that have been previously
published. This does not preclude republishing data when they are accompanied
by proper acknowledgment.
8.14 Sharing Research Data for Verification
(a) After research results are published, psychologists do not withhold the
data on which their conclusions are based from other competent professionals
who seek to verify the substantive claims through reanalysis and who intend
to use such data only for that purpose, provided that the confidentiality of
the participants can be protected and unless legal rights concerning proprietary
data preclude their release. This does not preclude psychologists from requiring
that such individuals or groups be responsible for costs associated with the
provision of such information.
(b) Psychologists who request data from other psychologists to verify the substantive
claims through reanalysis may use shared data only for the declared purpose.
Requesting psychologists obtain prior written agreement for all other uses of
the data.
8.15 Reviewers
Psychologists who review material submitted for presentation, publication, grant,
or research proposal review respect the confidentiality of and the proprietary
rights in such information of those who submitted it.
9. Assessment
9.01 Bases for Assessments
(a) Psychologists base the opinions contained in their recommendations, reports,
and diagnostic or evaluative statements, including forensic testimony, on information
and techniques sufficient to substantiate their findings. (See also Standard
2.04, Bases for Scientific and Professional Judgments.)
(b) Except as noted in 9.01c, psychologists provide opinions of the psychological
characteristics of individuals only after they have conducted an examination
of the individuals adequate to support their statements or conclusions. When,
despite reasonable efforts, such an examination is not practical, psychologists
document the efforts they made and the result of those efforts, clarify the
probable impact of their limited information on the reliability and validity
of their opinions, and appropriately limit the nature and extent of their conclusions
or recommendations. (See also Standards 2.01, Boundaries of Competence, and
9.06, Interpreting Assessment Results.)
(c) When psychologists conduct a record review or provide consultation or supervision
and an individual examination is not warranted or necessary for the opinion,
psychologists explain this and the sources of information on which they based
their conclusions and recommendations.
9.02 Use of Assessments
(a) Psychologists administer, adapt, score, interpret, or use assessment techniques,
interviews, tests, or instruments in a manner and for purposes that are appropriate
in light of the research on or evidence of the usefulness and proper application
of the techniques.
(b) Psychologists use assessment instruments whose validity and reliability
have been established for use with members of the population tested. When such
validity or reliability has not been established, psychologists describe the
strengths and limitations of test results and interpretation.
(c) Psychologists use assessment methods that are appropriate to an individual's
language preference and competence, unless the use of an alternative language
is relevant to the assessment issues.
9.03 Informed Consent in Assessments
(a) Psychologists obtain informed consent for assessments, evaluations, or diagnostic
services, as described in Standard 3.10, Informed Consent, except when (1) testing
is mandated by law or governmental regulations; (2) informed consent is implied
because testing is conducted as a routine educational, institutional, or organizational
activity (e.g., when participants voluntarily agree to assessment when applying
for a job); or (3) one purpose of the testing is to evaluate decisional capacity.
Informed consent includes an explanation of the nature and purpose of the assessment,
fees, involvement of third parties, and limits of confidentiality and sufficient
opportunity for the client/patient to ask questions and receive answers.
9.10 Explaining Assessment Results
Regardless of whether the scoring and interpretation are done by psychologists,
by employees or assistants, or by automated or other outside services, psychologists
take reasonable steps to ensure that explanations of results are given to the
individual or designated representative unless the nature of the relationship
precludes provision of an explanation of results (such as in some organizational
consulting, preemployment or security screenings, and forensic evaluations),
and this fact has been clearly explained to the person being assessed in advance.
9.11. Maintaining Test Security
The term test materials refers to manuals, instruments, protocols, and test
questions or stimuli and does not include test data as defined in Standard 9.04,
Release of Test Data. Psychologists make reasonable efforts to maintain the
integrity and security of test materials and other assessment techniques consistent
with law and contractual obligations, and in a manner that permits adherence
to this Ethics Code.
10. Therapy
10.01 Informed Consent to Therapy
(a) When obtaining informed consent to therapy as required in Standard 3.10,
Informed Consent, psychologists inform clients/patients as early as is feasible
in the therapeutic relationship about the nature and anticipated course of therapy,
fees, involvement of third parties, and limits of confidentiality and provide
sufficient opportunity for the client/patient to ask questions and receive answers.
