社会工作伦理讲义.docx

社会工作伦理讲义.docx

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社会工作伦理讲义

社会工作伦理讲义

第一章绪论

第二章EthicalChoicesintheHelpingProfessions

一、CASE1-1TheGuevaraFamilyStruggle:

ReportorNot?

（讨论）

二、EthicalProblemsinSocialWorkPractice（p7）

1、CompetingValues（价值观冲突）

2、CompetingLoyalties（忠于谁的冲突）

3、GoalSetting（目标的设定）

4、RoleConflict（角色冲突）

5、ValueDilemma（价值观上的难题，案例1-3，p11）

三、ObjectivesforOurCourse

1、Becomemoreawareofandmoresensitivetoethicalissuesinprofessionalpractice

2、Identifyandgrapplewithcompetingargumentsbyexaminingtheirlimitationsandstrengths

3、Learntorecognizetheethicalprinciplesinvolvedintheirpracticesituations

4、Developagreaterunderstandingofthecomplexitiesofethicaldecisionmaking

5、Beabletoreachthoughtfullyreasonedconclusionsandapplyethicalprinciplestotheirprofessionalactivities

6、Beabletoclarifymoralaspirationsandstandardsandevaluateethicaldecisionsmadewithinthecontextoftheprofession

四、SmallGroupDiscussion（小组讨论）

EthicalChallenges/IssuesinChina

第二章ValuesandProfessionalEthics

一、Valueandethics

（一）Socialworkerisvalue-basedprofession

（二）DefiningtheTerms

1、WhatisValue?

Valueinvolveswhatyoudoanddonotconsiderimportantandworthwhile,andalsoinvolvejudgementsanddecisionsaboutrelativeworth

2、Beliefs

（1）Individual/Personal

（2）Group

（4）Societal

（4）Professional

3、Ethics

（1）Whatisethics?

Ethicsinvolveprinciplesthatspecifywhatisgoodandwhatisbad.Theyclarifywhatshouldandshouldnotbedone.

Rulesofconductthatembodythosebeliefs

4、Differencebetweenvalueandethics:

Valuedeterminewhatbeliefsareappropriate.Ethicsaddresswhattodowithorhowtoapplythosebelief

todothething.

5、SocialWorkCoreValues

（1）Service

（2）SocialJustice

（3）DignityandWorthofthePerson

（4）ImportanceofHumanRelationships

（5）Integrity

（6）Competence

6、EvolutionofSWEthics

（1）MoralityPeriod

（2）ExplorationofValues

（3）EmergenceofEthicalTheoryandDecisionMaking

（4）MaturationofEthicalStandardsandRiskManagement

7、SocialWorkCodeofEthics

（1）When?

——1947FirstFormalCode

——1970s/80sAdvancesinBiotechnology-Bioethics

（2）Why?

——AffirmationofSWasprofession

——Explicationofstandardstoholdprofessionaccountable

8、NASWCodeofEthics

COREVALUES

ETHICALPRINCIPLES

Service

Primarygoaltohelppeopleinneed&addresssocialproblems

SocialJustice

Challengesocialinjustice

DignityandWorthofPerson

Respectinherentdignityandworthofaperson

HumanRelationships

Recognizecentralimportanceofrelationships

Integrity

Behaveintrustworthymanner

Competence

Practicewithinareasofcompetence&develop/enhanceexpertise

（1）Identifiescorevaluesofsocialworkmission

（2）Summarizesethicalprinciplesbasedonthecorevalues

（3）Helpssocialworkersidentifyrelevantconsiderationswhenconflicts

ordilemmasarise

（4）Providesstandardstoholdprofessionaccountable

（5）Socializespractitionerstothevalues,ethicalprinciplesand

standardsofsocialwork

9、Translationexercises

Socialworkersmustupholdclientprivacyandconfidentiality.Privacyistheconditionofbeingfreefromunauthorizedobservationorintrusion.Wehaveestablishedthatconfidentialityistheethicalprinciplethatworkersshouldnotshareinformationprovidedbyaclientoraboutaclientunlesstheyhavetheclient’sexplicitpermissiontodoso.Thereismoretoconfidentialitythanmaybeimmediatelyapparent.Confidentialitymeansmorethatnotrevealinginformationaboutclientstoothers.Italsoinvolvesnotaskingformoreinformationthanisnecessary,aswellasinformingclientsaboutthelimitationsofconfidentialitywithinthe

agencysetting.

