ABSTRACT
In this chapter, the author presents the influential ethical model proposed by T. L. Beauchamp & J. F. Childress. This model proceeds on four principles: non-maleficence; respect for the patient’s autonomy; beneficence; and justice and equitableness. The first principle confronts the counsellor or psychotherapist with the question of the extent to which he can expect the client or patient to sustain such things as grief and despair. The obligation to provide help and the principle of care for the client or patient will be at odds with the principle of autonomy. The principle of equitableness is again one that appears self-evident. The four principles of Beauchamp & Childress can only be a very rough guide to the ethical problems encountered in counselling and psychotherapy. On the basis of the creative attitude, clients and counsellors, patients and therapists jointly elaborate the counselling or therapy contract, the problem definition, and the objectives of counselling or therapy.
