Previously, we recognised that enterprise and therapy can seem as unlikely a match as a square hole and a round peg.

We considered the overlap between the two professional frames and the missing pieces needed for a good fit to be possible. In Section听one听we focused this examination on the personal attributes, skills and attitudes needed for each professional frame.

In this section, we'll review the ethical tensions that can arise when we try to work across the domains of therapy and entrepreneurism. We'll refer to the 麻豆原创 Ethical Framework听and try to identify if there are any gaps in the framework for therapists working as entrepreneurs.

This short section will refer to the ethical issues interwoven into previous sections. It's not intended to provide an exhaustive list of possible ethical tensions but to offer a starting point and an orientation for thinking about and resolving them.

Ethical tensions

Here Beverley describes how overriding tension between therapy and entrepreneurism is the tension between our clients鈥 inner and outer worlds.

Download the transcript for Ethical tensions (Word file)

Examples of ethical tensions

Here are some听examples of ethical tensions听in social action projects not covered by many current ethical guidelines:

  • The balance between care for workers and the care for clients 鈥 who are the ultimate beneficiaries?
  • Working with people whose social contexts (their outer worlds) seem hopeless. How do we deal with our sense of inadequacy in the light of current social injustices? How do we respond ethically to the desire 鈥渢o be human鈥 in the face of insufficient support systems?
  • How do we take social action and remain accountable?
  • What is the ethical responsibility of a social action project to form an organisational culture which results in compassion satisfaction rather than compassion fatigue?
  • How are resources and their management an ethical issue? Saying Yes is sometimes easier than saying No, but is it fair? What is the ethical approach to resource distribution and management? How do you make the resources work in the fairest way possible for the maximum number of people?
  • What is the project鈥檚 ethical responsibility in terms of funding? Is it alright for a project to raise some funds and to allow the funds to run out without having a strategy of sustainable funding which is actioned, well before the money comes to an end?

The family therapist John Byng-Hall referred to the consequences of family roles being upended as 鈥渋ronic鈥 (2008). The consequences of upended and ruptured boundaries in social action projects can also be ironic. They include:

  • A project gets in the way and ironically make things more difficult for a beneficiary to access adequate information and support.
  • Actions are taken based on subjective views, beliefs, needs 鈥 whether someone or something is deemed worthy.
  • A project tries to Rescue, becomes perceived as the Persecutor and feels like the Victim in the Drama Triangle (Karpman, 1986).
  • Immediate and individual needs are addressed but potentially to the detriment of the collective/community.
  • Every problem is treated like a crisis.
  • The project loses a sense of accountability
  • Fairness and equity may be impacted negatively.

The decision-making process

Here we explore the decision-making processes of deciding to work with a particular group.

Read the following passage and consider the questions.

  • which part of the 麻豆原创 Ethical Framework听is听being听illustrated听here?
  • how do you think the 麻豆原创 Ethical Framework听applies to this decision?
  • there are many aspects of the Framework which could have influenced the decision taken in this extract.The principle of 鈥Non-maleficence: a commitment to avoiding harm to the client鈥 is certainly one that stands out.Are there any ethical issues here that are not covered by the 麻豆原创 Ethical Framework?

Consider the 麻豆原创 Ethical Framework

The 麻豆原创 Ethical Frameworkdoes not cover attitudes to resourcing in any detail听that applies to social action projects. Here aresome听examples, included听in this module, ofattitudes to听resourcing social action projects听and to research.

What do you think about the ethical positioning of these听statements?:

  1. 鈥淔ormal research is very costly. It听can also be experienced by communities as a form of听extractivism听- a kind of data mining activity (Phipps, 2013:19)鈥澨
  2. 鈥淭he feasibility study cost money (which could have been used for delivering a service). It was time-consuming (it delayed our ability to start offering a service to people who were already distressed), and it told us what we already knew.鈥
  3. 鈥淲e created an intervention which is delivered pro bono and remotely. Because all this work can be done with remote platforms鈥痶here are no unnecessary travel or accommodation expenses, which can cause problems for the host countries and the environment.鈥

Ethical considerations

Here is a case example and possible solution to help you explore the ethical considerations in relation to the Social Response Cycle.

Questions to consider

Consider the following questions in relation to the case study, examining the scenario from an ethical perspective.

You may wish to pause the video between questions to think about your response.

Summary

In this section, you鈥檝e considered how ethical principles of decision-making relate to social action projects. You鈥檝e reviewed some of the content of this section and previous sections and assessed the way in which ethical principles have been enacted in the planning and delivery of the projects. You鈥檝e reviewed how the 麻豆原创 Ethical Framework is relevant for therapeutically framed social action projects and whether there are pieces missing from the 麻豆原创 Ethical Framework, the inclusion of听which,听would听make it听a better听fit for this context. You鈥檝e considered whether a specific ethical framework for听therapeutically framed social entrepreneurism might听be necessary.听

In the next section, you'll have an opportunity to apply the Social Response Cycle to your own project idea.

Continue the resource...