ACAT Code of Ethics and Practice

Revised and Amended.  Approved at ACAT’s AGM on: 11 July 2014

INTRODUCTION

The following is intended to guide the ethical and professional conduct of members and trainees of the Association for Cognitive Analytic Therapy (ACAT), described here as ‘therapists’.  It is also intended to inform members of the public seeking and using services, of the standards of conduct they can expect.

Purpose of Cognitive Analytic Therapy

Cognitive Analytic Therapy (CAT) aims to relieve psychological distress through enabling clients to develop a shared understanding of the patterns of thought, feeling and activity which maintain that distress.  Where self-limiting patterns can be identified the possibility of alternative new patterns open up.  The therapeutic relationship established between therapist and client is fundamental to the building of a shared understanding.

Guiding Principle

The primary guiding principle of this Code is that the therapist’s central professional concern is the client’s well-being.  In his/her work, the therapist acts impartially, putting aside personal considerations and demonstrating a respect for the client’s autonomy.  The therapist should be guided in his/her work by an awareness of ACAT’s Equality and Diversity Policy.

The Code offers additional protection to that offered by the legal and regulatory structures in place to safeguard all citizens and assumes that the therapist will be acting in a lawful manner towards his/her client.  It aims to provide a framework for addressing the complex issues arising out of the psychotherapeutic relationship.  It aims to protect the client from harm and also to provide guidance as to what constitutes harm.  The Code also aims to offer protection to the therapist from unjust allegations of harm.

Additional Obligations

Therapists have obligations not only to their clients but also to their profession.  Therapists with a core mental health profession will also be guided by the codes and regulations of their professional or regulatory body (eg: UKCP, GMC, HCPC, NMC and others).  Where employed, they will also be obliged to act within the policies and procedures of their employing organisations  (eg: NHS Trusts).  This Code addresses the relationship between the therapist and his/her colleagues, his/her profession and the other helping professions.  The Code gives consideration to issues to do with advertising of services, research and publication.

Structure, Purpose and Limits of the Code

The Code embodies the experience of the profession in establishing areas where harm to the client is possible or where conflicts between principles make assessment of the most advantageous course of action complex.  This experience is distilled in an interconnected system of distinct principles.  Each principle is followed by a more detailed description of some of its practical consequences.  The practical consequences outlined cannot be comprehensive and address all situations but are intended as guidance to help therapists to balance out competing demands.  It should not be interpreted as a restrictive rule book but rather as a method for establishing a safe and effective place for creative psychotherapy to take place.

Breaches of the Code

Therapists have an obligation to be acquainted with, and to act, in accordance with these principles.  Where a breach of this Code is perceived by either a client or a fellow member of ACAT, the Association has a Concerns and Complaints Procedure in order to investigate such a breach and take appropriate action should it be found that a breach has occurred.

Who the Code Applies to

Membership of ACAT is gained after successful completion of a Practitioner Training.  Additional training is required in order to be recognised as a Psychotherapist and registered by the United Kingdom Council for Psychotherapy.  This Code of Ethics imposes the same obligations on psychotherapist members, practitioner members and trainee members of ACAT.

Terminology

Psychotherapist members, practitioner members and trainee members of ACAT are all described here as ‘therapists’.
The word “client” stands for both patient and client.

 

PRINCIPLES AND PRACTICE

1.  The Well-Being of the Client

The first and most basic principle of this Code is that the well-being of the client is the central concern of the therapist.
a) The therapist should not exploit his/her client sexually, financially, emotionally or cause physical harm.

2.  Boundaries 

It is essential to be aware of the boundaries of therapy and to limit relationships with clients to the therapeutic setting.
a)  Social contact with clients should be avoided wherever possible.  The therapist should not take on as clients members of his/her own family, friends or colleagues.
b)  The therapist should not enter into a sexual relationship with his/her current client or past clients.

3.  Contractual Arrangements 

Therapists should ensure as far as is possible that the client is aware of the contractual boundaries of the relationship.
a)  This includes, day and times of meetings, arrangements for holidays, method of termination of therapy.  The right of the client and of the therapist to terminate, subject to contractual arrangements, should be acknowledged.
b)  Where the client is paying for the service, financial arrangements need to be clearly established.

