Ethical Principles
of Psychologists and
Code of Conduct
Adopted August 21, 2002
Effective June 1, 2003
With the 2010 Amendments
Adopted February 20, 2010
Effective June 1, 2010
Ethical Principles of Psychologists
and Code of Conduct
CONTENTS
INTRODUCTION AND APPLICABILITY
PREAMBLE
GENERAL PRINCIPLES
Principle A: Beneficence
and Nonmaleficence
Principle B: Fidelity and Responsibility
Principle C: Integrity
Principle D: Justice
Principle E: Respect for People’s Rights
and Dignity
ETHICAL STANDARDS
1.
Resolving Ethical Issues
1.01
Misuse of Psychologists’ Work
1.02
Conflicts Between Ethics and Law,
Regulations, or Other Governing
Legal Authority
1.03
Conflicts Between Ethics and
Organizational Demands
1.04
Informal Resolution of Ethical
Violations
1.05
Reporting Ethical Violations
1.06
Cooperating With Ethics Committees
1.07
Improper Complaints
1.08
Unfair Discrimination Against
Complainants and Respondents
2.
2.01
2.02
2.03
2.04
2.05
2.06
3.
3.01
3.02
3.03
3.04
3.05
3.06
3.07
3.08
3.09
Competence
Boundaries of Competence
Providing Services in Emergencies
Maintaining Competence
Bases for Scientific and Professional
Judgments
Delegation of Work to Others
Personal Problems and Conflicts
3.12
Human Relations
Unfair Discrimination
Sexual Harassment
Other Harassment
Avoiding Harm
Multiple Relationships
Conflict of Interest
Third-Party Requests for Services
Exploitative Relationships
Cooperation With Other
Professionals
Informed Consent
Psychological Services Delivered to
or Through Organizations
Interruption of Psychological Services
4.
4.01
Privacy and Confidentiality
Maintaining Confidentiality
3.10
3.11
Effective June 1, 2003, as amended 2010
4.02
4.03
4.04
4.05
4.06
4.07
5.
5.01
5.02
5.03
5.04
5.05
5.06
6.
6.01
6.02
6.03
6.04
6.05
6.06
6.07
7.
7.01
7.02
7.03
7.04
7.05
7.06
7.07
8.
8.01
8.02
8.03
Discussing the Limits of
Confidentiality
Recording
Minimizing Intrusions on Privacy
Disclosures
Consultations
Use of Confidential Information
for Didactic or Other Purposes
Advertising and Other Public
Statements
Avoidance of False or Deceptive
Statements
Statements by Others
Descriptions of Workshops and
Non-Degree-Granting Educational
Programs
Media Presentations
Testimonials
In-Person Solicitation
Record Keeping and Fees
Documentation of Professional
and Scientific Work and
Maintenance of Records
Maintenance, Dissemination,
and Disposal of Confidential Records
of Professional and Scientific Work
Withholding Records for
Nonpayment
Fees and Financial Arrangements
Barter With Clients/Patients
Accuracy in Reports to Payors and
Funding Sources
Referrals and Fees
Education and Training
Design of Education and Training
Programs
Descriptions of Education and
Training Programs
Accuracy in Teaching
Student Disclosure of Personal
Information
Mandatory Individual or Group
Therapy
Assessing Student and Supervisee
Performance
Sexual Relationships With
Students and Supervisees
Research and Publication
Institutional Approval
Informed Consent to Research
Informed Consent for Recording
Voices and Images in Research
Copyright © 2010 by the American Psychological Association. 0003-066X
8.04
8.05
8.06
8.07
8.08
8.09
8.10
8.11
8.12
8.13
8.14
8.15
9.
9.01
9.02
9.03
9.04
9.05
9.06
9.07
9.08
9.09
9.10
9.11
10.
10.01
10.02
10.03
10.04
10.05
10.06
10.07
10.08
10.09
10.10
Client/Patient, Student, and
Subordinate Research Participants
Dispensing With Informed Consent
for Research
Offering Inducements for Research
Participation
Deception in Research
Debriefing
Humane Care and Use of Animals
in Research
Reporting Research Results
Plagiarism
Publication Credit
Duplicate Publication of Data
Sharing Research Data for Verification
Reviewers
Assessment
Bases for Assessments
Use of Assessments
Informed Consent in Assessments
Release of Test Data
Test Construction
Interpreting Assessment Results
Assessment by Unqualified Persons
Obsolete Tests and Outdated Test
Results
Test Scoring and Interpretation
Services
Explaining Assessment Results
Maintaining Test Security
Therapy
Informed Consent to Therapy
Therapy Involving Couples or
Families
Group Therapy
Providing Therapy to Those Served
by Others
Sexual Intimacies With Current
Therapy Clients/Patients
Sexual Intimacies With Relatives
or Significant Others of Current
Therapy Clients/Patients
Therapy With Former Sexual Partners
Sexual Intimacies With Former
Therapy Clients/Patients
Interruption of Therapy
Terminating Therapy
2010 Amendments to the
2002 “Ethical Principles of
Psychologists and Code of
Conduct”
1
INTRODUCTION AND APPLICABILITY
The American Psychological Association’s (APA’s)
Ethical Principles of Psychologists and Code of Conduct
(hereinafter referred to as the Ethics Code) consists of an Introduction, a Preamble, five General Principles (A–E), and
specific Ethical Standards. The Introduction discusses the
intent, organization, procedural considerations, and scope of
application of the Ethics Code. The Preamble and General
Principles are aspirational goals to guide psychologists toward
the highest ideals of psychology. Although the Preamble and
General Principles are not themselves enforceable rules, they
should be considered by psychologists in arriving at an ethical
course of action. The Ethical Standards set forth enforceable
rules for conduct as psychologists. Most of the Ethical Standards are written broadly, in order to apply to psychologists in
varied roles, although the application of an Ethical Standard
may vary depending on the context. The Ethical Standards are
not exhaustive. The fact that a given conduct is not specifically
addressed by an Ethical Standard does not mean that it is necessarily either ethical or unethical.
