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Ethics in Psychotherapy and Counseling
A Practical Guide

Kenneth S. Pope (Author), Melba J. T. Vasquez (Author), Nayeli Y. Chavez-Dueñas (Author), Hector Y. Adames (Author)

9781394312924, Wiley

Paperback / softback, published 19 May 2026

560 pages
22.4 x 15.2 x 3.6 cm, 0.612 kg

The essential guide to psychotherapy ethics for today's complex challenges.

A client asks you to use AI-generated therapy transcripts. A state law conflicts with your ethical duties. A telehealth session raises questions your training never addressed. The ethical landscape has never been more complex, and the stakes have never been higher.

The Seventh Edition of Ethics in Psychotherapy and Counseling: A Practical Guide has been fully revised for a world in rapid flux. With seven new chapters, this trusted resource equips you to meet the challenges of telehealth, AI, political polarization, and restrictive state laws while ensuring that every client receives the highest standard of care.

This edition provides tools to:

  • Make sound decisions using clear frameworks when ethical principles conflict, legal requirements diverge from ethical ideals, or cultural considerations add complexity.
  • Practice telehealth ethically by managing confidentiality, securing informed consent, and maintaining therapeutic boundaries across videoconferencing platforms.
  • Integrate AI responsibly into your practice with practical strategies for assessment, diagnosis, treatment planning, and outcome measurement.
  • Serve diverse clients ethically through culturally attuned approaches that center social justice, address power dynamics, and honor every human experience.
  • Navigate the legal landscape with comprehensive, up-to-date coverage of ethical standards, legislation, case law, and practice guidelines, including expert strategies for addressing restrictions on DEI and women's healthcare.

For psychotherapists, counselors, clinical psychologists, and graduate students, this seventh edition provides the knowledge and practical guidance needed to uphold the highest ethical standards, whatever comes next.

The Authors xiv

Preface xv

Acknowledgments xvii

Part I: the Heart and Soul of Ethical Practice

Chapter 1 Caring without Harming 3

Chapter 2 When Ethics Meets Real Life: The Rough Edges of Practice in the Real World 10

Chapter 3 Maps and Compasses: Theories and Codes in Ethical Practice 23

Chapter 4 Aware, Alert, and Questioning 41

Chapter 5 Ethics in the Context of Culture and Multicultures 46

Chapter 6 Dignity and Respect as Basics 65

Chapter 7 Weaving Competence and Humility 73

Chapter 8 Ethics and Human Rights 88

Part II: Making Ethical Judgments

Chapter 9 Think Again: Debunking Fallacies in Ethics 99

Chapter 10 How Pseudoscience can Undermine Ethical Judgments 109

Chapter 11 Cognitive Biases and Pitfalls 117

Chapter 12 The Power of Words to Cloud or Crystallize 129

Chapter 13 The Illusion of Ethics: Recognizing and Dismantling False Justifications 134

Chapter 14 Facing Moral Distress and Summoning Moral Courage 137

Chapter 15 Ethical Decision- Making 158

Part III: Navigating Ethical Complexities

Chapter 16 First Contact and Termination: Starting the Therapeutic Journey and Bringing It to an End 169

Chapter 17 Access, Availability, and Absences, Both Planned and Unplanned 177

Chapter 18 The Ethics of Consent 189

Chapter 19 Record- Keeping: Guidelines and Challenges 212

Chapter 20 The Ethics of Self- Care 222

Chapter 21 The Mortal Therapist: Creating a Professional Will 235

Chapter 22 Confidentiality 239

Chapter 23 Assessment and Diagnosis 261

Chapter 24 Responding Ethically and Effectively to Suicidal Risk 287

Chapter 25 The Therapist’s Sexual Feelings, Fantasies, and Behavior 315

Chapter 26 Ethically Navigating Therapeutic, Harmful, Risky, and Inevitable Nonsexual Boundary Crossings 336

Chapter 27 Responding to Ethics, Licensing, or Malpractice Complaints 362

Part IV: Ethics in the Digital World

Chapter 28 The Not- So- Blank Screen: Ethical Issues in Conducting Virtual Psychotherapy 373

Chapter 29 The Therapist on Social Media 392

Chapter 30 Artificial Intelligence (AI) in Clinical Work 398

Part V: Challenging Contexts

Chapter 31 Fear, Polarization, and Cancel Culture 411

Chapter 32 Ethical Dilemmas of Therapists Practicing in States That Ban Dei Education and Reproductive Healthcare 419

Chapter 33 Ethics in the Context of Oppression and Social Justice: Working with Diverse Populations 425

Chapter 34 The Ethics of Working With and Within Organizations 442

References 454

About the Authors 525

Index 533

Subject Areas: Psychology [JM]

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