As a result of a battle about power, money, patients or expertise?
We need a debate about ethics in the healtcare system
At every threshold of competence lies an opportunity for cooperation with the subjects and profession of others. It creates an organized competence structure, where one has different levels of insight and responsibility within its field. At the same time, there is relatively equal ethical responsibility in its field of competence, e.g. to have professional titles authority and authorization in a professional limited field. With a competence you can have an overview of one field, but not insight into all aspects of the field. Where you stand determines what you see, what you have insight into determines what you can understand.
What health skills you have determine what you can work with, and so it should be. Educational institutions and professions in applied practice have a great ethical responsibility. They create knowledge, influence the professions, clients, customers and the government's social management – regardless of your field of expertise.
With competence also comes increased self-efficacy and great responsibility, which increases proportionally with the amount of expertise and specialization in the field of study. That's a fact. Another equally important fact is that any knowledge has a limitation.[1]
At every threshold of competence lies an opportunity for cooperation with the subjects and profession of others. It creates an organized competence structure, where one has different levels of insight and responsibility within its field. At the same time, there is relatively equal ethical responsibility in its field of competence, e.g. to have professional titles authority and authorization in a professional limited field. With a competence you can have an overview of one field, but not insight into all aspects of the field. Where you stand determines what you see, what you have insight into determines what you can understand.
Respect for competence
You can choose which skills you want to acquire. Some choose based on the characteristics and interests one has, others choose what one is expected to learn. Some reflect with constructive criticism, some accept knowledge indiscriminately – the results affect what one produces of knowledge and services.
Respect for the limitation of competence
An auxiliary nurse is not a nurse, a nurse is not a doctor, a doctor is not a psychiatrist, a psychiatrist is not a psychologist, but a psychiatrist is a doctor with expertise in the biological and chemical functions and effects of the brain and nervous system in individuals, makes diagnoses and provides medications in accordance with the diagnosis. They are somatists [2] with different levels of expertise. It is understood that in the application of a health competence, one should complement the practice of care, but what is one caring for? Care is a psychological area. Care can also be sectioned in fields of competence with different professional responsibilities and insights.
Psychology comes from the Greek words for psyche (soul, spirit) and logos (the doctrine of), referring to academic (science) knowledge. The areas of psychology can today be sectioned into biological (neurological), social (relational) and psychodynamic (soul functional) subject area of importance for mental health. Furthermore, the psychological field is sectioned at an overall level in two paradigms [3] (research worlds), the biologically focused and the soulfully focused.
The paradigms of the world of psychology each have their own distinctive toolboxes where the methods and concepts are mutually exclusive, one cannot understand or interpret the competence of one paradigm with another paradigm's toolkit and associated insight – it is academically indefensible. Both paradigms are based on the expertise of philosophers, mathematicians, psychologists and psychiatrists. The biological perspective is regulated by chemical balance (homeostasis through osmotic processes), the soulful perspective is regulated by meaning (meaning to the person who experiences, selects and is affected via psychodynamic processes). Biological research has shown that the opinion one experiences to have affects all biological tissues and processes, biological tissue can be broken down or built up depending on the posture one has - it is a purely psychological cause that starts, regulates and interrupts this process.
The Meaning of right competence
Customers, clients and social actors depend on competent knowledge to develop and manage good health for all. How we manage knowledge has essential implications for society. I want to illustrate this here with some real-life examples.
In an interdisciplinary conference, academic research and practice was discussed. During one session, the information of seriously ill clients was discussed. The hall was crowded with dedicated professionals. What to tell and not tell the patient when you don't know if the patient is going to die or live—tell it about the danger or inspire and create hope? Loudly came a response from a legal profession — "tell the fact about the fatal!" The discussion quieted momentarily.
In an agency consisting of interdisciplinary social competence, it is argued that some clients are not curable, have unsuitable social competence or are unfit for care based on the agency's acquired attitudes from the inadequacy of their own competence in the face of trauma, faith and other professional expertise. Decisions are made on this basis. Thus, neither is sought or received assistance from other holds.
An interdisciplinary team of researchers in the education sector discussed how to proceed to collect adequate data for the research analysis in order to achieve the best possible recognition for the work. The report commissioned could be used as a tool in the development of a section of the educational institution. A protest against the suggestion of lying about (making up) data was urgently struck down with the argument that it is the structure of the research and not its content that gives recognition and desired results. The report received top marks.
In a corporate-oriented health service with somatic and psychologically related services, therapeutically relevant conversations were offered to employees with lighter (and more complicated) mental health issues. It was publicly told that issues outside the company's competence were referred to competent professionals outside the company. The practice of the business was ambiguous, the company's owners have a deliberate strategy to avoid the customer's clients not fully getting adequate help, to avoid losing income on the customer. Adequate counseling was therefore (resolutely) rejected and criticized for offering this.
