College of Social Work, University of Tennessee, Memphis, TN 38163, USA.
Soc Work. 2010 Jan;55(1):9-18. doi: 10.1093/sw/55.1.9.
Often faced with ethical challenges that may appear extraordinary, military social workers comprise a distinctive subgroup of the social work profession. From the unique paradigms in which they practice their craft, obvious questions about how military social workers address the ethical challenges inherent to their wartime mission arise. Using a concept mapping design, this qualitative phenomenological study addresses some of the ethical challenges faced by 24 military social workers who were deployed during Operation Iraqi Freedom and Operation Enduring Freedom (combat operations inAfghanistan).The results visually display approaches to dealing with the ethical concern of balancing the needs of the client and the needs of the military combat mission. Most participants reported that they used clinical judgment rather than moral reasoning when dealing with such situations. Other ethical concerns are also explored: confidentiality and privacy, conflicts with commanders, relationships and boundaries, and diagnosis and treatment. Understanding of these ethical challenges is relevant to all social workers as they represent an important component of the values,knowledge, and skills germane to the social work profession.
军人社会工作者经常面临可能看似特殊的伦理挑战，他们构成了社会工作专业的一个独特亚群。从他们实践专业的独特范式中，可以明显看出军人社会工作者如何解决其战时任务固有的伦理挑战。本项定性现象学研究采用概念图设计，探讨了在伊拉克自由行动和持久自由行动（阿富汗的作战行动）期间部署的 24 名军人社会工作者所面临的一些伦理挑战。研究结果直观地展示了处理平衡客户需求和军事作战任务需求这一伦理问题的方法。大多数参与者报告说，在处理这种情况时，他们使用临床判断而不是道德推理。还探讨了其他伦理问题：保密性和隐私、与指挥官的冲突、关系和界限以及诊断和治疗。对这些伦理挑战的理解与所有社会工作者都相关，因为它们是与社会工作专业相关的价值观、知识和技能的重要组成部分。
