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DOI: 10.1055/s-0040-1710049
Ethical Responsibilities to Adults with Communication Impairments Involved in Group Therapy
Publication History
Publication Date:
25 June 2020 (online)
Abstract
Ethical challenges can arise when providing group therapy to adults living with communication impairments. In addition to the ethical challenges that may be encountered when conducting one-to-one therapy intervention, practitioners must also consider dilemmas that are specific to group therapy. This article considers the principles and rules of the American Speech-Language-Hearing Association (ASHA) Code of Ethics via a series of clinical vignettes that illustrate four ethical challenges that may be encountered when providing group therapy: acquiring sufficient clinical competency to conduct group therapy; handling issues related to client confidentiality; resisting external pressure to provide groups solely for financial gain and/or other administrative efficiencies; and handling practitioner–client boundaries.
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References
- 1 Barros-Bailey M, Saunders JL. Ethics and the use of technology in rehabilitation counseling. Rehabil Couns Bull 2010; 53 (04) 255-259
- 2 Strand EA. Clinical and professional ethics in the management of motor speech disorders. Semin Speech Lang 2003; 24 (04) 301-311
- 3 American Speech-Language-Hearing Association. Code of Ethics. Rockville, MD: American Speech-Language-Hearing Association; 2016 . Available at: www.asha.org/policy . Accessed April 7, 2020
- 4 Bernard H, Burlingame G, Flores P. , et al; Science to Service Task Force, American Group Psychotherapy Association. Clinical practice guidelines for group psychotherapy. Int J Group Psychother 2008; 58 (04) 455-542
- 5 Klontz BT. Ethical practice of group experiential psychotherapy. Psychotherapy Theory Research & Practice 2004; 41 (02) 172-179
- 6 Lymberis M. . Ethical and legal issues in group psychotherapy. In: Group Therapy in Clinical Practice. Washington, DC: American Psychiatric Press; 1993: 343-351
- 7 Elman RJ. , ed. Group Treatment of Neurogenic Communication Disorders: The Expert Clinician's Approach, 2nd ed. San Diego, CA: Plural Publishing; 2007
- 8 Elman RJ. . Conversation Groups for People with Aphasia: Rationale & Evidence. [Video webinar]. MedBridge: Seattle, WA; 2018. . Available at: https://www.medbridgeeducation.com/courses/details/conversation-groups-for-people-with-aphasia-rationale-and-evidence-roberta-elman-speech-language-pathology-aphasia . Accessed April 7, 2020
- 9 Elman RJ. . Conversation Groups for People with Aphasia: Techniques & Application. [Video webinar]. Seattle, WA: MedBridge; 2018. . Available at: https://www.medbridgeeducation.com/courses/details/conversation-groups-for-people-with-aphasia-techniques-and-application-roberta-elman-speech-language-pathology-aphasia . Accessed April 7, 2020
- 10 Thomas RV, Pender D. Association for Specialists in Group Work: Best Practice Guidelines 2007 Revisions. J Spec Group Work 2008; 33 (02) 111-117
- 11 Horner J. Communication access, rights, and policies. In: Simmons-Mackie N, King J, Beukelman D. , eds. Supporting Communication for Adults with Acute and Chronic Aphasia. Baltimore, MD: Brooks Publishing; 2013: 303-324
- 12 LPAA Project Group; Chapey R, Duchan J, Elman RJ, Garcia L, Kagan A, Lyon J, Simmons-Mackie N. Life participation approach to aphasia: a statement of values for the future. ASHA Lead 2000; 5: 4-6 . Available at: https://leader.pubs.asha.org/doi/10.1044/leader.FTR.05032000.4 . Accessed April 7, 2020
- 13 Elman RJ. Aphasia centers and the life participation approach to aphasia: a paradigm shift. Top Lang Disord 2016; 36 (02) 154-167
- 14 Sherratt S, Hersh D. “You feel like family...” professional boundaries and social model aphasia groups. Int J Speech Lang Pathol 2010; 12 (02) 152-161
- 15 Brady Wagner LC. Clinical ethics in the context of language and cognitive impairment: rights and protections. Semin Speech Lang 2003; 24 (04) 275-284