CASE-RELATED ETHICAL REFLECTIONS - A SYST EMIC MODEL OF ETHICS CONSULTATION IN CHILD-PSYCHIATRY AND PSYCHOTHERAPY

We present a model of case-related ethical reflexions developed and ev aluated in the fields of child psychiatry and psychotherapy. Basically we looked for an approach which contains two aspects: familiarity to the professionals involved and proximity to discursive forms of ethica l considerations. Therefore, the reflecting team approach seemed appro priate. We divided a modified version into three phases: (1) Presentat ion of the problem; (2) therapeutic and ethical reflexions; (3) evalua tion of the reflexions. This model offers the opportunity to discuss e thical dilemmas as well as to discriminate between therapeutic and eth ical problems. At the same time, basic principles of ethics are applie d to as well as considered in the consultation process itself.