第三章GuidelinesforEthicalDecisionMaking:

Concepts,Approaches,

andValues

一、Case3.1SerenaAdamsHasHerpes

讨论：

Whatisthesocialworker’sdutytoprotectinthissituationandwhoshouldshetrytoprotect?

二、FoundationsForEthicalDecisionMaking

（一）EthicalRelativism

（二）EthicalAbsolutism

三、ContemporaryApproachesToEthicalDecisionMaking

（一）ClinicalPragmatism

（二）HumanisticEthics

（三）SituationalEthics

（四）FeministEthics

第四章GuidelinesforEthicalDecisionMaking

一、EthicalAssessmentScreen

二、ProtectionofClients’RightandWelfare

三、ProtectionofSociety’sInterests

讨论：

Case4.1SecurityorProtection?

The“LeastHarm”Principle

四、EfficiencyandEffectiveness

五、RANK-ORDERINGETHICALPRINCIPLES

FIGURE4.3EthicalRulesScreen（ERS）

FIGURE4.4EthicalPrinciplesScreen（EPS）

ApplicationofEthicalDecision-MakingScreen

Case4.2WhatWillHappentoJimmyPrego?

Case4.3StartinginPrivatePractice

Case4.4TheWrongManSitsinPrison

第五章ConfidentialityandInformedConsent

一、PrivacyandConfidentiality

1、Peoplewhoneedprofessionalhelpmaybedeterredfromrequestingthishelp

2、Peoplewhohavealreadybegunarelationshipwithasocialworkermaynotfullyengage.

3、Thetrustrelationshipthathasalreadybeendevelopedmaybedestroyed;clientswhohavedisclosedconfidentialinformationmayfeelbetrayedbytheprofessionalwhomtheytrusted（Edward,1999）

二、PrivacyandConfidentiality

（一）Othersocialworkers

（二）ColleaguesfromOtherFields

（三）AdministrativeRecords

（四）InsuranceCompaniesandThird-PartyPayers

（五）Police

（六）Relatives

（七）Clients

（八）HealthInsurancePortabilityandAccountabilityAct（1996,HIPAA）

（九）ChildAbuseandConfidentiality

（十）PrivilegedCommunications

三、InformedConsent

讨论：

Case5.3ArchieWalker’sYears

四、DisclosureofInformation,Voluntariness,andCompetence

（一）DisclosureofInformation

（二）Voluntariness

（三）Competence

五、WaysofConsenting

（一）DirectorTacit

（二）OralorWritten

（三）Past\Present

（四）ForcedConsent

（五）DutytoWarn

讨论：

Case5.4AnIdleorSeriousThreat?

第六章ClientRightsandProfessionalExpertise

一、讨论：

WhoistheClient?

Case6.1ArleneJohnson’sAbortion

•ArleneJohnson,18yearsoldandsingle,isnearlysixmonthspregnant.Yesterday,shecametotheWomen’sCounselingCentertorequesthelpingettinganabortion.Atthetimeoftheprocedure,thefetuswasconsideredviableandwasplacedintheneonatalintensivecareunitasahigh-riskprematurebaby.Arlenewasmostupsetwhenshelearnedthatthe“abortion”hadresultedinaliveinfant.Sherefusedtolookatthebabyortakecareofit.Instead,shethreatenedtosuethedoctorandthehospitaliftheinfantsurviveddespiteherexpressedwishforanabortion.ArleneaskedRobinOsborn,thehospitalsocialworker,tomakesurethatthebabynotbegivenintensivecare,butratherbeleftalonesothatitwoulddiequickly.