This Ethics Code applies only to psychologists’ activities that are part of their scientific, educational, or professional roles as psychologists. Areas covered include but are
not limited to the clinical, counseling, and school practice of
psychology; research; teaching; supervision of trainees; public service; policy development; social intervention; development of assessment instruments; conducting assessments;
educational counseling; organizational consulting; forensic
activities; program design and evaluation; and administration. This Ethics Code applies to these activities across a variety of contexts, such as in person, postal, telephone, Internet,
and other electronic transmissions. These activities shall be
distinguished from the purely private conduct of psychologists, which is not within the purview of the Ethics Code.
Membership in the APA commits members and student affiliates to comply with the standards of the APA Ethics
Code and to the rules and procedures used to enforce them.
Lack of awareness or misunderstanding of an Ethical Standard
is not itself a defense to a charge of unethical conduct.
The procedures for filing, investigating, and resolving
complaints of unethical conduct are described in the current
Rules and Procedures of the APA Ethics Committee. APA may
impose sanctions on its members for violations of the standards of the Ethics Code, including termination of APA membership, and may notify other bodies and individuals of its
actions. Actions that violate the standards of the Ethics Code
may also lead to the imposition of sanctions on psychologists
or students whether or not they are APA members by bodies
other than APA, including state psychological associations,
other professional groups, psychology boards, other state or
federal agencies, and payors for health services. In addition,
APA may take action against a member after his or her conviction of a felony, expulsion or suspension from an affiliated state
psychological association, or suspension or loss of licensure.
When the sanction to be imposed by APA is less than expulsion, the 2001 Rules and Procedures do not guarantee an op2
Introduction and Applicability
portunity for an in-person hearing, but generally provide that
complaints will be resolved only on the basis of a submitted
record.
The Ethics Code is intended to provide guidance for
psychologists and standards of professional conduct that can
be applied by the APA and by other bodies that choose to
adopt them. The Ethics Code is not intended to be a basis of
civil liability. Whether a psychologist has violated the Ethics
Code standards does not by itself determine whether the psychologist is legally liable in a court action, whether a contract
is enforceable, or whether other legal consequences occur.
The modifiers used in some of the standards of this
Ethics Code (e.g., reasonably, appropriate, potentially) are included in the standards when they would (1) allow professional judgment on the part of psychologists, (2) eliminate
injustice or inequality that would occur without the modifier,
(3) ensure applicability across the broad range of activities
conducted by psychologists, or (4) guard against a set of rigid
rules that might be quickly outdated. As used in this Ethics
Code, the term reasonable means the prevailing professional
judgment of psychologists engaged in similar activities in similar circumstances, given the knowledge the psychologist had
or should have had at the time.
The American Psychological Association’s Council of Representatives adopted this version of the APA Ethics Code during its meeting on August 21,
2002. The Code became effective on June 1, 2003. The Council of Representatives amended this version of the Ethics Code on February 20, 2010. The
amendments became effective on June 1, 2010 (see p. 15 of this pamphlet).
Inquiries concerning the substance or interpretation of the APA Ethics Code
should be addressed to the Director, Office of Ethics, American Psychological Association, 750 First Street, NE, Washington, DC 20002-4242. The
Ethics Code and information regarding the Code can be found on the APA
website, http://www.apa.org/ethics. The standards in this Ethics Code will
be used to adjudicate complaints brought concerning alleged conduct occurring on or after the effective date. Complaints will be adjudicated on the basis
of the version of the Ethics Code that was in effect at the time the conduct
occurred.
The APA has previously published its Ethics Code as follows:
American Psychological Association. (1953). Ethical standards of psychologists. Washington, DC: Author.
American Psychological Association. (1959). Ethical standards of psychologists. American Psychologist, 14, 279–282.
American Psychological Association. (1963). Ethical standards of psychologists. American Psychologist, 18, 56–60.
American Psychological Association. (1968). Ethical standards of psychologists. American Psychologist, 23, 357–361.
American Psychological Association. (1977, March). Ethical standards of
psychologists. APA Monitor, 22–23.
American Psychological Association. (1979). Ethical standards of psychologists. Washington, DC: Author.
American Psychological Association. (1981). Ethical principles of psychologists. American Psychologist, 36, 633–638.
American Psychological Association. (1990). Ethical principles of psychologists (Amended June 2, 1989). American Psychologist, 45, 390–395.
American Psychological Association. (1992). Ethical principles of psychologists and code of conduct. American Psychologist, 47, 1597–1611.
American Psychological Association. (2002). Ethical principles of psychologists and code of conduct. American Psychologist, 57, 1060-1073.
Request copies of the APA’s Ethical Principles of Psychologists and Code
of Conduct from the APA Order Department, 750 First Street, NE, Washington, DC 20002-4242, or phone (202) 336-5510.
Effective June 1, 2003, as amended 2010
In the process of making decisions regarding their
professional behavior, psychologists must consider this Ethics Code in addition to applicable laws and psychology board
regulations. In applying the Ethics Code to their professional
work, psychologists may consider other materials and guidelines that have been adopted or endorsed by scientific and
professional psychological organizations and the dictates of
their own conscience, as well as consult with others within
the field. If this Ethics Code establishes a higher standard of
conduct than is required by law, psychologists must meet the
higher ethical standard. If psychologists’ ethical responsibilities conflict with law, regulations, or other governing legal
authority, psychologists make known their commitment to
this Ethics Code and take steps to resolve the conflict in a responsible manner in keeping with basic principles of human
rights.
Principle A: Beneficence and Nonmaleficence
PREAMBLE
Principle B: Fidelity and Responsibility
Psychologists are committed to increasing scientific
and professional knowledge of behavior and people’s understanding of themselves and others and to the use of such
knowledge to improve the condition of individuals, organizations, and society. Psychologists respect and protect civil
and human rights and the central importance of freedom of
inquiry and expression in research, teaching, and publication.
They strive to help the public in developing informed judgments and choices concerning human behavior. In doing so,
they perform many roles, such as researcher, educator, diagnostician, therapist, supervisor, consultant, administrator, social interventionist, and expert witness. This Ethics Code provides a common set of principles and standards upon which
psychologists build their professional and scientific work.
This Ethics Code is intended to provide specific standards to cover most situations encountered by psychologists.
It has as its goals the welfare and protection of the individuals
and groups with whom psychologists work and the education
of members, students, and the public regarding ethical standards of the discipline.
The development of a dynamic set of ethical standards
for psychologists’ work-related conduct requires a personal
commitment and lifelong effort to act ethically; to encourage ethical behavior by students, supervisees, employees,
and colleagues; and to consult with others concerning ethical
problems.
