THE CLINICAL PSYCOLOGY

Running head: CLINICAL PSYCOLOGY
Ethics in Clinical Psychology
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1CLINICAL PSYCOLOGY
Part-1
Binge eating disorder (BED) is an underlying condition of a type of feeding which is
considered as eating disorder. It impacts about two per cent of the world's population and can
lead to additional metabolic health problems such as high levels of cholesterol and diabetes.
Feed disturbances and eating disorders are not feed itself, but medical illnesses are known.
People usually use them as a way to deal with a more serious issue or another psychiatric
condition, including anxiety or depression.
The signs, effects and health risks of BED, and how to seek help and encouragement
to resolve it, are addressed in this article. The main scientific proof-based approach of
bulimia nervosa is cognitive behavioral therapy (CBT). A current "enhanced" iteration of the
treatment is effective and has the added benefit of being appropriate for all dietary problems,
including anorexia nervosa and no previously defined eating disorders. There are many
reasons for helping people with eating disorders through Interpersonal psychotherapy (IPT).
The main problem is that in people with food problems emotional issues are normal and seem
to be of help in their treatment. Such symptoms may predate the eating disorder or have
recently started and are in reality a symptom of the condition (Murphy et al., 2012).
The percentage of treatments achieving abstinence was 42.1% (95% of CI= 34.7%-
50%), respectively. Estimates of intent-to-treatment (ITT) were less (34.6%[ 95% CI= 29.3-
40.4]). However, abstinence rates differed between the different diagnoses so that for BED
datasets (completer: 50,2%, 90% CI: 29,4%-70,9%; ITT= 47,2%), 95% CI= 29,8% to 65,2%
were higher than for BN:= 37,4%, 95% CI: 29,1% to 46,5%; TI:= 29,8%, 95% CI= 24,9% to
35,3%) and atypical specimens of eating disorder were greater than for the dataset of a BED.
There was no correlation between the degree of clinical representativity and the impact size,
and our findings were fairly comparable with those reported in current RCT meta-analysis.

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Research suggests that CBT can be produced in actual-world settings for eating disorder. This
study shows the generalization between CBT and clinical routine services from controlled
research parameters (Linardon, Messer, & Fuller‐Tyszkiewicz., 2018).
Mindfulness, though varying in nature from researcher to study, is an emotionally and
comportmentally important mechanism for eating disorders because eating disorders and
knowledge can be reversely associated. A popular view of focus perceives it as an adaptive
monitoring mechanism that tests the rate of attention perception to become mindful of the
current moment. This element of perception is also called behaving for consciousness in the
literature on awareness.
Contemporary cognitive behavioral approaches for food conditions and eating
disorder treatment correlate with the significance of cognition contained in the literature.
Such cognitive behavioural models suggest that in addition to eating disorder processing, a
variety of mental control mechanisms are important to food-specific psychopathology. In
these theories, awareness (e.g. behaving with consciousness) is regarded as an efficient
emotional and behavioral mechanism that can mitigate the growth and expansion of
dysfunction in eating disorders.
Increasing cross-sectional research shows that greater attention is correlated with less
signs of eating disorder in a college sample of women and men as well as in a college sample
of different ethnic backgrounds. However, the positive correlation between perception of
eating disorder and eating disorder conduct in a college female and male sample has been
shown to be especially relevant to this research. The favorable correlation between eating
disorder perception and eating disorder conduct with a higher degree of attention was
considerably smaller than the comparison of the two eating disorder factors under a lower
degree of understanding (Masuda, Marshall, & Latner., 2018).

