Johnston M
University of Central Lancashire, Preston.
J Med Ethics. 1999 Dec;25(6):487-90. doi: 10.1136/jme.25.6.487.
The growth in the availability of counselling services has been accompanied by growing concern about the conduct of counsellors, which in turn has led to the expressed need for an ethics of counselling. This paper will argue that there is an inherent tension between this need and the central tenets of one variety of counselling, client-centred counselling. The tension is identifiable on the basis of an inquiry into the nature of moral judgment which results in the recognition of the implicit value base in client-centred counselling. It is only when this value base is made explicit that any adequate ethics of counselling becomes a viable possibility.
咨询服务可获得性的增长,伴随着对咨询师行为日益增加的关注,这反过来又导致了对咨询伦理的明确需求。本文将论证,这种需求与一种咨询方式(来访者中心疗法)的核心原则之间存在内在矛盾。基于对道德判断本质的探究,这种矛盾是可以识别的,而这一探究会让我们认识到来访者中心疗法中隐含的价值基础。只有当这个价值基础变得明确时,任何充分的咨询伦理才有可能实现。