THE NEW ZEALAND ASSOCIATION OF PSYCHOTHERAPISTS
Te Roopu Whakaora Hinengaro

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HANDBOOK

 
CONTENTS: 

Preamble

Introduction and Overview

Chapter One: Supervision and Personal Psychotherapy

Chapter Two: Becoming A Member

Chapter Three: Structure of the Association

Chapter Four: Code of Ethics

Chapter Five: Complaints Procedure

Chapter Six: Benefits of Membership   

PREAMBLE
The aims of the New Zealand Association of Psychotherapists are still substantially the same as those adopted when it was set up in 1947 at a meeting in Christchurch, called by Dr Maurice Bevan-Brown. He had worked at Guys Hospital and Harley Street in London and was aware of New Zealand’s high rate of in-patient admissions to mental hospitals compared to Britain’s, as well as the lack of recognition of the effects of war neuroses. He believed that it was a very difficult to be mentally healthy in a mentally unhealthy world, and his desire to promote an understanding of psycho­analysis can be seen as part of a post-war optimism for creating a better society.

The 26 men and women attending that meeting all from related professional disciplines, such as medicine, psychiatry, psychoanalysis, psychology, social work and pastoral counselling set up the Association with the following aims:

  • The protection of the public by the maintenance of high professional standards
  • The promotion of fellowship, understanding and support among psychotherapists in New Zealand
  • The provision of training.

    INTRODUCTION AND OVERVIEW

    The New Zealand Association of Psychotherapists

    The New Zealand Association of Psychotherapists is a professional organisation which sets, examines and maintains standards for the safe and ethical practice of psychotherapy in Aotearoa New Zealand .

    As a professional body, the Association aims to protect the interests of its members by:

    1) The provision of help and support to provide and maintain a high level of expertise in order to practise safely and effectively. This is achieved by regular supervision, personal psychotherapy, and the opportunity for contact with, and support from, other practitioners at local branch level, at the annual national conference and through the circulation of regular publications;

    2) The Constitution, which defines the aims, structures and organisation of the Association;

    3) The Code of Ethics, which offers firm guidelines for the influential and sometimes delicate relationship between psychotherapists and clients;

    4) The Complaints Procedure, which allows complaints to be considered carefully and which facilitates the resolution of difficulties arising in psychotherapeutic practice. This ensures that clients and colleagues have an ordered and official means of expressing concerns, and it is designed with regard for all parties. As an adjunct to this, the Association provides access to a professional indemnity insurance scheme for members and provisional members.

    A notable development in recent years has been a commitment to explore ways in which psychotherapy may be guided by the articles and spirit of the Treaty of Waitangi.

  • CHAPTER ONE: SUPERVISION AND PERSONAL PSYCHOTHERAPY

    Supervision

    Supervision is the basis of the Association’s guidance and assessment of provisional members and is also a valuable means of developing psychotherapists’ skills throughout their professional lives. In fact, it is the primary way the Association ensures that psychotherapeutic practice is safe, effective and ethical.

    The Association is unusual among professional bodies in that most professions require supervision only during the training period. Members of the Association, however, continue in supervision throughout their working lives as a welcome opportunity to discuss current work and develop under­standing of their clients.

    Supervision is founded on a close and often longstanding collegial relation­ship which offers support, challenge and learning. In general, supervisory sessions are welcomed by both supervisee and supervisor as a means of developing skills and enhancing practice.

    Supervision may be arranged in a variety of ways. Generally, it involves one-to-one meetings with a supervisor, but it may also involve peer supervision in a group setting, where the psycho­therapist presents work and others respond to it. They may, in addition to the usual discussion, present a tape, video or verbatim transcript of their psychotherapeutic work. For those who live far from city centres, supervision may be a mix of telephone calls, faxes and email, as well as face-to-face meetings.

    The frequency of meetings or contact also varies. Ordinarily, provisional members are asked to have weekly supervision for at least two years of their time as a provisional member.

