Caucasus Institute of Gestalt Therapy and Family Psychotherapy (CIGTFP). Ethic Code
(Elaborated based of ethic code of European Association of Gestalt Therapy)
CODE OF ETHICS AND PROFESSIONAL PRACTICE
A. CODE OF ETHICS
1. Statement of equality of worth among individuals
2. Respect for the uniqueness, worth and dignity of the individual
3. Appreciation of the differences of race, extraction, ethnicity, gender, sexual identity or preference, handicap, age, religion, language, social or economic status and of the need for spirituality.
4. Recognition of the importance of autonomy and self-regulation of the individual in the context of contractual interpersonal relationships.
B. CODE OF PROFESSIONAL PRACTICE IN GESTALT THERAPY
B.1.1 The Gestalt therapist will only undertake those tasks where he/she knows, or should know that he/she has the necessary competence to address these tasks and bring them to a completion that is beneficial to the client’s process.
B.1.2 During the working process, the Gestalt therapist, upon discovering the limits of his/her competence, will either refer the client to another professional or will establish collaboration with another professional/other professionals.
B.1.3 The first step during this process is the renegotiation of the original contract with the client. Continuing with the client means taking the necessary action to improve competence. Such action can be:
B.1.3.1 the therapist examines carefully whether his/her competence can be applied in the field in which the therapeutic work is to take place fully to the benefit of the client. If the Gestalt therapist determines that the contextual field, its structure, boundaries and the aims that dominate that field to be in any way contradictory or too restrictive to/for the unfolding of the competence that is necessary to further the client’s process, he/she abstains from any further working project undertaken in this field.
B.1.3.2 the Gestalt therapist seeks support and clarification of his/her difficulty regarding a problematic situation in an intermission context with experienced colleagues.
B.1.3.3 The Gestalt therapist seeks individual or group supervision, depending on which supervision setting is best suited for support and clarification in his/her situation.
B.1.3.4 the Gestalt therapist builds networks with members of other professions and institutions (such as clinics) in order to dispose of the necessary diagnostic and therapeutic security and availability of means of help for the client in case he/she reaches the boundaries of his/her competence or setting. B.1.4 the Gestalt therapist protects his/her work and the profession in general from any unqualified actions and projects and procedures (lectures, interviews, in the public media, seminars) that are not in correspondence with the professional standards consented upon.
B.1.5 the Gestalt therapist seeks individual therapy in case of turbulence in his/her therapeutic work such as personal crises, signs of burn-out and/or difficulties in safeguarding the borders of intimacy and seductability.
B.1.6 The methodological and technical approach in the therapeutic process must serve the therapeutic aims and developmental requirements of the client agreed upon in the contracting. The Gestalt therapist is aware that any acting-out, especially expressive and cathartic acting-out, requires de-dramatization achieved through detailed and careful working through.
B.1.7 In an educative process lasting a whole professional life, the Gestalt therapist takes care to enlarge and deepen his/her professional and personal competence. The Gestalt therapist is open to important developments that affect this process, whether in the field of Gestalt Psychotherapy or in other fields or schools of psychotherapeutic research and practice, with regard to the benefit of the clients.
B.1.8 the Gestalt therapist maintains careful documentation of his/her diagnostic and therapeutic work with the client and observes the national prescriptions for the duration of document preservation and the security measure demanded. Careful documenting means corresponding to the scientific level foreseen by the national psychotherapeutic regulations and adhering to the objectivity and clearness necessary in order to make the documentation and its contents understandable and feasible for another therapeutic professional.
B.2. The client//therapist relationship
B.2.1 the client/therapist relationship is a professional relationship within which the welfare of the client is the therapist’s primary concern.
B.2.2 Gestalt therapists recognize the importance of the relationship for effective therapy and are aware of the power and influence and the issues of dependency inherent in this situation. The Gestalt therapist will act in a manner consistent with this recognition and not exploit or abuse clients financially, sexually, emotionally, politically or ideologically for his/her own personal advantage, or his/her own needs, or the advantage of any other person or institution.
B.2.3 Gestalt therapists are aware when other relationships or external commitments conflict with the interests of the client. When such a conflict of interests exists, it is the responsibility of the Gestalt therapist to bring it openly into the field of the therapeutic relationship and take necessary action to resolve the issue.
B.2.4 Physical contact in the therapeutic process is exclusively orientated to the welfare of the client and requires special professional reflection and care. In the handling of physical contact in the therapeutic process, the consent of the client is of primary importance.
B.2.5 Gestalt therapists recognize that dual relationships, such as employee, close friend, relative, neighbor or partner is incompatible with the therapeutic process.
B.3.1 all exchanges between the Gestalt therapist and client are regarded as confidential, subject to clause B7 below.
B.3.2 the storing of clients’ personal data, including case notes, is subjected to the relevant national legal and professional regulations.
B.3.3 the Gestalt therapist takes care that personally identifiable information is not transmitted through overlapping networks of confidential relationships, such as supervision.