In the face of people, it is usually sufficient and appropriate with general human care and understanding. In the face of trauma, much more is required. Lack of competence can be directly crucial to whether the outcome is life or death. Anyone can not treat, cure and look after the sick and traumatized. Unjustifiable professional management and economic exploitation of clients and customers undermines professions at the expense of the individual and society. Customers and clients do not receive the assistance they need. The consequences can be diverse. A real-life illustration can describe
Postnatal traumatization as a consequence of normative professional behavior that is not registered as trauma inflicts main responsibility on citizens in general for the handling of helpless people with trauma reactions. Trauma reactions are psychological and/or physical reactions to injury. Lack of knowledge of trauma and information about traumatizing events will, as an effect deepen the trauma, will naturally escalate the trauma actions that are further in themselves re-traumatizing events. In a life situation where the joy of life and expectations of this are challenged by little sleep and much new responsibility for care to be learned, parents are put above sole responsibility for an impossible project far beyond their own resources, sleep capacity and expertise. As they struggle, the child's trauma gradually develops to become more extensive and go deeper into the psyche. The injury can eventually force the child into a split in the psyche’s dynamic. What will the expertise that analyses them see? What advice do parents get? Who has the responsibility for the results of traumatizing?
Professional arrogance and suppression of adequate competence benefit neither society nor its clients. That's why we have a Public Health Supervision Agency.
I want to make a good example here.
Humanities Psychology - Vital Paradigm Within Mental Health
What is so dangerous about humanistic psychology that e.g. biological psychology takes patent for authorization as a "psychologist"? EUROPSY, on the other hand, equates all psychological competence, but sets them apart with an addition to the title that shows professional specialization, e.g. "clinical psychologist", work-psychologist, "crisis-psychologist" etc. What about "Clinical Phenomenological Psychologist" or "Clinical Phenomenology"?
Historically, the paradigms of psychology have different development. Where biological psychology is based on torture-like therapies[4] and morbid beliefs[5], humanistic psychology builds on the inviolable value and potentials of man, the experiences people have had with torture and abuse, cross-cultural studies of the expressions and challenges of the psyche’s dynamic in normal state, disease and therapy, and the value of faith for the sufferer. Intercultural [6] studies have, for example, contributed to C.G. Jung's theory of the architecture and language of the psyche.[7] Kierkegaard's psychology is less well known, but it describes the natural anxiety and love's importance - for vitality.
The paradigm can be sectioned in the fields of philosophical, phenomenal and existential psychology. They are very different disciplines. With regard to the tools and focus of the methods, the disciplines are mutually exclusive. The confluence of the fields creates confusion about scientific humanistic psychology, harms the methods and hinders adequate insight. Psychodynamically speaking, the fields of study can be coinciding. The disciplines collectively provide a unique topography of the general structure of the conscious, personal dynamics, the locus, function and meaning of the body as the center of the existential existence of the body. The body is stratum for any relational and physical positioning (engagement) in the world, from this point of view the inner and external surroundings are experienced. Concepts such as "cognition" (neurological), "factor analysis" and statistical analysis (mathematically) are not compatible with humanistic psychology. The terms refer to too vague representations for human psychological fact. Phenomenological psychology is, among other things, arisen because mathematical [8] analyses are completely determined by the will that calculates (including the one that has created the mathematical formulas and uses), mathematics in psychology and assumption about probability calculations. The essential nature of the psyche cannot be quantified. One can count events, nerves, cells and chemistry, but this is not what humanistic psychology focuses on.
Due to its psychodynamic focus, humanistic psychology is highly sensitive and well suited for the treatment of lighter mental disorders and trauma. In the face of the unreachable children of social care, humanistic psychological measures have changed the individual's situation to cured and curable, but incompetence in the social health sector has prevented children from quality assurance (completing the therapy) their health and children has instead been re-traumatized and pushed to the suicidal as a result of inadequate measures and inadequate insight. What do they want to pray/show?
It is highly unethical to prevent suffering people adequately support, help and therapy. Proficient competence is reliable and essential for whoever depends on it.
[1] One is not competent without knowing the constraint of knowledge and respecting these restriction. [2] ("soma" is Latin and means "parts of an organism that are different from reproducing cells" - it is a concept of biology). [3] Paradigm is a scientific environment that determines which methods, attitudes, concepts, values, practice and tools which can be used and which collectively shapes how to understand and communicate about reality. [4] (water-Boarding, centrifuges (I hanging baskets), loud sounds, operations without anesthetic, research methods on animals and humans [among other racial theories] – the methods are traumatizing). Also today, physical gagging of children and adults with psychological disorders, the method itself is traumatizing. [5] Faith is hope, it is a fact that without hope man dies. [6] Faith is an essential part of a society's culture. [7] Also today confirmed by linguists and archaeology. [8] With Reference To Edmund Husserl