    Benefits
    Supervision benefits the psychotherapist, the client and the community.

    1) The psychotherapist is offered a relationship that aims to guide, mentor, inspire, provide emotional support, and develop insight and understanding. The most important benefit of examining the relationship between a psychotherapist and client is increased awareness and understanding of transference and countertransference C the processes by which feelings are stirred up in both psychotherapist and the client as they work together.

    The difficulties clients have in dealing with other people are often what brings them to psychotherapy. A client's fear or suspicion or, equally, their hopes or admiration in relation to their psychotherapist may indicate how they relate to other people, past and present. The supervisory sessions can usefully focus on helping a psychotherapist recognise and understand each participant's experience of the psycho­therapeutic relationship. Feelings developed within the super­visory relationship are often a live and current version of characteristic responses and struggles which arise in the clinical encounter between psychotherapist and client. Exploration, recognition and understanding of such parallels can be very instructive and enabling.

    In working with an ordinary member, the supervisor can focus on the details of clinical work and the running of the practice, while the super­visor of provisional members, in addition to the usual attention to clients, will focus on helping prepare the supervisee for admission to the Association.

    2) Supervision benefits the client by strengthening and sustaining the psychotherapist's ability to reflect, understand and provide psychotherapy, and by offering a valuable "second opinion".

    3) Supervision benefits the community by providing quality assurance through the close monitoring of professional practice standards.

    The Supervisory Relationship

    The relationship of a supervisory pair needs to be close and trusting. Therefore, it is im­portant that supervisor and supervisee are well matched. As the supervisory relationship is crucial and often long-lasting, it is important that both supervisor and supervisee give careful consideration to what they expect from each other as they establish a contract.

    The aim and spirit of supervision contracts is to assist the supervisee and super­visor to achieve a clear and well defined working agreement which has the support and approval of the Association through its Regional Super­visors’ Groups.

    Regional Supervisors’ Groups are set up to discuss matters concerning supervision in general, and the development of provisional members in particular. This helps to ensure the safe, effective and ethical practice of psychotherapy.

    The Regional Supervisors’ Groups comprise people who have been ordinary members of the Association for at least three years and who have had previous supervisory experience. Membership of a Regional Supervisors’ Group confers the status of accredited supervisor of the Association. Accredited Supervisor of NZAP’ cannot be used as a qualification.

    All super­vision contracts have to be ratified by the Regional Super­visors’ Group. Contracts between provisional members and their supervisors are discussed and approved by the Regional Supervisors’ Group, with the chosen super­visor in attendance. Supervisors of provisional members are expected to attend meetings of the Regional Supervisors’ Group regularly and to discuss the progress of their supervisees at least once a year.

    Members return a signed and approved supervision contract to the Convenor of the Regional Supervisors' Group, who sights it and advises the Executive Officer of the Association. Once the Executive Officer has received the annual subscription and the notice of approval of the supervision contract, the Annual Practising Certificate will be issued.

    In preparing the annual contract, members are asked to present to their supervisors a report on their ongoing training, personal growth and pro­fessional development for the year. This might be an account of new areas of personal and professional development and include a reflective summary of workshops attended, books read and papers written.

    The Association’s Supervision Committee, at national level, publishes guidelines and requirements and may be consulted by members through its Chair. Locally, the Convenor of the Regional Supervisors' Group may be asked for information and clarification.

    Personal Psychotherapy

    Another valuable way of understanding and reflecting on the relationship between psycho­therapist and client is for the psychotherapist to have been in the client's chair. Therefore, the Association encourages provisional members to have ongoing personal psychotherapy as part of their learning and continuing professional development.

    Personal psychotherapy helps to ensure that the experience of being a client in psychotherapy is understood and appreciated. A client seeks professional help when faced with his or her own suffering. Psychotherapists need to know this not only from their readings but from their own experience of psycho­therapy.