(See also Standards 4.02, Discussing the Limits of Confidentiality, and 6.04,
Fees and Financial Arrangements
(b) When obtaining informed consent for treatment for which generally recognized
techniques and procedures have not been established, psychologists inform their
clients/patients of the developing nature of the treatment, the potential risks
involved, alternative treatments that may be available, and the voluntary nature
of their participation. (See also Standards 2.01e, Boundaries of Competence,
and 3.10, Informed Consent.)
(c) When the therapist is a trainee and the legal responsibility for the treatment
provided resides with the supervisor, the client/patient, as part of the informed
consent procedure, is informed that the therapist is in training and is being
supervised and is given the name of the supervisor.
10.02 Therapy Involving Couples or Families
(a) When psychologists agree to provide services to several persons who have
a relationship (such as spouses, significant others, or parents and children),
they take reasonable steps to clarify at the outset (1) which of the individuals
are clients/patients and (2) the relationship the psychologist will have with
each person. This clarification includes the psychologist's role and the probable
uses of the services provided or the information obtained. (See also Standard
4.02, Discussing the Limits of Confidentiality.)
(b) If it becomes apparent that psychologists may be called on to perform potentially
conflicting roles (such as family therapist and then witness for one party in
divorce proceedings), psychologists take reasonable steps to clarify and modify,
or withdraw from, roles appropriately. (See also Standard 3.05c, Multiple Relationships.)
10.03 Group Therapy
When psychologists provide services to several persons in a group setting, they
describe at the outset the roles and responsibilities of all parties and the
limits of confidentiality.
10.04 Providing Therapy to Those Served by Others
In deciding whether to offer or provide services to those already receiving
mental health services elsewhere, psychologists carefully consider the treatment
issues and the potential client's/patient's welfare. Psychologists discuss these
issues with the client/patient or another legally authorized person on behalf
of the client/patient in order to minimize the risk of confusion and conflict,
consult with the other service providers when appropriate, and proceed with
caution and sensitivity to the therapeutic issu
10.05 Sexual Intimacies With Current Therapy Clients/Patients
Psychologists do not engage in sexual intimacies with current therapy clients/patients.
10.06 Sexual Intimacies With Relatives or Significant Others of Current Therapy
Clients/Patients
Psychologists do not engage in sexual intimacies with individuals they know
to be close relatives, guardians, or significant others of current clients/patients.
Psychologists do not terminate therapy to circumvent this standard.
10.07 Therapy With Former Sexual Partners
Psychologists do not accept as therapy clients/patients persons with whom they
have engaged in sexual intimacies.
10.08 Sexual Intimacies With Former Therapy Clients/Patients
(a) Psychologists do not engage in sexual intimacies with former clients/patients
for at least two years after cessation or termination of therapy.
(b) Psychologists do not engage in sexual intimacies with former clients/patients
even after a two-year interval except in the most unusual circumstances. Psychologists
who engage in such activity after the two years following cessation or termination
of therapy and of having no sexual contact with the former client/patient bear
the burden of demonstrating that there has been no exploitation, in light of
all relevant factors, including (1) the amount of time that has passed since
therapy terminated; (2) the nature, duration, and intensity of the therapy;
(3) the circumstances of termination; (4) the client's/patient's personal history;
(5) the client's/patient's current mental status; (6) the likelihood of adverse
impact on the client/patient; and (7) any statements or actions made by the
therapist during the course of therapy suggesting or inviting the possibility
of a posttermination sexual or romantic relationship with the client/patient.
(See also Standard 3.05, Multiple Relationships.)
10.09 Interruption of Therapy
When entering into employment or contractual relationships, psychologists make
reasonable efforts to provide for orderly and appropriate resolution of responsibility
for client/patient care in the event that the employment or contractual relationship
ends, with paramount consideration given to the welfare of the client/patient.
(See also Standard 3.12, Interruption of Psychological Services.)
10.10 Terminating Therapy
(a) Psychologists terminate therapy when it becomes reasonably clear that the
client/patient no longer needs the service, is not likely to benefit, or is
being harmed by continued service.
(b) Psychologists may terminate therapy when threatened or otherwise endangered
by the client/patient or another person with whom the client/patient has a relationship.
c) Except where precluded by the actions of clients/patients or third-party
payors, prior to termination psychologists provide pretermination counseling
and suggest alternative service providers as appropri ate.