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4CLINICAL PSYCOLOGY
Part-2
Ethics is defined as' a set of social principles, particularly those related to a certain
group, field or function of conduct or affirming them. Ethics talk logically about morals and
the right way to act, but they might not be binding on a person. However, these are vital (co-
wanted) requirements in terms of medical morality, based on which a doctor is instructed to
act. The legal side of patient care are assessed by national rules governing medical ethics in
turn. For example, when an Indian psychiatrist is said to be "wrongdoing," whether he acts
against' medical ethics' or the laws applicable in the nation is determined.Therefore a
psychiatrist has an ethical and legal responsibility. Research should bring tremendous
advantages but can also cause significant damage. Take the genetic research example of the
connection of schizophrenia to drug abuse (Bipeta., 2019).
Such work can be carried out with the valid goals of a broader understanding of
pathophysiology and comorbidity, the detection of causative environmental influences and
the recognition of high-risk people who can benefit from intervention.
Nonetheless, this study often raises problems such as potential compensation or
prejudice in terms of employment where secrecy is compromised, fears regarding negative
psychological effects of genetic risk exposure, and doubts about the adequacy of the sharing
of information relating to biological family members.
The Mental Capacity Act (MCA) is intended to provide security and encouragement
to those who may be unable to agree on their own diagnosis or care. This applies to people 16
years of age or older. It covers judgements on everyday things, such as wearing and
purchasing for the weekly shop, or serious changes in life, such as moving to a home care
facility or major surgery. The legislation accepts cases that the potential of the individual to
distinguish between correct and wrong, and to interfere with freedom, can be impaired by a

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mental disorder. Mental disorder offenders should be seen predominantly as ill and therefore
punishable (www.nhs.uk, 2020).
The incidence in depression for both present and lifelong years is 2.7 percent and 5.2
percent respectively, according to a 2016 survey by the National Institute of Mental Health
and Neurosciences, India. About 1 in 40 and 1 out of 20 people throughout the planet suffer
from overt and covert episodes of depression. The survey showed that mental disorder
prevalence over life is 13.7 percent, which would entail an immediate treatment for at least
150 million individuals. Mental disorder accounts for almost half the overall risk of
vulnerable age categories such as adolescents and geriatrics.
In the certain case the child had severe suicidal tendency since past nine years. The
child seemed to stay in tremendous depression for years and it was also evident that by the
age of 14 years the child who was apparently the patient for the said case had also attempted
twice for the purpose of suicide as well. Abiding the the ethics of Mental Health care the
mental health act speaks that every patient despite of their race, gender and caste should be
treated equally for the purpose of treatement. While on the other hand, mental capacity act
decides that the patient is either able to provide concsent that either they can analyze and
provide consent regarding their need for admission in a mental hospital or not (Vicary,
Young, & Hicks., 2019).
As the nurse did for the certain case she took the patient to court urging for an
admission to the mental asylum without seeking the consent of the patient as well as of the
parents. As she is not the guardian of the patient she has no right to do so, and hence it can be
considered as ethical breaching. While on the other han if we go by the mental health act the
nurse was also worried about the consent of the patient and seeked for a proper cure for him.
Thus a conclusion can be drawn by seeking the consent of the patient and his guardian the

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decision can be take and the court should also seek attention towards such ethical breaching
by warning the nurse not to repeat the same for the next time.

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References
Bipeta, R. (2019). Legal and ethical aspects of mental health care. Indian journal of
psychological medicine, 41(2), 108.
Linardon, J., Messer, M., & Fuller‐Tyszkiewicz, M. (2018). Meta‐analysis of the effects of
cognitive‐behavioral therapy for binge‐eating–type disorders on abstinence rates in
nonrandomized effectiveness studies: Comparable outcomes to randomized,
controlled trials?. International Journal of Eating Disorders, 51(12), 1303-1311.
Masuda, A., Marshall, R. D., & Latner, J. D. (2018). Mindfulness as a Moderator of the
Association between Eating Disorder Cognition and Eating Disorder Behavior
Among a Non-Clinical Sample of Female College Students: The Role of
Ethnicity. Frontiers in psychology, 9, 700.
Murphy, R., Straebler, S., Basden, S., Cooper, Z., & Fairburn, C. G. (2012). Interpersonal
psychotherapy for eating disorders. Clinical psychology & psychotherapy, 19(2), 150-
158.
Vicary, S., Young, A., & Hicks, S. (2019). ‘Role Over’or Roll Over? Dirty Work, Shift and
Mental Health Act Assessments. The British Journal of Social Work, 49(8), 2187-
2206.
www.nhs.uk. (2020). Mental Capacity Act. Retrieved 16 January 2020, from
https://www.nhs.uk/conditions/social-care-and-support-guide/making-decisions-for-someone-
else/mental-capacity-act/