    A unique benefit that psychotherapy offers a client is the opportunity to be listened to in a personal and skilled way. Many clients approach psycho­therapy anxious about revealing parts of their inner self. Finding an attentive, non-judgemental listener helps them to open up. By experiencing this as a client, a psychotherapist may gain a fuller understanding of the value and potential of this special relationship.

    It is the most direct way that a psychotherapist C as the very instrument of psychotherapy C is alerted to the operation of their own conscious and un­conscious patterns, which are likely to affect their perceptions, judgements, needs and responses during the psychotherapy.

    Personal psychotherapy also makes the literature of psychotherapy more meaningful. Theory begins to make sense most clearly when it illuminates a practitioner's own experience and strong emotional moments.

    When psychotherapists are asked what was the most formative element in their professional development, personal psychotherapy is usually given highest importance, ahead of mentors, training, reading and research. General­ly, the frequency and intensity of the personal psychotherapy undertaken will match that of the form of psychotherapy the practitioner chooses to specialise in.



    CHAPTER TWO: BECOMING A MEMBER

    Psychotherapists joining the Association bring with them vital energy, creating new opportunities for individuals and the Association to flourish. We continue to search for balance between the wish to welcome new members and our concern to protect the standards which contribute to the value and meaning of membership.

    Comprehensive training in psychotherapy has become increasingly available in tertiary institutions in New Zealand since the 1990s. Before that time, training could only be obtained through private courses, through practice under the guidance of an experienced psycho­therapist, or by training abroad.

    For many potential members, the interest and career in psychotherapy grows out of a foundation profession, such as psychology, medicine, nursing or social work.

    Provisional members come with a variety of experience. Some look to the Association for professional development, some have completed their structured training and have started practising psychotherapy, while others are already senior practitioners, often with overseas qualifications and experience.

    The Admission Committee is responsible for managing the process and setting the standard which governs the transition from provisional to ordinary membership. Its Chairperson is elected by Council and its members are appointed to include a range of skills, experience, and regional repre­sen­tation. The Assessment Policy and Procedures (also known as the Orange Book) gives guidance and details of the requirements of provisional members in their preparation and presentation for ordinary membership.

    Admission to ordinary membership is based on the careful assessment of each candidate’s written work and an interview by an assessment panel. The written therapeutic study and work practice description, as well as the panel assessment are opportunities for candidates to demonstrate and discuss their clinical work, theoretical base and use of supervision. Candidates are asked to show that they are competent in the practice of psychotherapy and that they practise with integrity and safety. In addition, they will have an opportunity to show their individual and personal style of relating during the assessment interview.

    Eligibility for Membership

    Anyone who practises or is beginning to practise psychotherapy and has formal training in psychotherapy or has equivalent training to be approved by the regional interviewing panel may apply for admission to the Association. The Association is an inclusive organisation, and membership is based on concern for competent, safe and ethical practice, rather than adherence to any particular school of psychotherapy.

    Although the professional requirements for membership are designed to enhance provisional members’ psychotherapeutic skills, the process of attaining ordinary membership is not intended to provide a complete training in psychotherapy, since provisional members are expected to have had training and experience as psychotherapists before applying to join the Association.

    Application Procedure

    Information for inquirers may be obtained from the Association’s Executive Officer. The document sent out invites inquirers to consider whether joining the Association is something that best suits their interests and involvement in psychotherapy and is intended to provide a clear guide to help make that decision.

    Those who wish to proceed may then request an application pack and complete the docu­mentation which leads to an invitation to meet a panel of senior local members of the Association. This is an opportunity to discuss any questions that both parties may have and to engage in consideration of clinical work and experience.

    After being accepted by the local panel, a provisional member is asked to under­take (or continue) regular supervision with an ordinary member of the Asso­ciation and perhaps ongoing personal psychotherapy to prepare for the requirements of ordinary membership. Provisional members are warmly encouraged to come to their local branch meetings, to get to know and be known by colleagues, and to benefit from the interest, support and learning opportunities provided there.

