Preface
Acknowledgments

Chapter 1. Introduction: Ethical Contexts, Ethical Rules
    What Is Context?
    The Relevance of Context to Professional Ethics
    Problems with Rule-Based Ethics
    The Impossibility of Functioning Ethically in an Unethical Profession
    Summary

Chapter 2. The Crisis of Meaning in
    Psychotherapy and the Vulnerable Therapist
    Loss of Meaning
    The Gods of Individualism, Narcissism, and the Marketplace
    The Themes of Victimhood and Survivalism
    From Individual to Social Pathology
    The Mental Health Professions' Response to the Crisis of Meaning
    The Need for Transformation in the Mental Health Professions
    Summary

Chapter 3. Social Constructionism and Its
    Implications for the Mental Health Professions
    The Evolution of Social Constructionism
    Psychotherapists: Latecomers to Social
    Constructionism
    Implications of Social Constructionism for Psychotherapy
    Summary

Chapter 4. Language: Some Theoretical
    Considerations
    Language: The Meaning Maker
    Classical Theories of Language
    The Social Construction of Language
    Categories, Prototypes, and Idealized
    Cognitive Models
    Language Development in Children
    The Power to Define Good and Bad, Sane and Mad
    Summary

Chapter 5. Diagnosis: The Power to Name
    The Social Control Functions of Diagnosis
    Professional Resistance to Feminist
    Revisions of Diagnosis
    Institutional Self-Preservation: A Hidden
    Agenda of DSM
    The Accommodation of Other Disciplines to the DSM
    Summary

Chapter 6. Social Constructionism's
    Challenge to Traditional Mental Health Beliefs: Some Additional Examples
    Ideas About the Self
    Ideas About Child Development and
    Developmental Stages
    Ideas About Feelings
    Ideas About Intelligence
    Ideas About Family
    Summary

Chapter 7. The Language of Professional Ethics: Some Buzzwords
    Touch in Psychotherapy
    Boundaries
    Dual Roles
    The Risks of Risk Management
    Summary

Chapter 8. Legal Vulnerability: Context
    Incidence of Complaints Against Psychotherapists
    Factors Contributing to the Legal
    Vulnerability of Therapists
    Summary

Chapter 9. Licensing Boards, Malpractice
    Actions, and Profiles of Complaints
    Licensing Boards
    Malpractice Actions
    Profiles of Complaints
    The Mental Health Professions as Incestuous Systems
    Summary

Chapter 10. Psychological Vulnerability
    Values, Beliefs, and Practices
    Practice Context
    Life-Cycle Issues
    Sudden and Unpredictable Crises and Events
    Unique Aspects of Therapist History,
    Character, and Emotional Life
    Increased Psychological Vulnerability in a
    Context of Anxiety and Litigiousness
    Summary

Chapter 11. Alternatives to Traditional Models
    Feminist Ethics
    Social Constructionist Ethics
    The Ethics of Communal Welfare
    Ethics by Character of the Therapist
    Summary

Chapter 12. Toward an Ethic of Multiplicity and Mutuality
    Honoring All Voices
    Mutuality
    Summary

Chapter 13. Toward an Ethic of Care,
    Compassion, and Character
    Care and Compassion in a 1990s Context
    Care and Compassion: Essential Components in the Client-Therapist Relationship
    Care and Compassion: The Self of the Therapist
    Care and Compassion for Colleagues
    The Character of the Therapist
    Summary

Chapter 14. Toward Transformation
    Problems in Our Current Approach to Ethics
    Alternative Ethical Models
    The Ethical Therapist
    Toward an Ethical Perspective at the
    Institutional Level

References

Index

10 avril 2000