Ethical Dilemmas In The Medical Field
The nursing practice is premised in ten framework of professional responsibilities , conventions, personal conscience and a framework that also includes legal, religious and philosophical perspective that govern and influence what must be done and how it must as well it must be done in any professional practice. Such a framework often pits nursing in salient ethical dilemmas. An ethical dilemma is defined by Cowley D, (2004) as scenario where in apparent conflict of moral imperatives is present such that adhering to one will result in regressing the other. This has also been reoffered to as ethical paradox. This paper some ethical dilemma experienced in a nursing practice whilst also premising the dilemma in applied theories of social therapy.
Nurses may often ethical dilemmas for instance where they must apply social therapy theories such the Cognitive Behavioral Therapy (also known as cognitive behavior therapy, CBT) in dealing with depression clients where the depression has been characterised y substance abuse. CBT is defined as a psychotherapeutic model designed to influence problematic as well as dysfunctional emotions, behaviors as well as cognition through a goal-focused systematic process. CBT is often used an inclusive term of reference to other forms of psychological therapy that derive from the theoretical framework from behavioristic learning model as well as cognitive psychology. The term is also used to refer to al methods and approaches of transformation that are based on the theories outlined above. Wetterling T et al (2000) note that CBT therapies have more emphasis on largely cognitive solutions while some of them are rather typically more behavioral. In the application of cognitive oriented therapies the aim is to establish and monitor mind processes, the thoughts, as well examine and monitor the subjects’ assumptions and beliefs and behaviors associated with unhealthy negative emotions. The process entails the establishment of thoughts and behaviors which are dysfunctional and also meaningful. The salient objective in the application of this processes it to replace these and transcend with identified deformities. Ethical dilemmas arising from the use of this approach in substance abuse related depression may trigger critical ethical dilemmas in the nursing practice where nursing professional have to deal with Rastafarian who use of marijuana as part of their religion culture.The cognitive Behavioral Therapy said to be concise and straight forward in comparison to other models and approaches in social work. The theory entails the exploration of an established relationship between cognition, emotion and behavior. Tomlinson et al (996) note that the theory is an assortment of short-term ensembles of psychotherapy.
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