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Q: Alcohol use by medical professional ( Answered,   0 Comments )
Question  
Subject: Alcohol use by medical professional
Category: Health
Asked by: leroya-ga
List Price: $20.00
Posted: 03 Dec 2002 13:10 PST
Expires: 02 Jan 2003 13:10 PST
Question ID: 118630
What are the ethical considerations regarding psychologists and alcohol use.

Request for Question Clarification by tutuzdad-ga on 03 Dec 2002 14:08 PST
"...regarding psychologists and alcohol use"

Please elaborate.

Regards;
tutuzdad
Answer  
Subject: Re: Alcohol use by medical professional
Answered By: sublime1-ga on 03 Dec 2002 16:54 PST
 
leroya...

The American Psychological Association's website
has a page devoted to the psychologist's ethical code
which became effective on December 1, 1992, called:

"ETHICAL PRINCIPLES OF PSYCHOLOGISTS AND CODE OF CONDUCT"
http://www.apa.org/ethics/code1992.html

A search of that page turns up no hits for the word
"alcohol". It is common to refrain from defining the
behavior of professionals with that degree of 
specificity, out of respect for the intelligence of
a person who has survived the arduous process
necessary to become such a professional. 

The term commonly used to categorize alcohol abuse
in the psychiatric professions is "impairment".

A search for "impaired" produces the following:

"1.13 Personal Problems and Conflicts."

"(a) Psychologists recognize that their personal
 problems and conflicts may interfere with their
 effectiveness. Accordingly, they refrain from
 undertaking an activity when they know or should
 know that their personal problems are likely to
 lead to harm to a patient, client, colleague,
 student, research participant, or other person
 to whom they may owe a professional or
 scientific obligation."

"(b) In addition, psychologists have an obligation
 to be alert to signs of, and to obtain assistance
 for, their personal problems at an early stage,
 in order to prevent significantly impaired
 performance."

"(c) 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."
http://www.apa.org/ethics/code1992.html#1.13

The Code has recently been revised, and the new
version will go into effect on June 1, 2003.
It is available here:
http://www.apa.org/ethics/code2002.html

A search for "alcohol" in the new code returns
no results, which is, again, not surprising.
What IS surprising is that the word "impaired"
is not found either. The new code says this:

"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."
http://www.apa.org/ethics/code2002.html#2_06

In short, the line between alcohol "use" and "abuse"
is not spelled out for the professional psychologist
any more than it is for any other person. It is up
to the individual to determine when the use of 
alcohol is becoming an impairment. In theory, the
conscience of the professional in the psychiatric
professions is more finely tuned to this potential.
In addition, professionals in this field are under
more of an obligation to self-police, reporting
colleagues who demonstrate unethical standards of 
practice and behavior.

Having said all this, I will add, from my experience
in the field of mental health, that it is a rare
professional who will abuse the broad guidelines
quoted above and have a drink at lunchtime, or
come to work impaired from the night before.

If you feel that you've had an experience with a 
psychologist which was less than professional or
satisfactory due to their use of alcohol, you are
certainly within your rights to report it. 


Searches done, via Google:

psychiatric "code of ethics"
://www.google.com/search?num=50&hl=en&lr=&ie=UTF-8&oe=UTF-8&safe=off&q=psychiatric+%22code+of+ethics%22

Please do not rate this answer until you are satisfied that the 
answer cannot be improved upon by means of a dialog with
the researcher through the "Request for Clarification" process.

sublime1-ga
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