北京心理咨询师知情同意使用现状的访谈

Current implementation of informed consent among counselors in Beijing

目的:探索北京心理咨询师对知情同意伦理遵守的现状及对知情同意伦理遵守的观点和看法。方法:选取北京市心理咨询师11名[平均咨询年限为(7.4±4.4)年],对其知情同意过程和相关观点进行半结构化访谈,并采用定性研究编码方法对访谈誊录稿进行分析。结果:心理咨询中知情同意涉及4个主题,分别为知情同意的内容、影响因素、问题与困惑及重要性。咨询师普遍肯定知情同意在心理咨询过程中的重要作用,能够执行知情同意的相关规定,但受访者在知情同意的形式和长度、特殊群体和网络咨询的知情同意等方面尚存在困惑和问题。结论:目前北京地区心理咨询师基本能遵守知情同意伦理规范,肯定知情同意在心理治疗过程中的重要性;但也认为现存相关制度存在一定的漏洞和缺陷。

Objects：To investigate the current situation of counselors＇ implementation and their attitude to informed consent in Beijing.Methods：Eleven counselors who worked in Beijing were interviewed,the average of their working years was（7.4±4.4）.A semi-structured interview was used to learn about their practicing processes in and view points on informed consent,and their interview transcripts were analyzed through qualitative method.Results：The results could be categorized into four categories,including the content of informed consent,the influential factors of informed consent,problems and confusions,and the significance of informed consent.The crucial role of informed consent in psychotherapy was generally recognized by counselors,and they could obey the related rules as well.The therapists had some confusion and problems about informed consent,such as the form and length,the consent for special population and online consultation.Conclusion：Basically,the counselors in Beijing could comply with the ethical standards of informed consent.However,they also suggest that certain limitations of these rules should be noticed.