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The manner in which we offer mental health services to the public has important ethical implications on a variety of fronts.Each example used above has a less-than-desirable element, yet no bright line separates the sketchy from the clearly unethical.The seventh suggests possible client exploitation, and the last one is just plain silly.Succeeding in private practice requires attracting clients, and it’s not that difficult to find marketing and financial advice (e.g., American Psychological Association Practice Directorate, 1996; Hemmings & Field, 2007; Mikalac, 2005).It often becomes evident, however, that certain material made public reflects unfavorably on mental health professions as a whole.Because our profession has commercial and business aspects, and because professional regulatory bodies are arms of government or professional organizations (e.g., the American Counseling Association, American Psychological Association, American Psychiatric Association, or National Association of Social Workers), a tension between maintaining appropriate conduct and avoiding restraint of trade may also exist.Certainly, some forms of marketing or calling attention to one's services or products constitute appropriate ways to educate and inform potential consumers.However, some psychotherapists have occasionally used confusing, anxiety-provoking, or frankly deceptive practices in presenting themselves to the public.

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How do these statements, adapted from actual advertisements by mental health professionals, strike you?They have traditionally liked to think of themselves as self-regulating and rejected the notion that advertising constituted a meaningful distinction of value to their clients.The first American Medical Association (AMA) Code of Ethics in 1847 unambiguously forbade advertising (Tomycz, 2006).The materials in this course are based on current published ethical standards and the most accurate information available to the authors at the time of writing.Many ethical challenges arise on the basis of highly variable and unpredictable contextual factors.




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