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.
Effective June 1, 2003, as amended 2010
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.
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
Preamble–Principle D
3
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 clarify the nature of the conflict, make known their
commitment to the Ethics Code, and take reasonable steps
to resolve the conflict consistent with the General Principles
and Ethical Standards of the Ethics Code. Under no circumstances may this standard be used to justify or defend violating human rights.
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 are in
conflict with this Ethics Code, psychologists clarify the nature
of the conflict, make known their commitment to the Ethics
Code, and take reasonable steps to resolve the conflict consistent with the General Principles and Ethical Standards of the
Ethics Code. Under no circumstances may this standard be
used to justify or defend violating human rights.
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 indi4
Principle E–Standard 2.01
vidual, 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.
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.
Effective June 1, 2003, as amended 2010
(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 experience, 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.
2.02 Providing Services in Emergencies
In emergencies, when psychologists provide services
to individuals for whom other mental health services are not
available and for which psychologists have not obtained the
necessary training, psychologists may provide such services
in order to ensure that services are not denied. The services
are discontinued as soon as the emergency has ended or appropriate services are available.
2.03 Maintaining Competence
Psychologists undertake ongoing efforts to develop
and maintain their competence.
2.04 Bases for Scientific and Professional
Judgments
Psychologists’ work is based upon established scientific and professional knowledge of the discipline. (See also
Standards 2.01e, Boundaries of Competence, and 10.01b, Informed Consent to Therapy.)
2.05 Delegation of Work to Others
Psychologists who delegate work to employees, supervisees, or research or teaching assistants or who use the ser-
Effective June 1, 2003, as amended 2010
vices of others, such as interpreters, take reasonable steps to
(1) avoid delegating such work to persons who have a multiple relationship with those being served that would likely lead
to exploitation or loss of objectivity; (2) authorize only those
responsibilities that such persons can be expected to perform
competently on the basis of their education, training, or experience, either independently or with the level of supervision
being provided; and (3) see that such persons perform these
services competently. (See also Standards 2.02, Providing
Services in Emergencies; 3.05, Multiple Relationships; 4.01,
Maintaining Confidentiality; 9.01, Bases for Assessments;
9.02, Use of Assessments; 9.03, Informed Consent in Assessments; and 9.07, Assessment by Unqualified Persons.)
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
Standard 2.02–Standard 3.03
5
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.,
6
Standard 3.04–Standard 3.10
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. (See also Standards
3.05, Multiple Relationships, and 4.02, Discussing the Limits
of 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 3.05, Multiple Relationships; 6.04, Fees and Financial Arrangements; 6.05, Barter
With Clients/Patients; 7.07, Sexual Relationships With Students and Supervisees; 10.05, Sexual Intimacies With Current Therapy Clients/Patients; 10.06, Sexual Intimacies With
Relatives or Significant Others of Current Therapy Clients/
Patients; 10.07, Therapy With Former Sexual Partners; and
10.08, Sexual Intimacies With Former Therapy Clients/Patients.)
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.
(See also Standards 8.02, Informed Consent to Research;
9.03, Informed Consent in Assessments; and 10.01, Informed
Consent to Therapy.)
(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 8.02,
Effective June 1, 2003, as amended 2010
Informed Consent to Research; 9.03, Informed Consent in Assessments; and 10.01, Informed Consent to Therapy.)
3.11 Psychological Services Delivered to or
Through Organizations
(a) Psychologists delivering services to or through
organizations provide information beforehand to clients and
when appropriate those directly affected by the services about
(1) the nature and objectives of the services, (2) the intended
recipients, (3) which of the individuals are clients, (4) the relationship the psychologist will have with each person and the
organization, (5) the probable uses of services provided and
information obtained, (6) who will have access to the information, and (7) limits of confidentiality. As soon as feasible,
they provide information about the results and conclusions of
such services to appropriate persons.
(b) If psychologists will be precluded by law or by
organizational roles from providing such information to particular individuals or groups, they so inform those individuals
or groups at the outset of the service.
3.12 Interruption of Psychological Services
Unless otherwise covered by contract, psychologists
make reasonable efforts to plan for facilitating services in the
event that psychological services are interrupted by factors
such as the psychologist’s illness, death, unavailability, relocation, or retirement or by the client’s/patient’s relocation or
financial limitations. (See also Standard 6.02c, Maintenance,
Dissemination, and Disposal of Confidential Records of Professional and Scientific Work.)
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. (See also Standard 2.05, Delegation of Work to
Others.)
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 3.10, Informed Consent.)
(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.
Effective June 1, 2003, as amended 2010
(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. (See also
Standards 8.03, Informed Consent for Recording Voices and
Images in Research; 8.05, Dispensing With Informed Consent for Research; and 8.07, Deception in Research.)
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. (See also Standard 6.04e, Fees and Financial Arrangements.)
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. (See also Standard 4.01, Maintaining Confidentiality.)
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 recipi-
Standard 3.11–Standard 4.07
7
ents 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. (See also Standard 1.01,
Misuse of Psychologists’ Work.)
(c) A paid advertisement relating to psychologists’ activities must be identified or clearly recognizable as such.
5.03 Descriptions of Workshops and Non-DegreeGranting 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.
8
Standard 5.01–Standard 6.02
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. (See also Standard 2.04, Bases
for Scientific and Professional Judgments.)
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. (See also Standard 4.01,
Maintaining Confidentiality.)
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 Standards 4.01, Maintaining
Confidentiality, and 6.01, Documentation of Professional and
Scientific Work and Maintenance of Records.)
(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.
Effective June 1, 2003, as amended 2010
(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. (See also Standards 3.12, Interruption of
Psychological Services, and 10.09, Interruption of Therapy.)
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.
6.04 Fees and Financial Arrangements
(a) As early as is feasible in a professional or scientific
relationship, psychologists and recipients of psychological
services reach an agreement specifying compensation and
billing arrangements.
(b) Psychologists’ fee practices are consistent with
law.
(c) Psychologists do not misrepresent their fees.
(d) If limitations to services can be anticipated because
of limitations in financing, this is discussed with the recipient
of services as early as is feasible. (See also Standards 10.09, Interruption of Therapy, and 10.10, Terminating Therapy.)
