Hostname: page-component-586b7cd67f-g8jcs Total loading time: 0 Render date: 2024-11-26T01:51:52.807Z Has data issue: false hasContentIssue false

Remote rural community perceptions of ethical psychological practice

Published online by Cambridge University Press:  05 May 2015

Justine Weier
Affiliation:
Central Queensland University
Graham Davidson*
Affiliation:
Central Queensland University
*
Graham Davidson, School of Psychology and Sociology, Central Queensland University, Rockhampton Mail Centre, Qld 4702, Australia or, [email protected]

Abstract

All residents bar one of an isolated rural Australian town were interviewed to obtain their understandings of psychologists' roles vis a vis other professional workers' roles in rural communities, confidentiality expectations and limits to confidentiality, and overlaps between psychologists' professional and their other non-professional social roles. Data were gathered using a Kellian repertory grid technique and analysed using a multidimensional scaling technique. The results indicated that residents construed the psychologist's role as being different from other health or pastoral-counselling professionals' roles. Residents reported a complex array of opinions regarding the application of confidentiality standards, and limits to confidentiality, although all reported that limits to confidentiality should exist. Although residents reported and accepted that psychologists engage in a variety of non-professional, social roles in small rural communities, they also expected that psychologists would clearly differentiate between their professional role and their non-professional roles. Results overall were consistent with research findings with urban residents and with the professional code and guidelines.

Type
Articles
Copyright
Copyright © University of Papua New Guinea and the Centre for Southeast Asian Studies, Northern Territory University, Australia 1999

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Australian Psychological Society. (1997/1999). Code of ethics. Melbourne: Author.Google Scholar
Australian Psychological Society. (1999a). Guidelines on managing professional boundaries and multiple relationships. Melbourne: Author.Google Scholar
Australian Psychological Society. (1999b). Guidelines on confidentiality. Melbourne: Author.Google Scholar
Bell, R. (1997). Using SPSS to analyse repertory grid data. Melbourne: Department of Psychology, University of Melbourne.Google Scholar
Cohen, D. (1992). Occupational hazards of the rural psychotherapist. Psychotherapy in Private Practice, 10, 1335.Google Scholar
Collins, N., & Knowles, A. (1995). Adolescents' attitudes towards confidentiality between the school counsellor and the adolescent client. Australian Psychologist, 30, 179182.CrossRefGoogle Scholar
Davidson, G. (1992). Toward an applied Aboriginal psychology. South Pacific Journal of Psychology, 5, 120.CrossRefGoogle Scholar
Dollard, M. (2000). Initiatives and issues in rural and remote psychology. In-Psych, 21, 14.Google Scholar
Dunn, P. (1996). Leaving much to the imagination: Rural and remote psychological services. In Griffiths, R., Dunn, P. & Ramanathan, S. (Eds.), Psychological services in rural and remote Australia (pp. 915). Wagga Wagga: Australian Rural Health Research Institute.Google Scholar
Frankcom, K. (2000). Myths and legends: Private practice in rural Australia. In-Psych, 22, 3031.Google Scholar
Griffiths, S. (1996). Issues in rural health: The utilisation and perception of psychological services. In Griffiths, R., Dunn, P. & Ramanathan, S. (Eds.), Psychological services in rural and remote Australia (pp. 1723). Wagga Wagga: Australian Rural Health Research Institute.Google Scholar
Griffiths, S., & Kenardy, J. (1996). Role of professional bodies for psychology services in rural and remote areas. In Griffiths, R., Dunn, P. & Ramanathan, S. (Eds.), Psychological services in rural and remote Australia (pp. 4352). Wagga Wagga: Australian Rural Health Research Institute.Google Scholar
Hargrove, D. (1986). Ethical issues in rural mental health practice. Professional Psychology: Research and Practice, 17, 2023.CrossRefGoogle Scholar
Harvey, D., & Hodgson, J. (1995). New directions for research and practice in psychology in rural areas. Australian Psychologist, 30, 196199.CrossRefGoogle Scholar
Hopson, K., & Cunningham, J. (1995). Community and client perceptions of psychologists and other health professionals. Australian Psychologist, 30, 213217.CrossRefGoogle Scholar
Jeffrey, M., & Reeve, R. (1978). Community mental health services in rural areas. Community Mental Health Journal, 14, 5462.Google ScholarPubMed
Jorm, A. (1994). Characteristics of Australians who reported consulting a psychologist for a health problem: An analysis of data from the 1989-90 National Health Survey. Australian Psychologist, 29, 212215.CrossRefGoogle Scholar
Knowles, A., & McMahon, M. (1995). Expectations and preferences regarding confidentiality in the psychologist – client relationship. Australian Psychologist, 30, 175178.CrossRefGoogle ScholarPubMed
Murray, J., & Keller, P. (1991). Psychology and rural America: Current status and future directions. American Psychologist, 46, 220231.CrossRefGoogle ScholarPubMed
National Rural Health Strategy. (1994). National rural health report. Canberra: Author.Google Scholar
Pearson, A. (1993, 02). Expansion and extension of rural health workers' roles to increase access to health services in rural areas. Second National Rural Health Conference, University of New England, Armidale, NSW.Google Scholar
Rubanowitz, D. (1987). Public attitudes toward psychotherapist – client confidentiality. Professional Psychology: Research and Practice, 18, 613618.CrossRefGoogle ScholarPubMed
Schank, J., & Skovholt, T. (1997). Dual relationship dilemmas of rural and small-community psychologists. Professional Psychology: Research and Practice, 28, 4449.CrossRefGoogle Scholar
Smith, D., & Fitzpatrick, M. (1995). Patient-therapist boundary issues: An integrative review of theory and research. Professional Psychology: Research and Practice, 26, 499506.CrossRefGoogle ScholarPubMed
Smith, M. (1998). Rural and remote psychology in outback Australia. In-Psych, 20, 1619.Google Scholar
Sonne, J. (1994). Multiple relationships: Does the new ethics code answer the right questions? Professional Psychology: Theory and Practice, 25, 336–34.CrossRefGoogle ScholarPubMed