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Ethical dilemmas in treating clients with eating disorders: A review and application of an integrative ethical decision‐making model
Author(s) -
Matusek Jill Anne,
Wright Margaret O'Dougherty
Publication year - 2010
Publication title -
european eating disorders review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.511
H-Index - 67
eISSN - 1099-0968
pISSN - 1072-4133
DOI - 10.1002/erv.1036
Subject(s) - eating disorders , duty to protect , covert , ethical decision , psychology , competence (human resources) , psychotherapist , ethical code , duty , engineering ethics , clinical psychology , social psychology , political science , linguistics , philosophy , law , engineering
Ethical dilemmas frequently arise in the treatment of clients with eating disorders, and clinicians regularly encounter an array of ethical challenges related to whether or not overt and covert coercive tactics should be implemented. In this paper, the authors provide an overview of perplexing ethical questions relevant to medical, nutritional and psychological treatment of clients with eating disorders including imposed treatment, enforced feeding, the duty to protect minors and adults, the determination of competence and capacity among medically comprised clients, and the effectiveness of coercive treatment for clients with eating disorders. The processes of ethical decision‐making in terms of ethical principles, professional codes of conduct, the existing empirical literature and the use of a decision‐making framework are explored. Taking a collaborative and client‐sensitive approach, the authors outline and apply an integrative ethical decision‐making model to facilitate clinicians' decision‐making process. Copyright © 2010 John Wiley & Sons, Ltd and Eating Disorders Association.