(e) If the recipient of services does not pay for services
as agreed, and if psychologists intend to use collection agencies or legal measures to collect the fees, psychologists first inform the person that such measures will be taken and provide
that person an opportunity to make prompt payment. (See
also Standards 4.05, Disclosures; 6.03, Withholding Records
for Nonpayment; and 10.01, Informed Consent to Therapy.)
6.05 Barter With Clients/Patients
Barter is the acceptance of goods, services, or other
nonmonetary remuneration from clients/patients in return
for psychological services. Psychologists may barter only if
(1) it is not clinically contraindicated, and (2) the resulting
arrangement is not exploitative. (See also Standards 3.05,
Multiple Relationships, and 6.04, Fees and Financial Arrangements.)
6.06 Accuracy in Reports to Payors and
Funding Sources
In their reports to payors for services or sources of
research funding, psychologists take reasonable steps to ensure the accurate reporting of the nature of the service provided or research conducted, the fees, charges, or payments,
and where applicable, the identity of the provider, the findings, and the diagnosis. (See also Standards 4.01, Maintaining
Confidentiality; 4.04, Minimizing Intrusions on Privacy; and
4.05, Disclosures.)
6.07 Referrals and Fees
When psychologists pay, receive payment from, or divide fees with another professional, other than in an employ-
Effective June 1, 2003, as amended 2010
er–employee relationship, the payment to each is based on
the services provided (clinical, consultative, administrative,
or other) and is not based on the referral itself. (See also Standard 3.09, Cooperation With Other Professionals.)
7.
Education and Training
7.01 Design of Education and Training Programs
Psychologists responsible for education and training
programs take reasonable steps to ensure that the programs
are designed to provide the appropriate knowledge and proper experiences, and to meet the requirements for licensure,
certification, or other goals for which claims are made by the
program. (See also Standard 5.03, Descriptions of Workshops
and Non-Degree-Granting Educational Programs.)
7.02 Descriptions of Education and Training
Programs
Psychologists responsible for education and training
programs take reasonable steps to ensure that there is a current
and accurate description of the program content (including
participation in required course- or program-related counseling, psychotherapy, experiential groups, consulting projects,
or community service), training goals and objectives, stipends
and benefits, and requirements that must be met for satisfactory completion of the program. This information must be
made readily available to all interested parties.
7.03 Accuracy in Teaching
(a) Psychologists take reasonable steps to ensure
that course syllabi are accurate regarding the subject matter
to be covered, bases for evaluating progress, and the nature
of course experiences. This standard does not preclude an
instructor from modifying course content or requirements
when the instructor considers it pedagogically necessary or
desirable, so long as students are made aware of these modifications in a manner that enables them to fulfill course requirements. (See also Standard 5.01, Avoidance of False or Deceptive Statements.)
(b) When engaged in teaching or training, psychologists present psychological information accurately. (See also
Standard 2.03, Maintaining Competence.)
7.04 Student Disclosure of Personal Information
Psychologists do not require students or supervisees
to disclose personal information in course- or program-related activities, either orally or in writing, regarding sexual history, history of abuse and neglect, psychological treatment, and
relationships with parents, peers, and spouses or significant
others except if (1) the program or training facility has clearly
identified this requirement in its admissions and program
materials or (2) the information is necessary to evaluate or
obtain assistance for students whose personal problems could
reasonably be judged to be preventing them from performing
their training- or professionally related activities in a competent manner or posing a threat to the students or others.
Standard 6.03–Standard 7.04
9
7.05 Mandatory Individual or Group Therapy
(a) When individual or group therapy is a program or
course requirement, psychologists responsible for that program allow students in undergraduate and graduate programs
the option of selecting such therapy from practitioners unaffiliated with the program. (See also Standard 7.02, Descriptions of Education and Training Programs.)
(b) Faculty who are or are likely to be responsible
for evaluating students’ academic performance do not themselves provide that therapy. (See also Standard 3.05, Multiple
Relationships.)
7.06 Assessing Student and Supervisee
Performance
(a) In academic and supervisory relationships, psychologists establish a timely and specific process for providing feedback to students and supervisees. Information regarding the process is provided to the student at the beginning of
supervision.
(b) Psychologists evaluate students and supervisees
on the basis of their actual performance on relevant and established program requirements.
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. (See also Standard
3.05, Multiple Relationships.)
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.
8.02 Informed Consent to Research
(a) When obtaining informed consent as required
in Standard 3.10, Informed Consent, psychologists inform
participants about (1) the purpose of the research, expected
duration, and procedures; (2) their right to decline to participate and to withdraw from the research once participation
has begun; (3) the foreseeable consequences of declining or
withdrawing; (4) reasonably foreseeable factors that may be
expected to influence their willingness to participate such as
potential risks, discomfort, or adverse effects; (5) any prospective research benefits; (6) limits of confidentiality; (7) incentives for participation; and (8) whom to contact for questions
about the research and research participants’ rights. They provide opportunity for the prospective participants to ask questions and receive answers. (See also Standards 8.03, Informed
Consent for Recording Voices and Images in Research; 8.05,
10
Standard 7.05–Standard 8.05
Dispensing With Informed Consent for Research; and 8.07,
Deception in Research.)
(b) Psychologists conducting intervention research
involving the use of experimental treatments clarify to participants at the outset of the research (1) the experimental
nature of the treatment; (2) the services that will or will not
be available to the control group(s) if appropriate; (3) the
means by which assignment to treatment and control groups
will be made; (4) available treatment alternatives if an individual does not wish to participate in the research or wishes to
withdraw once a study has begun; and (5) compensation for
or monetary costs of participating including, if appropriate,
whether reimbursement from the participant or a third-party payor will be sought. (See also Standard 8.02a, Informed
Consent to Research.)
8.03 Informed Consent for Recording Voices and
Images in Research
Psychologists obtain informed consent from research
participants prior to recording their voices or images for data
collection unless (1) the research consists solely of naturalistic observations in public places, and it is not anticipated
that the recording will be used in a manner that could cause
personal identification or harm, or (2) the research design includes deception, and consent for the use of the recording is
obtained during debriefing. (See also Standard 8.07, Deception in Research.)
8.04 Client/Patient, Student, and Subordinate
Research Participants
(a) When psychologists conduct research with clients/patients, students, or subordinates as participants, psychologists take steps to protect the prospective participants
from adverse consequences of declining or withdrawing from
participation.
