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CAN NHS FAMILY THERAPy BE ETHICAL? David steare. Enough about me…. Family therapy: An art of how many lenses? Structural, Strategic, Narrative, SFBT, Collaborative, Dialogical, Postmodern, Critical Realism, etc?.
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Family therapy: An art of how many lenses?Structural, Strategic, Narrative,SFBT, Collaborative, Dialogical, Postmodern, Critical Realism, etc?
John Macmurray’s ‘Law’:“You shall not use a person for your own ends, or indeed for any ends, individual or social.”
“It was as though the personhood of both the practitioners and users had become equated with the organisational system and the policy discourses that shape it.”
APPRECIATIVE INQUIRY: ETHICAL PRACTICE IN THE NHS Being Applying Reflecting Experience Application Sharing and Conversation Generalise Knowledge Process and Reflection
Adapted Ethicability Framework(from Professor Roger Steare, Cass Business School) Who We Are (Character) How We Decide What’s Right (Perception) What We Are About (Principles) What We Do (Culture and Behaviour)
PREPARATION • Time Out! • How Do We Feel? • What Are We Afraid Of? • Who’s Involved? • What Do We Know? • Have We Perceived Generously? • What Are Our Motives and Intentions? • What Sort Of Dilemma Is This? • Are We Being Solution Focused? • Is Our Decision Safe, Fair & Constructive?
Decide What’s R.I.G.H.T Rules – What Are The Rules? Integrity – How Do Our Principles Guide Us? Good – Who Would Benefit And How? Harm – Who Will Be Harmed And How? Truth – Are We Being Honest And Responsible?
Rehearsing Our Decisions How would we feel in their shoes? How can we act with compassion? What would build trust and respect? What would be most useful? What would stand the test of time? Have we the courage to do what’s right? What can we learn from this dilemma?
Referencing… Lynn Hoffman (1990) Constructing Realities: An Art of Lenses. Family Process 29. 1. 1-12 John Macmurray (1935) Reason And Emotion. London: Faber & Faber Stanley Milgram (1974) Obedience to Authority: An Experimental view. London: Tavistock Andrew Cooper & Julian Lousada (2005) Borderline Welfare: Feeling and Fear of Feeling In Modern Welfare. London: Tavistock Roger Rowett (2013) Zen and the Art of Appreciative Inquiry: A glass half full approach to organisational development. CreateSpace Independent Publishing Platform Roger Steare (2006/2013) Ethicability: How to Decide What’s Right and Find the Courage to Do it (5th Revised Edition). Roger Steare Consulting Jonathan Haight (2001) The Emotional Dog and its Rational Tail: A Social Intuitionist Approach to Moral Judgement. Psychological Review 108, 4, 814-834 Deanna Geddes & Ronda Callister (2007) Crossing the Line(s): A Dual Threshold Model of Anger in Organizations. Academy of Management Review 32, 3, 721-746