    Time Frame

    The time needed to graduate from provisional membership to ordinary membership will depend on experience and qualifications. However, it is normally expected that a provisional member will complete the admission process within five years of becoming a provisional member. The process may be much shorter. For an extension of time beyond five years, the pro­visional member should, in consultation with the supervisor, make appli­cation to the Regional Supervisors’ Group, with an explanation of the situation. Such approvals are usually considered and made at local level.

    There is no minimum time which must pass between becoming a provisional member and gaining ordinary membership of the Association. A provisional member will be guided by his or her supervisor about readiness to proceed.

    Senior Practitioners

  • It may be appropriate for a senior psychotherapist to undergo a modified assessment process. Such practitioners would usually have a recognised post-graduate qualification in psychotherapy and ten years' post-qualification clinical psychotherapy experience. Details of this process are published in the Orange Book. Irrespective of what concessions might be granted, a senior and experienced practitioner, like all provisional members, will be invited to attend an assessment interview as part of the process of achieving ordinary membership.

  • CHAPTER THREE: STRUCTURE OF THE ASSOCIATION

    Members of the Association are supported by a professional structure that includes a Constitution, a Code of Ethics, a Complaints Procedure and a Professional Practice Review Process. This structure is maintained by members at regional and national levels. An Executive Officer is employed part-time to administer the Association's affairs.

    Council

    The Council of the Association is its governing body. It is composed of:

  • The President
  • The President-Elect
  • The Immediate Past President
  • The Honorary Secretary
  • The Honorary Treasurer
  • The Chair of the Admission Committee
  • The Chair of the Ethics and the Professional Standards Committee
  • and six ordinary members.

The President-Elect, the Chair of the Admission Committee, and the Chair of the Ethics and Professional Standards Committee are elected by Council from nominations received from members. All other positions on Council are elected at the Annual General Meeting, which is traditionally held in con­junction with the Annual Conference. All positions are for a term of two years. With the exception of the presidency, people may be re-elected to their positions for up to two further two-year terms.

The Executive Committee of Council comprises the President, the President-Elect, the Immediate Past President, the Honorary Secretary, the Honorary Treasurer, the Chair of the Admission Committee, and the Chair of the Ethics and Professional Standards Committee. Portfolios held by individual mem­bers of Council include Supervision, Public Issues, Bicultural Issues, and Provisional Members’ Concerns.

Council normally meets three times a year C twice for a weekend in Wellington and once immediately preceding the Annual Conference. Much of the work is done between meetings by individuals or committees of Council. The three full Council meetings are the times for reporting, discussing and assessing progress of ongoing issues, re-focussing on core principles and passions, and, through each other, maintaining connection with the issues which are stirring the concerns and strong feelings within the membership as a whole. In accordance with the core principle of the primacy of relationship, meeting agendas provide space for members to re-connect personally before applying themselves to business matters. Sharing accom­modation and meal times deepens both personal and working relationships. Debate and decision making is often intense, agendas are long, and the experience overall is exhilarating and satisfying for participants.

Members may contact anyone on Council to have their concerns placed on the agenda for meetings. Any member may attend Council meetings as an observer. Prior arrangements should be made through the Executive Officer to ensure there is adequate space for all attending.

Also in attendance at Council meetings are the Executive Officer, who acts as minute recorder, and any others who may be invited for specialist input.

Treaty of Waitangi

When the Association was formed in 1947 it comprised a group of Pakeha whose psychotherapeutic view was Euro centric, in line with the dominant societal culture. There is little recorded formally about any ack­nowledgement of or relationship with Maori, the Treaty of Waitangi partners. The birth of Te Roopuu Whakaora Hinengaro, the name which formally claims the Association to be a bicultural organisation occurred in 1993 C 46 year later. Since then both Pakeha and Maori names appear on its official documents.

Discussion at the time centred around keeping the integrity of the Association by not com­mitting itself merely to words, but to a path. This spirit is reflected in the Association’s Code of Ethics.