(b) When research participation is a course requirement or an opportunity 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.
Effective June 1, 2003, as amended 2010
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.)
8.08 Debriefing
(a) Psychologists provide a prompt opportunity for
participants to obtain appropriate information about the nature, results, and conclusions of the research, and they take
reasonable steps to correct any misconceptions that participants may have of which the psychologists are aware.
(b) If scientific or humane values justify delaying or
withholding this information, psychologists take reasonable
measures to reduce the risk of harm.
(c) When psychologists become aware that research
procedures have harmed a participant, they take reasonable
steps to minimize the harm.
8.09 Humane Care and Use of Animals
in Research
(a) Psychologists acquire, care for, use, and dispose of
animals in compliance with current federal, state, and local
laws and regulations, and with professional standards.
(b) Psychologists trained in research methods and
experienced in the care of laboratory animals supervise all
procedures involving animals and are responsible for ensuring appropriate consideration of their comfort, health, and
humane treatment.
(c) Psychologists ensure that all individuals under
their supervision who are using animals have received instruction in research methods and in the care, maintenance, and
handling of the species being used, to the extent appropriate
Effective June 1, 2003, as amended 2010
to their role. (See also Standard 2.05, Delegation of Work to
Others.)
(d) Psychologists make reasonable efforts to minimize
the discomfort, infection, illness, and pain of animal subjects.
(e) Psychologists use a procedure subjecting animals
to pain, stress, or privation only when an alternative procedure is unavailable and the goal is justified by its prospective
scientific, educational, or applied value.
(f) Psychologists perform surgical procedures under
appropriate anesthesia and follow techniques to avoid infection and minimize pain during and after surgery.
(g) When it is appropriate that an animal’s life be
terminated, psychologists proceed rapidly, with an effort to
minimize pain and in accordance with accepted procedures.
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.
Standard 8.06–Standard 8.13
11
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.
12
Standard 8.14–Standard 9.04
(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.
(b) Psychologists inform persons with questionable
capacity to consent or for whom testing is mandated by law
or governmental regulations about the nature and purpose of
the proposed assessment services, using language that is reasonably understandable to the person being assessed.
(c) Psychologists using the services of an interpreter
obtain informed consent from the client/patient to use that
interpreter, ensure that confidentiality of test results and test
security are maintained, and include in their recommendations, reports, and diagnostic or evaluative statements, including forensic testimony, discussion of any limitations on the
data obtained. (See also Standards 2.05, Delegation of Work
to Others; 4.01, Maintaining Confidentiality; 9.01, Bases for
Assessments; 9.06, Interpreting Assessment Results; and
9.07, Assessment by Unqualified Persons.)
9.04 Release of Test Data
(a) The term test data refers to raw and scaled scores,
client/patient responses to test questions or stimuli, and psychologists’ notes and recordings concerning client/patient
statements and behavior during an examination. Those portions of test materials that include client/patient responses
are included in the definition of test data. Pursuant to a client/
patient release, psychologists provide test data to the client/
patient or other persons identified in the release. Psychologists may refrain from releasing test data to protect a client/
patient or others from substantial harm or misuse or misrepresentation of the data or the test, recognizing that in many
instances release of confidential information under these
circumstances is regulated by law. (See also Standard 9.11,
Maintaining Test Security.)
Effective June 1, 2003, as amended 2010
(b) In the absence of a client/patient release, psychologists provide test data only as required by law or court order.
9.05 Test Construction
Psychologists who develop tests and other assessment
techniques use appropriate psychometric procedures and
current scientific or professional knowledge for test design,
standardization, validation, reduction or elimination of bias,
and recommendations for use.
9.06 Interpreting Assessment Results
When interpreting assessment results, including automated interpretations, psychologists take into account the
purpose of the assessment as well as the various test factors,
test-taking abilities, and other characteristics of the person being assessed, such as situational, personal, linguistic, and cultural differences, that might affect psychologists’ judgments
or reduce the accuracy of their interpretations. They indicate
any significant limitations of their interpretations. (See also
Standards 2.01b and c, Boundaries of Competence, and 3.01,
Unfair Discrimination.)
9.07 Assessment by Unqualified Persons
Psychologists do not promote the use of psychological assessment techniques by unqualified persons, except
when such use is conducted for training purposes with appropriate supervision. (See also Standard 2.05, Delegation of
Work to Others.)
9.08 Obsolete Tests and Outdated Test Results
(a) Psychologists do not base their assessment or intervention decisions or recommendations on data or test results that are outdated for the current purpose.
(b) Psychologists do not base such decisions or recommendations on tests and measures that are obsolete and
not useful for the current purpose.
9.09 Test Scoring and Interpretation Services
(a) Psychologists who offer assessment or scoring services to other professionals accurately describe the purpose,
norms, validity, reliability, and applications of the procedures
and any special qualifications applicable to their use.
(b) Psychologists select scoring and interpretation
services (including automated services) on the basis of evidence of the validity of the program and procedures as well
as on other appropriate considerations. (See also Standard
2.01b and c, Boundaries of Competence.)
(c) Psychologists retain responsibility for the appropriate application, interpretation, and use of assessment instruments, whether they score and interpret such tests themselves or use automated or other services.
9.10 Explaining Assessment Results
Regardless of whether the scoring and interpretation
are done by psychologists, by employees or assistants, or by
Effective June 1, 2003, as amended 2010
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
Standard 9.05–Standard 10.02
13
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 issues.
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
ent’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 appropriate.
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 cli14
Standard 10.03–Standard 10.10
Effective June 1, 2003, as amended 2010
2010 Amendments to the 2002 “Ethical Principles of Psychologists
and Code of Conduct”
The American Psychological Association’s Council of
Representatives adopted the following amendments to the
2002 “Ethical Principles of Psychologists and Code of Conduct” at its February 2010 meeting. Changes are indicated
by underlining for additions and striking through for deletions. A history of amending the Ethics Code is provided in
the “Report of the Ethics Committee, 2009” in the July-August 2010 issue of the American Psychologist (Vol. 65, No. 5).
