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Updated: May 23, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Published on: February 16, 2011

Beyond values clarification: addressing client values in clinical behavior analysis.

Jordan T Bonow1, William C Follette

  • 1University of Nevada Reno.

The Behavior Analyst
|April 6, 2012
PubMed
Summary
This summary is machine-generated.

The American Psychological Association (APA) ethical code offers limited guidance on addressing client values in therapy. Clinical behavior analysis provides a more effective, ethically sound approach to modifying values for client benefit.

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Area of Science:

  • Clinical Psychology
  • Behavioral Science
  • Ethics in Therapy

Background:

  • Current ethical guidelines, such as the American Psychological Association (APA) Code of Ethics, present challenges in addressing client values during psychotherapy.
  • These principles emphasize respecting client values, with exceptions only for harm prevention, leading to a narrow focus on 'values clarification' interventions.
  • The underlying assumption views values as having a unique ontological status, limiting therapeutic approaches.

Purpose of the Study:

  • To critique the limitations of existing psychological ethical codes in handling client values within psychotherapy.
  • To propose clinical behavior analysis as a superior alternative for understanding and ethically modifying client values.
  • To demonstrate how a behavior analytic framework can enhance therapeutic interventions by providing a clear definition and ethical application of value modification.

Main Methods:

  • Philosophical analysis of ethical principles in psychology.
  • Examination of the conceptualization of values within the APA Code of Ethics.
  • Introduction of clinical behavior analysis as a theoretical and practical alternative.

Main Results:

  • The APA's ethical framework is found to be impractical for directly addressing client values due to its restrictive view of values.
  • Clinical behavior analysis offers a robust philosophical foundation for defining values and identifying ethical targets for change.
  • This approach allows for broader and more effective clinical interventions beyond simple values clarification.

Conclusions:

  • Clinical behavior analysis provides a more sophisticated and ethically viable model for addressing client values in psychotherapy.
  • This framework supports interventions aimed at improving client well-being by ethically targeting values.
  • A unified philosophical system in behavior analysis enhances the practical application of ethical principles in clinical settings.