Welcome to the Nexus of Ethics, Psychology, Morality, Philosophy and Health Care

Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy
Showing posts with label Personal Values. Show all posts
Showing posts with label Personal Values. Show all posts

Friday, October 13, 2017

Moral Distress: A Call to Action

The Editor
AMA Journal of Ethics. June 2017, Volume 19, Number 6: 533-536.

During medical school, I was exposed for the first time to ethical considerations that stemmed from my new role in the direct provision of patient care. Ethical obligations were now both personal and professional, and I had to navigate conflicts between my own values and those of patients, their families, and other members of the health care team. However, I felt paralyzed by factors such as my relative lack of medical experience, low position in the hospital hierarchy, and concerns about evaluation. I experienced a profound and new feeling of futility and exhaustion, one that my peers also often described.

I have since realized that this experience was likely “moral distress,” a phenomenon originally described by Andrew Jameton in 1984. For this issue, the following definition, adapted from Jameton, will be used: moral distress occurs when a clinician makes a moral judgment about a case in which he or she is involved and an external constraint makes it difficult or impossible to act on that judgment, resulting in “painful feelings and/or psychological disequilibrium”. Moral distress has subsequently been shown to be associated with burnout, which includes poor coping mechanisms such as moral disengagement, blunting, denial, and interpersonal conflict.

Moral distress as originally conceived by Jameton pertained to nurses and has been extensively studied in the nursing literature. However, until a few years ago, the literature has been silent on the moral distress of medical students and physicians.

The article is here.

Thursday, February 19, 2015

Batgirl's Psychologist

By applying characters' fictional psyches to real-life problems, a cosplay enthusiast turned a passion for comic books into a mental-health career.

Erika Hayasaki
The Atlantic
Originally published January 27, 2015

Here is an excerpt:

Despite her excellent credentials and high grades, she carried with her traces of imposter syndrome—the fear that colleagues would discover she wasn’t smart or talented enough to be in her position. It is an anxiety that many career-driven women who excel in their fields experience, as noted in a famous 1978 study in Psychotherapy Theory, Research, and Practice, in which observations of 150 highly successful women found that they often thought of themselves as frauds and did not “experience an internal sense of success.”

The entire article is here.

Monday, December 22, 2014

Episode 18: Critical Incidents and Psychologist Safety

If you have missed AM radio, then you will appreciate this episode.  John experiments with conference call software with his guests to discuss ethics and safety from a psychologist's point of view.  I apologize about the squeaks (Shannon's phone), scratches and other recording imperfections.

John's guests include Dr. Don McAleer, psychologist, gun owner, firearms instructor, firearm collector; Massad Ayoob, an international firearms and self-defense instructor, expert in lethal force encounters and shooting cases, and author; and, Dr. Shannon Clark, psychologist, FBI agent, active shooter and response instructor, and lifelong martial artist.

We discuss the ethics of nonmaleficence (do no harm) versus personal safety.  It is no secret that psychologists are vulnerable to threat, assault, and stalking from patients and family members of patients.  The overarching goal is to start a discussion for psychologists and mental health professionals about potential dangers for mental health professionals and some options to help keep them safe.

Click here to earn 1 APA-approved CE credit

At the end of this podcast, the listener will be able to:

1. Outline your personal values related to safety in your professional life.
2. List the options to enhance personal safety in your office.
3. Describe several responsible steps to take if you decide to carry a firearm or house one in your office.


Reading Material

Massad Ayoob Information

Massad's Training Institute

Contact information for Shannon Clark

Shannon Clark