Original Language With Changes Marked
Introduction and Applicability
If psychologists’ ethical responsibilities conflict with
law, regulations, or other governing legal authority, psychologists make known their commitment to this Ethics Code and
take steps to resolve the conflict in a responsible manner. If
the conflict is unresolvable via such means, psychologists may
adhere to the requirements of the law, regulations, or other
governing authority in keeping with basic principles of human rights.
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 clarify the nature of the conflict, make known their
commitment to the Ethics Code, and take reasonable steps
to resolve the conflict consistent with the General Principles
and Ethical Standards of the Ethics Code. If the conflict is unresolvable via such means, psychologists may adhere to the
requirements of the law, regulations, or other governing legal
authority. Under no circumstances may this standard be used
to justify or defend violating human rights.
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 are in
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. take reasonable steps to resolve the conflict consistent with the General
Principles and Ethical Standards of the Ethics Code. Under no
circumstances may this standard be used to justify or defend
violating human rights.
Effective June 1, 2003, as amended 2010 2010 Amendments to the 2002 “Ethical Principles of Psychologists and Code of Conduct”
15
NOTES
Printed in the United States of America
MSHSV
Your active engagement in the discussion boards will allow you to gain a more in-depth analysis, exploration, and understanding of the topics being
examined this module. Your discussion board questions have been thoughtfully developed to help you learn more about the course objectives, as
well as to assist with your goals as a practitioner in the field of human services. The discussion board also offers you the opportunity to express your
own thoughts, as well as develop additional critical thinking skills and a connection to empirical research.
Requirements for Discussion Board Assignments
Students are required to contribute one (1) initial post and at least two (2) replies for each discussion board topic/thread. Students are
asked to make 1 contribution (either an initial posting or a reply) to each topic by Wednesday at 11:59 p.m. EST to help promote
engagement. Replies should be made by Sunday at 11:59 p.m. Eastern Time in units 1-7 and Friday at 11:59 p.m. in unit 8.
For your initial post (1 per topic/thread), you must do the following:
Compose a well-developed initial post (1 per topic/thread) that is comprehensive in meeting the topics posed on each of the required
topics/threads.
Complete the initial posts by Sunday at 11:59 p.m. Eastern Time in units 1-7 and Friday at 11:59 p.m. in unit 8. Please know that you need
to make 1 contribution (either an initial posting or a reply) to each topic by Wednesday at 11:59 p.m. EST to help promote engagement and
to meet the minimum criteria of the rubric. Your initial post would count for this requirement if you made it by Wednesday at 11:59p.m. EST.
Demonstrate integration of the required reading, critical thinking, as well as scholarly or peer-reviewed sources, using APA style into each
initial post.
Submit contributions without issues of academic integrity.
For your response posts (2), you must do the following:
Reply to at least two (2 per thread/topic) time to either your classmates or your instructor for each discussion board topic/thread.
Complete your replies by Sunday at 11:59 p.m. Eastern Time in units 1-7 and Friday at 11:59 p.m. in unit 8. Please know that you need to
make 1 contribution (either an initial posting or a reply) to each topic by Wednesday at 11:59 p.m. EST to help promote engagement and to
meet the minimum criteria of the rubric. A reply to each topic would count for this requirement if you made them by Wednesday at 11:59
p.m. EST.
Demonstration integration of required reading, critical thinking, as well as scholarly or peer-reviewed sources, using APA style into each
reply.
Submit contributions without issues of academic integrity.
MSHSV Discussion Board Grading Rubric
Critical
Elements
Comprehension
Exemplary
Proficient
Needs Improvement
Not Evident
Value
Develops an initial post for
each topic with an organized,
clear point of view or idea
using rich and significant
detail. The initial posts are
relevant to the ongoing
discussion and highly useful
by bringing in new
ideas/fresh perspectives/new
insights to the discussion
versus simply “restating” the
concepts in the required
reading or another
student’s contribution (15–
20)
Develops initial posts for each
topic with a point of view or
idea using appropriate detail.
The initial posts revealed a
good command of the subject
matter and did not primarily
restate concepts by using
primarily direct quotes (10–
14)
Develops initial posts for
each topic with a point of
view or idea but with some
gaps in organization and
detail.
The initial posts lacked
details that demonstrated
understanding of the
concepts discussed in the
required readings and
knowledge shared through
the course (5–9)
Does not develop initial
posts for each topic
with an organized point
of view or idea. The
initial posts lacked
insight into the key
topics and focus of the
learning objectives
necessary to
demonstrate that a
grasp of the content
areas have been
obtained (0–4)
20
Timeliness
Submits initial contribution for
each topic on time and
participates at least 3 days
per unit (15)
Provides relevant and
Provides relevant response
meaningful replies with
posts with some explanation
clarifying explanation, details, and detail but does not
as well as deeper connection demonstrate understanding of
to the topics being examined the topics on a deeper level
(18-20)
(16-17)
Draws insightful conclusions Draws informed conclusions
that are thoroughly supported that are justified with
with evidence, scholarly
evidence, scholarly research,
research, and examples
and examples (19–21)
(22– 25)
Initial posts and responses
Initial posts and responses
are easily understood, clear, are easily understood with
proper grammar/spelling, and acceptable grammar/spelling
proper APA citations with
with little to a few APA
little to no errors (15–20)
citations (10–14)
Submits initial
contribution late and
does not participate at
least 3 days per unit (0)
Provides response
posts that are generic
with little explanation or
detail (0–13)
15
Draws logical conclusions
but lack clear evidence,
scholarly research, and
examples (16– 18)
Does not draw logical
conclusions (0–15)
25
Initial posts and responses
are understandable but
contain errors in grammar,
clarity, spelling and have
several APA style errors
(5–9)
Initial posts and
responses are not
understandable and do
not use proper APA
style citations (0–4)
20
Engagement
Critical Thinking
Writing
(Mechanics)
Comments:
Provides somewhat
relevant response posts
with some explanation and
detail (14-15)
Earned Total 100%
20
Chapter 3
Psychodynamic Theories
Copyright American Psychological Association. Not for further distribution.
Jacques P. Barber and Nili Solomonov
Psychodynamic thinking, beginning with Freud’s
writing on psychoanalysis, has gone through significant theoretical changes in its more than 100 years
of existence. Although some of Freud’s original
theoretical constructs have received empirical
support and remained important components of
psychoanalytic–psychodynamic theory, others have
been abandoned or revised over the years as a result
of accumulating knowledge and empirical evidence
(see Chapter 2, this volume, for details). Therefore, there are many psychodynamic theories alive
concurrently.