B.3.4 When a Gestalt therapist wishes to use specific information gained during work with a client in a lecture or publication, the client’s permission will be obtained and strict anonymity preserved
around names/data through the use of well disguised writing, a process approach, the use of composites or another colleague as author to ensure that the client cannot be recognized.
B.3.5 When a Gestalt therapist wishes to use specific case material for case studies, reports or publications, he/she obtains the client’s informed consent wherever possible and preserves the client’s anonymity.
B.3.6 Video, photo and tape recordings or film will require the permission of the client or his/her legal representative’s written permission.
B.3.7 When a Gestalt therapist wishes to obtain relevant data about a client from other professionals or institutions, he/she observes the right of the client as regulated by national law. This also applies to the handling of written data regarding the client.
B.3.8 a Gestalt therapist takes into consideration the right of insight of the client into his/her written data as described in the national legal regulations, and is discriminatory in the handling of these documents towards the client.
B.3.9 when public or private institutions, such as law courts, insurance companies etc. request data regarding a client, the Gestalt therapist observes the legal national regulations. In doing so, the Gestalt therapist enters into a discourse with the client and proceeds in a manner that is the most beneficial to the therapeutic process.
B.3.10 when the client is considered to be a minor according to national legal formulations, the Gestalt therapist applies all the above considerations to the therapeutic relationship. In addition, the Gestalt therapist will conform to the national legal and professional regulations concerning information to child care in cases of abuse or other forms of serious lack of care.
B.4. Contracting with client
B.4.1 any contract made between a Gestalt therapist and a client is binding for both parties whether it is written or verbal.
B.4.2 the Gestalt therapist is clear and open regarding his/her competence, expertise and experience when negotiating a therapeutic contract with the prospective client.
B.4.3 the Gestalt therapist will implement an intake procedure that is compatible with the intake procedures where he/she practices.
B.4.4 any recording, filming or observation of the therapy sessions will be discussed and a contract made with the client.
B.4.5 Contracts with clients, whether written or verbal, are explicit regarding fees, payment schedule, location, breaks and cancellation of sessions by client or therapist. Some examples of breaks could be holidays, other professional commitments, illness etc. The length of the therapy, transfer of clients and terminations are discussed with clients and mutual commitment sought.
B.4.6 In the event of a personal crises or physical illness, the Gestalt therapist will engage in supervision as a way of re-establishing the professional relationship.
B.4.7 the Gestalt therapist will ensure that during the therapeutic relationship there will be no interaction whatsoever with any person, principle or evaluation, nor evaluations or interests of other persons, regardless of the degree of involvement in the relationship.
B.4.8 any changes that occurs in the above mentioned conditions will require the re-negotiation of the original contract.
Advertising will be confined to descriptive statements about the services available and the qualifications of the person providing them. Advertising will not include testimonials, make comparative statements, or in any way imply that the services concerned are more effective than those provided by other colleagues other schools of therapy or organizations. Advertising is subject to the national codes and regulations of legal and professional organizations.
B.6.1 the Gestalt therapist will take all reasonable steps to ensure that the client suffers neither physical nor psychological harm during the therapy sessions in the physical environment in which the therapy takes place.
B.6.2 the Gestalt therapist will provide privacy for the therapy sessions that will not be overheard, recorded or observed by anyone other than the therapist without informed consent.
B.6.3 Gestalt therapists and Institutions are required to ensure that their professional work is adequately covered by appropriate indemnity insurance (when this is available in their country).
B.7. Exceptional Circumstances
B.7.1 There may be circumstances where the Gestalt therapists need to take action that will protect the client and/or his/her social environment when he/she is not deemed to be self-controlled enough. In such circumstances the clients informed consent to a change in the agreement about confidentiality will be sought whenever possible unless there are also good grounds for believing the client is no longer willing or able to take responsibility for his/her actions.
B.7.2 when making a contact with a client that the Gestalt therapist considers to be subject to exceptional circumstances, he/she will ask the client for the name of another person who may be referred to in this event. In this contingency, the derogation to the contract of confidentiality will be limited to the facts and to the time strictly necessary for the client to recover the responsibility of his/her actions.
B.7.3 In the event of an individual and/or collective emergency (for example: individual and/or collective danger of life, social disorders, wars, natural disasters etc.) the Gestalt therapist will consider the particular framework, and preserve the client’s autonomy and professional confidentiality if the circumstances allow this.
B.7.4 the Gestalt therapist will protect the client’s autonomy and professional confidentiality in those cases where the psychotherapeutic process has been a part of a broader process concerning the client’s well-being. This is in particular the case where psychotherapeutic work was initiated “on commission” (work in the hospital, work with organizations, work with minors, etc.), or in a team with other health care operators. The Gestalt therapist will clarify the characteristics of this contract at the initial stage of the contract with their clients and other persons/professionals involved and will contact a third party only after the consent of the client has been obtained.
