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Major: Psychology

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Was the suggested course of action presented ethically sound based on the APA Ethical Principles and Code of Conduct? If so, how? If not, why not? Did your colleague consider the legal ramifications of the course of action he or she suggested? Were the arguments for the suggested course of action supported by appropriate evidence-based psychological concepts and theories? What other resources might you suggest to your colleague that would inform the response to this case? Was the recommendation made culturally sensitive? What developmental issues did your colleague consider? What other issues might you suggest for further review in this case?

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Marissa Peterson Week 4 Discussion Post

Does the daughter have a right to know her diagnosis?

The daughter does have the right to know about her diagnosis because she is getting older. She is reaching the age where she will become curious and more independent. “Studies have concluded that the age of a child is a crucial factor when determining whether or not to inform a child about his or her HIV infection,7 (Links to an external site.),15 (Links to an external site.) and to that effect, it has been recommended that a child who is living with HIV should be made aware of his or her status before 10 years of age” (Mandalazi, 2014).
Does the mother have a right to not disclose the diagnosis to her daughter?

Yes, the mother does have the right based on the fact she is 100% responsible for her child’s life. However, she is putting her daughter in danger especially considering Victoria has been skipping doses of her medication. Victoria does not know the dangers she has put herself in by skipping the doses.
Does the mother have a right to privacy regarding her own diagnosis, which could be threatened if her daughter learns of her own status?

Yes, the mother has the right to privacy however, not telling her daughter, can put her daughter and her daughter’s future partners at risk. Tina needs to tell Victoria how she got HIV so that Victoria does not create her own assumptions of how she got HIV when she does learn of her STD.
Should the staff tell the daughter if the mother does not want her to know?

The staff can approach the situation vaguely. Talk to Victoria about the effects of having unprotected sex and encourage her to get tested frequently. This way, once Victoria’s results come back positive, she can turn to her mother for answers which will force her mother to tell the truth as to how she got it.
If the daughter wants to know more about her condition, what should the staff say?

The staff should direct Victoria to her mother because she is a minor and the mother made it known she did not want Victoria to know.
Are there other approaches the staff can take? If so, what are they?

The staff can recommend family counseling so that the mother can tell the daughter and have a professional there to back up the mother and deescalate the daughter’s response, if necessary. Also, at that moment the professional can offer guidance to both on how to move forward from that moment.
Is further information required in order for you to create an ethically sound suggested course of action?

No further information is required.

American Psychological Association section 4.05 (3) talks about disclosing information without the consent of the individual to protect the client/patient from harm (APA, 2010). In the case of this study, Victoria could be at harm from multiple avenues.

References:

American Psychological Association. (2010). Ethical principles of psychologists and code of conduct: Including 2010 amendments (Links to an external site.) (Links to an external site.) (Links to an external site.). Retrieved from http://www.apa.org/ethics/code/index.aspx

Mandalazi, P., Bandawe, C., & Umar, E. (2014). HIV Disclosure: Parental dilemma in informing HIV infected Children about their HIV Status in Malawi. Malawi medical journal : the journal of Medical Association of Malawi, 26(4), 101–104.

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Was the suggested course of action presented ethically sound based on the APA Ethical Principles and Code of Conduct

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