In this chapter, we summarize the multiple definitions, historical evolution, and major variants of
psychodynamic theory in clinical psychology. We
then review assessment, diagnosis, and practice of
contemporary psychodynamic therapy. The chapter
concludes with the major contributions of psychodynamic theory and its probable directions in the
future.
DEFINITIONS
Here we consider five main themes of contemporary psychodynamic thinking, relying in part on
the work of Drew Westen (1998). First, a central
concept of psychodynamic theory is the existence
of unconscious contents (e.g., beliefs) and processes, including defense mechanisms. A related
notion is that behavior has meaning, sometimes the
meaning is obvious and available to the individual,
sometimes it is obvious only to an observer, and
sometimes one needs to work harder to uncover
its meaning. Things are complex because, at times,
behavior has multiple meanings. Second, psychodynamic theorists emphasize the centrality of conflicts in human life. Conflicts can emerge among
wishes, fears, desires, and thoughts. It is further
assumed that these conflicts inevitably lead to feelings of ambivalence and that those conflicts lead
to compromised formation, that is, behaviors that
are created as an attempt to resolve an underlying
conflict.
A third defining feature of psychodynamic theorists is the emphasis on the role of early childhood
experiences, especially early relationships with
caretakers in the development of an individual’s personality structure. Fourth, psychodynamic theory
nowadays emphasizes the importance of representations of self, others, and interpersonal relationships in contrast to the wish to satisfy sexual and
aggressive needs (instincts) described by Freud. In
psychodynamic therapy, there is a related focus on
the therapist–patient relationship (i.e., transference)
as a way to learn how the patient’s mind may be
involved in repeating early relationships and in
distorting information.
Fifth, the psychoanalytic emphasis was originally
on the development of one’s personality as largely
determined by the capacity to regulate sexual and
aggressive impulses (drives), whereas nowadays,
there is also emphasis on balancing needs and
wishes for dependence and intimacy with independence and autonomy. As mentioned, the importance
We contributed equally to this chapter.
http://dx.doi.org/10.1037/14773-003
APA Handbook of Clinical Psychology: Vol. 2. Theory and Research, J. C. Norcross, G. R. VandenBos, and D. K. Freedheim (Editors-in-Chief)
Copyright © 2016 by the American Psychological Association. All rights reserved.
APA Handbook of Clinical Psychology: Theory and Research, edited by J. C.
Norcross, G. R. VandenBos, D. K. Freedheim, and B. O. Olatunji
Copyright © 2016 American Psychological Association. All rights reserved.
53
Barber and Solomonov
of the ego (and its mechanisms) has increased over
the years as well as the recognition of the need for
relatedness. The emphasis on the ego mechanisms
has also led to a stronger interest in cognitive and
affective functions independent of basic biological
needs.
Copyright American Psychological Association. Not for further distribution.
HISTORICAL EVOLUTION
Sigmund Freud (1856–1939) and his disciples
founded psychoanalysis and contributed greatly to
the development of psychotherapy as it is known
today. Freud’s approach was initially best understood as a method for investigating the functioning
of the mind than as a method of treatment. Freud
used free associations to understand people suffering from neurosis. In his attempt to understand
those individuals, he worked on uncovering those
patients’ unconscious psychic conflicts. Because of
the intertwining between analysis as a method to
study the mind and analysis as a clinical method, the
two aspects of psychoanalysis were always close and
not always clearly distinguished.
Early on, Freud emphasized a topographical model of the mind that consisted of the
unconscious—disturbing memories, ideas, and
feelings that will never reach consciousness; the
preconscious—memories, feelings, and ideas that
are not conscious but are capable of reaching consciousness; and the conscious—the content that is
within awareness. Later on, Freud superimposed
the topographical model and the structural model.
The latter included the id, which was mostly unconscious and was the repository of the individual’s
impulses and instinctual drives; the superego, which
included the external demands, moral principles,
and social values; and the ego, the executive agency
mediating between the id’s impulses and the superego’s demands. The latter two agencies had conscious and unconscious aspects.
Freud discovered that during the therapy process, the therapist became an object of the patient’s
repressed feelings through transference—the
reenactment of a past relationship with a significant other. Freud also discovered that patients
frequently exhibited blockage (resistance) in
free associations or in their engagement with the
54
therapeutic process. Resistance was understood as
resulting from the patient’s use of defense mechanisms in an effort to defend against the forbidden
and conflictual mental ideas that were coming up to
consciousness. He found that patients’ conflictual
material was often related to the two basic drives:
libido, a sexual drive that thrives on gratification
and pleasure, and the aggressive drive, the urge for
aggression, sadism, and power. The libidinal and
aggressive drives are the source of different conflicts during the child’s psychosexual development
of personality. Freud and many psychoanalysts
after him believed that the child is the father of
the adult, so to speak, and that early development
in combination with biology determined later
personality.
In the 1920s, psychoanalysis was extended and
elaborated by numerous theorists, among them
Alfred Adler, Carl Jung, Otto Rank, and Theodore
Reich. Adler, for example, added the notion that
the individual’s perceived sense of inferiority is the
cause of neurosis. He believed that those feelings of
inferiority were caused by disturbances in the relationships with family members and by dysfunctional
family dynamics that cause the child to feel rejected
by his or her family. Adler’s emphasis on the influence of cultural and social factors was later incorporated into the works of Karen Horney, Harry Stack
Sullivan, and Erich Fromm (S. A. Mitchell &
Black, 1995).
Another important contributor to early psychoanalysis was Carl Jung. Jung (1933) emphasized the
self as a psychological construct. His contribution
concerning the influence of the cultural context
and a person’s spirituality on the unconscious was
also later incorporated into the self psychology and
object relations theories (S. A. Mitchell & Black,
1995). Jung also developed the word association
test, which was one of the first empirical assessment
tools for psychoanalytic concepts.
Aside from the development of Freud’s ideas
by individual theorists, Freud’s classical psychoanalytical theory and therapy was extended by the
following schools: ego psychology, object relations,
attachment theory, self psychology, interpersonal
psychology, and relational psychoanalysis. Each are
considered briefly below.
Psychodynamic Theories
Copyright American Psychological Association. Not for further distribution.