B.8. Management of Therapist’s Role in Society
B.8.1 Law. The Gestalt therapist is informed and aware of the current national law as it applies to his/her professional work and the conduct of his/her practice or institution and is careful to observe the relevant legal prescriptions.
B.8.2 Research. The Gestalt therapist is open to co-operate with and to contribute to research work that is instrumental to further development in professional therapeutic and diagnostic work and makes his/her own research work accessible to the therapeutic community.
B.8.3 In his/her own research work, the Gestalt therapist observes the rules that respect his/her colleagues' work; and the copyrights of all professional material will be observed.
B.8.4 Responsibility to colleagues and others. The Gestalt therapist is accountable for his/her work to colleagues and employers as is appropriate, taking into account the necessity first and foremost to respect the privacy, needs and autonomy of the client as well as the contract of confidentiality agreed upon with the client.
B.8.5 the Gestalt therapist abstains from promoting publicly or privately his/her services, formation and professional qualities.
B.8.6 The Gestalt therapist observes the national professional regulations in making his/her availability by means of door plates, giving notice of opening of practice in newspapers, telephone directories or the internet.
B.8.7 The public must not be misled that a service or qualification is available which is not in fact offered as this may deprive the client of using the offer of such a service or qualification elsewhere. B.8.8 The Gestalt therapist does not withhold information from the client about the availability of help and professional service through other colleagues and institutions.
B.8.9 The Gestalt therapist respects, also in public, the work of other colleagues and abstains from disqualifying remarks about other theoretical models, schools or colleagues in different professional roles.
B.8.10 The Gestalt therapist will not accept a task or project in which another colleague is already involved, especially when a therapeutic contract exists between the client and another therapist. In case of doubt, the Gestalt Therapist enters into dialogue with the colleague after having obtained the client’s informed consent.
B.8.11 The Gestalt therapist will not accept economic or personal benefits for referring clients to another colleague or institution.
B.8.12 A Gestalt therapist who becomes aware of the behavior of a colleague which is likely to bring the field of psychotherapy into disrepute has a duty to confront that colleague and/or their professional association
B.8.13 Detrimental activities. The Gestalt therapist will not engage in official and private activities that might be detrimental to the reputation and ethics of his/her professional demeanor and role and the reputation of the profession itself.
B.8.14 Political aspects of therapeutic work. The Gestalt therapist is aware of the social and political implications of his/her work and the social and political aspects influencing the contexts of their clients.
B.8.15 Psychotherapy training and education. The task of Psychotherapy education is to inform those in learning of the theoretical, methodological and technical developments of psychotherapy in general and Gestalt Therapy in particular in an objective and comprehensible manner. Personal views of teachers are to be declared as such. No false expectations are to be awakened especially as far as official recognition of the education concerned by the national authorities and laws regulating psychotherapy training and the permission to carry the title “psychotherapist” as well as the funding of psychotherapy costs by the health service and insurance.
B.8.16 Gestalt Training Institutes will verify the qualifications, expectations and psycho-physical suitability of candidates and furnish clear and complete information related to the curricula and internal regulations.
B.8.17 Gestalt Training Institutes will guarantee the quality of the education both with regard to the specific competence of those teaching and supervising and to the coherence of the curricula. They provide internal control for the verification of the quality of the education and furnish space and place of updating and comparison of teaching methodology.
B.8.18 The relationship between teachers and students and among institutes will be clear and transparent. Teaching Gestalt Therapists are conscious of the specific characteristics of role relationship between those teaching and those learning and do not misuse this relationship ton their own advantage. They are especially aware of the dimensions of dependency, idealization, and assessment relevant in this relationship. Training Institutes will provide directives guiding the teacher-student relationship and a forum where problems can be addressed and resolved.
B.8.19 Institutes will periodically verify whether a student has attained a satisfactory level of training and provide suitable and transparent structures to so do.
B.8.20 The ethical principles of guiding and regulating the client-therapist relationship and the management of the therapist’s role in society are equally relevant to the field of teaching and training and to teachers and students (competence, confidentiality, relational issues, contracting and safety). B.8.21 The Gestalt learning therapy of a student will be protected from possible turbulence created by role confusion on the part of the teaching therapist who will abstain from taking part in the official assessment procedure foreseen to evaluate the progress and suitability of his/her student.
B.8.22 Institutes control and secure adequate personal, didactic, clinical and scientific standards in their teaching personnel. The professional exchange among teaching therapists, their necessary supervision and further training and development has to be secured.
B.8.23 If the Gestalt therapist finds himself/herself in conflict between different or several ethical positions and requirements and cannot solve this conflict himself/herself or with the help of intervision and supervision, he/she addresses himself/herself to the ethical committee installed in his/her institute or professional association in order to get the necessary counseling.
B.9. Relationship with Former Clients
B.9.1 the Gestalt therapist remains fully accountable (responsible?) for relationships with former clients and current trainees.
B.10. Legal Proceedings
Any Gestalt therapist who is a member of the EAGT and is convicted in a court of law for any criminal offence or is the subject of a successful civil action by a client will inform the EAGT board.