Practical viewpoints on ethical questions and dilemmas in schema therapy

Area of Science:

• Psychotherapy
• Clinical Psychology
• Professional Ethics

Background:

• Ethics are fundamental to psychotherapy, safeguarding all parties in the therapeutic relationship.
• This review specifically examines ethical issues within schema therapy practice.

Purpose of the Study:

• To identify and discuss ethical issues and dilemmas encountered in schema therapy.
• To provide insights into ethical reflection and solutions within schema therapy.

Main Methods:

• A narrative review was conducted using major scientific databases (PubMed, Web of Science, Scopus).
• Keywords included "psychotherapy," "schema therapy," "ethics," and "ethical dilemmas."
• Clinical experience of therapists, instructors, and supervisors was also incorporated.

Main Results:

• Key ethical principles include confidentiality, informed consent, and maintaining therapeutic boundaries.
• Understanding transference, countertransference, modes, and schemas is crucial for ethical practice in schema therapy.
• Examples of ethical dilemmas and potential solutions are presented, highlighting the need for further research.

Conclusions:

• Adhering to ethical principles and resolving dilemmas are core competencies for schema therapists.
• Ethics are particularly vital in schema therapy due to its work with complex issues like personality disorders.
• Further research into ethical considerations in schema therapy is recommended.