Ethical Implications of Primary Prevention

Front Cover
Psychology Press, 1990 - Religion - 126 pages
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Here is the first systematic and focused treatment of the ethical implications of primary prevention practice and research. This important volume reviews historical precedents, assesses current practice, and points to future directions concerning the ethical implications of primary prevention interventions and research. It provides a philosophical framework for the consideration of the ethical issues involved when preventionists intervene to “do good.”

The primary prevention movement has gained increasing momentum across a wide variety of mental health ans social service fields, including psychology, psychiatry, social work, psychiatric nursing, and public health. Because of the primitive state of development of the field of primary prevention, many planned social interventions are, necessarily, based upon hunches, thus exposing citizens to interventions whose outcomes are not altogether assured.

Although there is wide acknowledgment that ethical considerations should be significant in determining preventionists'actions, scant attention has been paid to the ethical implications of this rapidly growing area of practice and research. Minimal literature exists that addresses the ethical implications of preventive interventions in the human services, and training programs give short shrift to the issue. Professional codes of ethics also do not address the unique issues of primary prevention, focusing instead on the more traditional direct practice roles.

In beginning to suggest how ethical standards for prevention research and practice can be developed, this volume will stimulate discussion and fram the future debate about ethical behavior by preventionists. Even more important, preventionists will no longer be able to discount or omit ethical considerations as they conceptualize and implement their work. Ethical Implications of Primary Prevention contains provocative chapters--from a variety of perspectives--that will promote a spirited debate about the real impact of preventionists'actions.
 

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Contents

Foreword
1
Paradigm Elaboration Clarifies Ethical Issues
8
Overview of the Current Volume
16
An Ethical Dilemma
23
Identifying and Implementing Ethical Standards
43
A Primer on Tort Liability of Primary Prevention
65
B Standard of Care
73
Ethical Issues in Evaluating the Effectiveness
89
Training Preventionists in the Ethical Implications
111
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