Ego Psychology
Ego psychology extended the analytic theory of
the mind, especially addressing the development
of ego functions. The goal of psychotherapy
according to ego psychology was to help the
patient resolve internal conflicts, develop ego
strength with better ability to mediate the needs
of the id and the superego, develop better compromises between those different agencies (e.g.,
better compromise formations), and replace primitive defenses with more sophisticated defenses.
For Anna Freud (1936), psychopathology was the
result of an excessive use of the primitive defenses
and lack of mature defenses. Consistent with that
view, she extended Freud’s work on defenses and
identified the primary defense mechanisms (see
Table 3.1).
Erik Erikson (1963) extended psychosexual
development theory to the entire life cycle.
Whereas Freud took a psychobiological approach
and focused on the psyche of the individual as
a derivative of the body, Erikson focused on the
importance of the cultural context and social values and requirements in shaping the individual’s
psychic life. Erikson also extended Freud’s developmental theory by adding additional stages
of development that occur during adolescence
and late adulthood, after the Oedipal conflict is
resolved. He characterized adolescence as a conflict of identity versus confusion, followed by a
conflict of intimacy versus isolation. Later, in the
child-rearing phase, there is a conflict of generativity versus stagnation, and in late adulthood
the conflict is over ego integrity versus despair.
Each of Erikson’s stages entails a developmental
achievement. With its completion, one is capable
of moving on to the next stage. For example, in the
child-rearing phase one can achieve generativity
by raising children with relative success, developing a satisfying career, and gaining a sense of being
a productive member of one’s community. Failing to achieve these goals can result in feelings of
stagnation because one may feel unproductive and
dissatisfied.
TABLE 3.1
Primary Psychodynamic Defense Mechanisms
Defense mechanism
Definition
Regression
Reacting to a conflict or distress in an immature way that is typical of an earlier
developmental stage
Exclusion of distressing thoughts, wishes, desires, or memories from awareness
Not accepting or acknowledging the existence of parts of an experience that are painful
and disturbing for the individual
Defending against disturbing or unacceptable impulses and thoughts by reacting in a way
that contradicts the distressing impulse
Avoiding a distressing feeling or thought by detaching emotionally from an experience
Responding or behaving in a way that stands in opposition to one’s distressing or
anxiety-provoking feeling or thought to attempt to reverse or undo the affect of that
feeling
Attributing unacceptable or distressing thoughts, impulses, or desires to others
The opposite of projection; attributing to the self attributes, thoughts, or feelings of
others.
Attributing feelings or thoughts to an alternative source because of difficulty accepting
the actual source
Transforming a socially unacceptable impulse into its opposite
Harming one’s self in an effort to turn inward aggressive impulses that were originally
directed toward others
Redirecting unacceptable impulses into adaptive and acceptable forms of behavior
Repression
Denial
Reaction formation
Isolation of affect
Undoing
Projection
Introjection
Displacement
Reaction formation (reversal)
Turning against the self (self-harm)
Sublimation
55
Barber and Solomonov
Copyright American Psychological Association. Not for further distribution.
Object Relations
Whereas ego psychologists emphasized the importance of the ego’s functions in the development
of the personality, object relations psychologists
believed that the personality is shaped by the relationship between the infant and the love object—the
mother. Freud viewed humans as motivated by their
bodily drives, constantly striving to achieve pleasure
and avoid pain. He seemed to believe that anatomy,
which was later rephrased as biology, was destiny.
Object relation theorists viewed individuals’ fate as
less determined by biology, but rather as determined
by one’s social context. In addition, they assumed a
more social instinct, so to speak, in which humans’
most central motivation is constantly striving to
achieve close and intimate relationships. Thus, the
early experiences of relating to others were considered the determining factor of the later development
of mental health.
According to object relations theory, the individual creates mental representations of significant
others (also known as objects) based on memories,
expectations, and feelings experienced throughout the individual’s life. The internalization of the
early object relations with the primary caretaker is
a crucial part of the development of the personality.
On the basis of her clinical observations of infants’
behavior, Melanie Klein (1882–1960) extended
Freud’s work on the aggressive and sexual drives.
She contended that when an infant is loved and
cared for, the infant experiences him- or herself and
the object as good. When the infant feels neglected
or discarded, the infant experiences the object and
the self as bad, revengeful, and destructive. Klein
believed that healthy mental life is achieved by
maintaining a constant balance between the libidinal
and aggressive drives.
Donald Winnicott (1896–1971) focused on the
mother–infant interaction and the internal representation of the self. He emphasized the importance of
good-enough parenting—the mother’s ability to be
attentive and sensitive enough to the infant’s needs
and to create a holding environment, a warm, nurturing, and responsive space in which the child can
freely express frustration and anger and gradually
develop a separate sense of subjectivity (Winnicott,
1960). According to Winnicott, pathology is the
56
result of the lack of a good-enough environment.
When the child’s needs are continuously ignored by
the parent, the child experiences the world as frightening and obtrusive, lacking the protective and safe
space essential for the development of a sense of self.
Psychodynamic therapy performed from an object
relations perspective focuses on the internal representations of the self and significant others. Current relationships are perceived as a repetition of early object
relations. The therapist explores these relationships
as well as early mental representations of significant
others while focusing on helping the patient replace
split representations with balanced and stable ones.
Attachment Theory
Consistent with object relations theory, John
Bowlby (1907–1970) postulated that the individual’s
personality is shaped by the early relationship with
the primary caretaker (Bowlby, 1973). He established the term attachment, which refers to the
primary tie of an infant to his or her mother and
identified two types of attachment patterns, secure
and insecure. Mary Ainsworth continued Bowlby’s
work and devised the Stranger Situation—a method
to assess infants’ attachment patterns by observing their reactions to the return of the caretaker to
the room after spending time alone with a stranger
(Ainsworth et al., 1978). Ainsworth et al. (1978)
documented three attachment patterns: secure,
insecure–avoidant, and insecure–ambivalent or
resistant. Later, Main and Solomon (1986) documented the fourth pattern of attachment: disorganized or disoriented attachment. Bowlby and
attachment theorists have had a major impact in
reconnecting psychoanalysis to other disciplines,
such as biology, anthropology, ethology, information processing, and research on children and families (S. A. Mitchell & Black, 1995).
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