The Ethical Lives of Clients Transcending Self-Interest in Psychotherapyby Doherty, William J.
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Bill Doherty blends decades of clinical experience with personal and philosophical insights to frame the skills and knowledge therapists need to act as ethical guides while respecting client autonomy. He calls for a shift from psychotherapy’s individualistic focus towards a more relational one that includes ethical connections to others.
Doherty presents the LEAP‑C model, a framework for ethical consulting that utilizes the traditional therapeutic skills of listening, exploring, affirming, and offering perspective, while also challenging clients to recognize ethical issues they don't perceive.
Using detailed case examples, he provides a roadmap for addressing common client dilemmas, such as keeping and ending commitments, having affairs, lying and deceiving, and causing psychological or physical harm to others.
He also provides guidelines for citizen therapists to lend their expertise to help solve larger societal concerns, such as political polarization and police–community relations.
Table of Contents
I. The Science and Practice of Ethical Consultation
Chapter 1. Foundations of Ethical Consultation in Therapy
What Ethical Issues Do Clients Bring to Therapy?
The Social Construction of Ethical Choices in Therapy
Toward a New View of the Relational Self in Ethically Informed Therapy
Beyond LEAP: Ethical Challenge
II. Common Ethical Dilemmas in Clients’ Lives
Chapter 3. Keeping or Ending Commitments
Why Many Therapists Approach Marital Commitment This Way
Adults’ Commitment to Their Parents
The Craft of Ethical Consultation About Commitment
The Many Contexts and Meanings of Affairs
Strategies for Ethical Consultation About Affairs
When Little Lies Become Big Lies
Challenging Lies That Compromise Another Person
When Clients Harm Adults in Their Lives
III. The Responsibilities of Therapists as Ethical Consultants
Chapter 7. The Self of the Therapist in Ethical Consultation
Cultural Self-Awareness in Ethical Consultation
The Relational, Committed Self of the Therapist
Ethical Caring Beyond Our Clients
What Is a Citizen Therapist?
The Citizen Therapist in the Office
How to Bring Up Public Stress in Therapy
The Citizen Therapist in a Democracy
How to Get Started in the Public Role as a Citizen Therapist
Citizen Therapists and Civic Renewal
Afterword: Two Therapy Cases That Had a Public Impact
The Case of Monica Lewinsky
About the Author
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