The Association has a Bicultural Committee which is charged with assisting it to find and walk the path of partnership. Its challenge is that Association members are committed first as citizens, then as psycho­therapists, to the Treaty of Waitangi. Honouring this commitment is both an individual responsibility and one for the Association.

With regard to the Association's responsibility, everything the Association does, all its policies, procedures, protocols, statements, etc., need to be considered in the light of the Treaty of Waitangi to ensure that these are in accord with the spirit and practice of partnership. This has far reaching implications. It means ongoing consideration of the process of how this might be put into practice and how it might be tested. This is not a static situation, but a living organic way of being that calls for ongoing attention by the Association to be true to its Code of Ethics.

Categories of Membership

Provisional membership is gained through a local panel interview and sub­sequent recom­mendation which has been ratified by Council. It is for those in the process of working towards ordinary membership and includes many of the benefits of membership. Voting rights may be conferred by Council in specified situations.

Ordinary membership (also referred to as full membership) is granted after the Admission Committee’s recom­mendation has been ratified by Council. Membership certificates are presented at the Annual Conference.

Retired membership is for members no longer practising psychotherapy, including related activities such as supervision, teaching, training or service administration. There is a reduced subscription. Ordinary membership may be resumed within three years of retirement by submission of a current supervision contract to the Regional Supervisors' Group, and payment of the full annual subscription. The same process for reinstatement of status, applies for provisional members who resign or take leave of absence.

Ordinary members may signify their membership by the use of the initials MNZAP or Member NZAP. Provisional and retired members must use the unabbreviated wording to indicate their membership category, for example, Provisional Member NZAP. The logo of the Association may only be used for official business.

Life membership is an honour conferred by Council on chosen senior members who have made significant contribution to the Association over many years. At any time there may be a maximum of six life members.

There is also a further category known as correspondents, who are not actual members. Correspondents incur a fee to cover costs of sending cor­res­pondence and newsletters. Correspondent status may be applied for by ordinary members and provisional members who wish to take time out from professional psychotherapeutic practice.

All members are subject to the Association’s Code of Ethics. Clarifi­cation about subscriptions, alteration of membership status, retirement, temporary suspension of membership or other queries may be sought from the Executive Officer.

Regional Branches

The Association has established regional branches in Otago, Canterbury, Nelson/Marlborough, Wellington, Central Districts (Palmerston North and Hawke’s Bay), Bay of Plenty/Waikato , and the Northern Region ( Auckland and sur­round­ing areas). Each branch has a regional convenor. Meetings are organised according to each region's needs and to facilitate the business of the Association at local level. Over recent years, there has been a continuing devolution of responsibility and management from central to local level.

Conferences

The Annual Conference is usually held early in the year and hosted by regions in rotation. It runs from Thursday evening to midday Sunday and is the im­por­tant professional event which gathers members and others from around the country and beyond. It is a chance for participants to meet, share ideas and find professional and social contact among colleagues. Delegates may present practical or research papers and workshops, as well as benefit from the opportunity to meet and listen to international guest speakers. It has been the custom to hold an open symposium to which the public is invited. Membership certificates and other awards and acknowledgements are presented.

Individual regions run the Annual Conference in distinctive ways, with chosen themes for discussion and development in workshops and groups. A regular feature is the popular Saturday night dinner dance which offers good fun.

The Annual General Meeting is held during the conference, at which Council officers are elected, Association business is conducted and policy formed. Consultation with the membership is valued and thorough and provides members ample opportunity to understand and be involved in the workings of the Association.

Branches organise local conferences and workshops for their members, and these add to the opportunities for professional development, learning and meeting together.



CHAPTER FOUR: CODE OF ETHICS

The Code of Ethics of the New Zealand Association of Psychotherapists broadly defines the conduct
that clients and the general public can expect from Members and Provisional Members of the Association. It also articulates the core principles and values of the Association and, in this way, provides a guide for responsible practice.