•Case6.2Mrs.Linden’sClassroom

Mrs.Lindenisafifth-gradeteacherintheAbrahamLincolnElementarySchool.TheSchoolIslocatedinaneighborhoodintowhichalargenumberofCentralAmericanfamilieshavemovedrecently.Mrs.JoanRamirezisthesocialworkerassignedtothisschool.Yesterday,Mrs.LindenAskedMrs.Ramirezforhelpinkeepingherpupilsquietlyintheirseats.ShetoldMrs.Ramirezthatneverinher20Yearsasateacherhasshehadasmuchtroubleasthisyear.ShethoughtthathertroubleswerecausedbythemanychildrenwhorecentlytransferredfromforeignschoolsanddonotspeakEnglishwell.SurelyMrs.Ramirezcouldadviseherhowtohandlethesechildrensothattheywouldbequietandstayintheirseats.

二、SomeParticipantsintheSocialWorkProcess

•Applicant

•Client

•Target

•Beneficiary

三、SELF-DETERMINATION

•Case6.3ShouldEleanorPomerComeHome?

（讨论）

四、AmbiguityandUncertainty

•Case6.5AVictimofChildAbuse（讨论）

第七章ValueNeutralityandImposingValues

一、VALUENEUTRALITY

ValueFree

Valueneutralitymayactuallycausedamageinthefollowingsituations:

1、Attentionisnotpaidtopotentiallyself-destructionorother

destructiveacts.

2、Socialworkersfailtodistinguishbetweenwhatisfunctionalor

dysfunctional,normativeorpathologicalbehavior.

3、Failingtochallengeaclient’sbehaviormayresultinthatclientthinkingthatsheapprovesofwhathedoes.Theworkermayintendhersilencetobeanexpressionofvalueneutrality,buthersilencemaybeinterpreted

asasignalofacceptanceofthatbehavior.

二、IMPOSINGVALUES

讨论：

CASE7.1SavingaMarriage

BessandToddMoorehaveagreedtoseekhelpto“rescue”theirmarriage.BessrecentlydiscoveredthatToddhasbeenhavingsexwithseveralotherwomenoverthepastfewyears.Toddhastoldthesocialworkerthathissexualrelationswithotherwomenareonlyphysical.SincehehasgreatersexualneedsthanBess,hecannotgiveuptheserelations.Yetheloveshiswifeandwantstocontinuethismarriage.Bessisreadytoforgivethepast,butcannotbringherselftolivewithTodd,knowingthatatthesametimehehassexwithotherwomen.

讨论：

Case7-2LoyaltytoSelforFamily?

Mrs.Arriga,asocialworkerataFamilyServiceagency,hasbeenMs.Salinda,arecentimmigrant,forthreesessionsbecauseshehasbeendepressedandexperiencingmuchconflictathomewithherparentsandotherrelativesandmuchanxietyonherjobasapacker.Allfamilymembers,includingMrs.Salima,mustbecauseeveryone’spaycheckisnecessarytomaintainamarginalexistence.Hersupervisor,wholikesher,referredhertotheagencyforhelp.Mrs.SalimatoldMrs.Arriga,withsomeambivalencethatherfamilywillnotallowhertohaveanormalAmericansociallife.Herparentswanttoarrangeamarriageforheranddonotallowhertodate.Shecannotleavehomebecauseherearningareinsufficienttosupportherself,andherEnglishandotherskillsarenotdevelopedenoughforabetterjob.

问题一：

Mrs.Salimavascillatesbetweenloveforherfamily,prideatdoingwhatisexpectedinherfamily’sculture,andbecomingmoreAmericanizedbydatinganddecidingforherselfwho