4.  Confidentiality 

The therapist-client relationship is one in which the client should feel confident that both the fact of the meeting and the content of that meeting is private and confidential.
a)  In general, and subject to the requirements of law, the therapist must take care to prevent the identity of individuals being revealed deliberately or inadvertently, without their expressed permission.  The client should be informed at the outset of therapy of the limits of and exceptions to confidentiality.
b)  Therapists should take all reasonable steps to ensure that colleagues, staff and trainees with whom they work understand and respect the need for confidentiality regarding any information obtained.
c)  In exceptional circumstances, where there is sufficient evidence to raise serious concern about the safety or interests of clients, or about others who may be threatened by the client’s behaviour, the therapist may take such steps as are judged necessary to inform appropriate third parties without prior consent - although wherever possible prior consent should be sought - after first consulting a manager from the employing organisation or an experienced and disinterested colleague or supervisor, unless the delay caused by seeking this advice would involve a significant risk to life or health  The client should be informed of this action where possible.
d)  This confidentiality is further limited by the requirements stated elsewhere in this Code for the need for the therapist to have supervision and to liaise appropriately with other helping professionals.  Discussion of the client in these contexts is subject to the same rules of confidentiality.
e)  Research and Publication:  the therapist is required to safeguard the welfare and anonymity of clients when any form of publication of clinical material is being considered and to obtain their consent where possible.  Any written or verbal presentation of clinical material must preserve the anonymity of the client.

5.  Supervision

The therapist should arrange for supervision or consultation on his/her clinical work as appropriate.
a)  The purpose of supervision - amongst others - is to ensure the efficacy of the work with the client and that the standards of the ACAT Code of Ethics are maintained.
b)  Knowledge gained in the course of giving supervision or professional support is subject to the same rules of confidentiality

6.  Limitations on Effectiveness 

The therapist should be aware of the limitations on his/her ability to offer an effective service.  This includes:
a)  The scope of psychotherapy as a method of relieving distress - where there are clear grounds that other interventions would be of benefit to the client, the therapist should normally discuss this with the client.
b)  The extent of his/her professional competence - a therapist should be involved in regular practice, and be engaged in Continuing Professional Development as described in the ACAT CPD Policy.
c)  The therapist must not make false claims as to his/her competence or training. The therapist should not claim qualifications s/he does not possess.
d)  The level of his/her personal functioning:  the therapist must actively monitor his/her own personal functioning and, if in doubt, seek help in assessing where the balance between the demands/needs of the client for a service conflict with his/her day to day capacity to deliver that service.

7.  Appropriate Environment

Therapists have a responsibility to ensure they are working within an appropriate environment.
a) Clients should be seen in appropriate surroundings providing privacy, security and comfort.
b) Therapists must satisfy themselves that they are covered by indemnity arrangements against claims for damages from alleged negligence or accidental injury whether in his/her private practice or in the work which they undertake for an employer.

8.  Professional Relationships 

Therapists act within a network of services and need to act with respect for these services.
a)  Therapists should discuss with clients what contact the clients have had with other helping professions.
b)  Therapists need to consider where the service they offer may conflict with the help offered by other professionals.
c)  Permission should be sought wherever possible when there is a need to contact other professionals where appropriate and the therapist should then proceed to make such contact.

9.  Research

Any research involving clients will be carried out under the relevant research governance and ethical frameworks of the body that is overseeing the research (eg: University or NHS Trust) so that client consent is fully informed.

10.  Obligations to the Profession 

Therapists have an obligation to act in accordance with an awareness of the standing of his/her profession.
a)  The therapist should not have been refused membership of, or have been struck off the register of, the appropriate body of his/her core profession.
b)  The therapist should not behave within his/her therapy related activities in ways which undermine public confidence in either his/her role as a therapist or in the work of other therapists.
c)  Where a therapist perceives a colleague acting in breach of this Code of Ethics, s/he has an obligation to raise the matter with the person and/or notify the appropriate professional body.

11.  Publicity 

In making his/her services publicly known, the therapist should not make unwarranted claims.
a) Advertising should be confined to a statement of name, relevant qualifications, address, hours available, fees etc.  Descriptions of the service offered should be brief and should not be evaluative as to their quality or uniqueness.  The therapist shall refrain from making exaggerated, sensational and unjustifiable claims for the effectiveness of his/her methods, from advertising services in a way likely to encourage unrealistic expectations about the effectiveness of the services offered, or from misleading those to whom services are offered about the nature and likely consequences of any interventions to be undertaken.

12.  Risk 

Therapists need to work within the risk management and safeguarding frameworks of the law, ACAT, their employers, local authorities and other regulatory and professional bodies that define the context in which they are practising.  There is a duty to act to protect clients and to safeguard others. 

ACAT offers the following guidance in these areas:

  • Safeguarding Vulnerable Adults and Children 2010
  • Equality and Diversity Policy 2010

 

Approved at ACAT’s AGM 11 July 2014

Contact Details

ACAT Administration Manager:
Susan Van Baars
admin@acat.me.uk

Administrator:
Maria Cross

Postal Address:
ACAT
PO Box 6793
Dorchester
DT1 9DL
United Kingdom

Phone:
+44(0) 844 800 9496

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