Inherent in this code are four principles which have been generally agreed as being fundamental to discussions on ethics:

  • Autonomy which may be defined as the right to make a decision on one’s own behalf, and it is applicable to both client and psycho­therapist.
  • Beneficence which is the duty to act in the best interests of the client.
  • Non-maleficence which is the duty to avoid harm to clients; and
  • Justice which embodies notions of equity and fairness, both to the individual and to the community.

Central to the ethics of psychotherapy are the additional principles of:

  • Integrity
  • Trust
  • Respect

This Code of Ethics takes these as guiding principles, providing a positive model for the practice of psychotherapy.

The Association further affirms that the mental health and well-being of clients is intimately related to the wider social context in which they live and seeks to promote this view in the community at large and to challenge active­ly those policies and practices that cause clients harm. The Association recognizes the bi-cultural basis of Aotearoa New Zealand society and is committed to fostering the spirit and upholding the principles of the Treaty of Waitangi.

This Code of Ethics holds that a psychotherapist's primary obligation is to the welfare of clients. This first priority is followed by responsibility to self, colleagues, to the profession, the community and to the psychotherapist’s employing institution. This rank ordering of responsibilities is helpful in determining professional priorities and in resolving disputes involving conflicting interests.

The Code of Ethics is intended to encompass all spheres of a psycho­therapist’s practice. Competent practice is the individual responsibility of every psychotherapist, whether working with clients, supervisees or trainees. Association policies on supervision, training and personal psychotherapy are designed to assist this.

1. Psychotherapists' Responsibilities to Clients

1.1 Value client well-being. Psychotherapists shall hold the needs and well-being of clients as a paramount concern and accord priority to the psychotherapeutic aspect of their relationships with clients.

1.2 Practise non-discrimination. Psychotherapists shall be sensitive to diversity and shall not discriminate on the grounds of colour, creed, ethnicity, gender, sexual orientation, age, disability, social class, religion or political belief.

1.3 Ensure informed consent. Psychotherapists shall seek to ensure that the client is willingly engaging in psychotherapy and has an adequate understanding of the process to be undertaken.

1.4 Practise respectfully. Psychotherapists shall have respect for the uniqueness and dignity of clients and shall treat them with courtesy and fairness.

1.5 Maintain client confidentiality. Psychotherapists shall hold client information in confidence, within the confines of the law. Since considerations of safety or legal obligations may on occasion override confidentiality, psychotherapists shall discuss these limits with clients.

1.6 Respect client privacy. Psychotherapists shall respect the client’s right to privacy.

1.7 Practise in a safe context. Psychotherapists shall practise in sur­roundings that support safe practice.

1.8 Foster self-determination. Psychotherapists shall foster client self-deter­mination and choice, except where these may cause harm to self or others.

1.9 Protect client well-being. Psychotherapists shall have regard for the needs of clients who are unable to exercise self-determination or to ensure their own personal safety and act to protect the clients' best interests, rights and well-being.

1.10 Maintain client anonymity. Psychotherapists shall preserve the anony­mi­ty of clients when clinical material is used in education, training, research or publications, unless prior informed consent has been gained.

1.11 Facilitate client access to services. While psychotherapists may exer­cise the right not to accept a client, they will ordinarily take reasonable steps to ensure that the client has information regarding access to colleagues or other services.

1.12 Practise impartiality. Psychotherapists shall strive to be impartial and offer their services without favouritism or bias when dealing with more than one party.

1.13 Practise safely. Psychotherapists shall take reasonable steps to ensure that clients, whether in individual, family or group settings, suffer neither physical nor psychological harm during the conduct of psycho­therapy, accepting that considerable distress may be an inevitable part of the process.

1.14 Practise non-exploitatively. Psychotherapists shall recognise the power imbalance in the psychotherapeutic relationship and shall not abuse this power, nor exploit the relationship with the client for personal gain or gratification.

1.15 Maintain appropriate sexual boundaries. Sexual harassment and any behaviours or comments by psychotherapists which might reasonably be interpreted as being sexually demeaning or as a sexual advance, are unethical.

