Although large numbers of mental health professionals now provide serv
ices in psychiatric hospitals, their activities raise ethical issues l
argely unaddressed in the professional literature. Systems-oriented th
erapists who work in these settings face additional ethical dilemmas n
ot encountered by those who work with individuals. This article discus
ses six ethical issues systems-oriented therapists must confront when
working in psychiatric hospitals and concludes with guidelines for pra
ctice.