1.16 Abstain from sexual relations with clients. The establishment of a sexual relationship between psychotherapist and client is unethical.

1.17 Avoid sexual relations with former clients. Sexual relationships between psychotherapists and their former psychotherapy clients are unethical when the dynamics of psychotherapy can reasonably be expected to influence the relationship in an ongoing manner.

1.18 Abstain from abuse of clients. Psychotherapists shall not verbally or physically abuse clients.

1.19 Terminate psychotherapy with care. Psychotherapists shall terminate their services to clients in a suitably professional manner.

2. Psychotherapists' Responsibilities to Self, Colleagues and the Profession

2.1 Uphold professional integrity. Psychotherapists shall aspire to high professional standards and conduct themselves in ways that uphold the integrity of their profession.

2.2 Acknowledge limits of practice. Psychotherapists shall acknowledge the limits of their skills and methodologies and refer clients or supervisees to others when appropriate.

2.3 Portray themselves honestly. Psychotherapists shall accurately portray their qualifications and experience.

2.4 Practise self-care. Psychotherapists shall have regard for their own health and well-being so as to ensure that their standards of practice are not impaired.

2.5 Continue professional development. Psychotherapists shall continue to develop their professional knowledge and skills, through clinical supervision as well as by other educational means.

2.7 Maintain participation in the profession. Psychotherapists shall, through­out their professional lifetimes, maintain participation in collegial activities.

2.8 Restrain commercial self-interest. Psycho­therapists shall adhere to professional rather than commercial standards in conducting their practices, advertising services and setting fees, which shall be reasonable and commensurate with the services provided.

2.9 Be respectful of colleagues. Psychotherapists shall be respectful of colleagues, supervisees and trainees and shall treat them with courtesy and fairness.

2.10 Respect the practice of colleagues. Psychotherapists shall not solicit the clients of colleagues and shall not assume responsibility for another psychotherapist's client without encouraging appropriate communication with the colleague concerned.

2.11 Respect collegial confidences. Psychotherapists shall respect the trust placed in them by colleagues, supervisees and trainees and not misuse information given in confidence.

2.12 Maintain appropriate boundaries. Psychotherapists shall be responsible for setting, monitoring and maintaining clear boundaries between psychotherapeutic, supervisory, training and other relationships.

2.13 Maintain anonymity of supervisees and trainees. Psychotherapists shall seek to maintain the anonymity of supervisees or trainees when clinical material is used in education, training, research or publications, unless prior informed consent has been obtained.

2.14 Maintain appropriate sexual boundaries. Sexual harassment of colleagues, supervisees or trainees is unethical.

2.15 Abstain from sexual relations with current supervisees/trainees. The establishment of sexual relationships between a psychotherapist and his or her current supervisees or trainees is unethical.

2.16 Abstain from abuse of colleagues. Psychotherapists shall not verbally or physically abuse colleagues, supervisees or trainees.

2.18 Assist unwell colleagues. Psychotherapists who become aware of a colleague’s ill-health compromising the care of clients, supervisees or trainees have a duty to assist the colleague to receive appropriate help.

2.19 Act upon unethical behaviour. Psycho­therapists shall have a res­ponsibility to clients and to the profession to initiate appropriate action if they become aware of unethical behaviour by a colleague.

2.20 Maintain knowledge of relevant law. Psychotherapists shall be familiar with current law affecting their practice.

3. Psychotherapists' Responsibilities to the Community

3.1 Honour the Treaty. Psychotherapists shall respect the values and beliefs of the Tangata Whenua and seek to determine how the principles of the Treaty of Waitangi can influence and guide the practice of psychotherapy.

3.2 Be legally responsible. Psychotherapists shall practise within the law.

3.3 Promote non-discrimination. Psychotherapists shall seek to promote non-discrimination in the wider community.

3.4 Promote equity. Psychotherapists shall seek to improve social conditions through the fair and equitable distribution of community resources.

3.5 Encourage social justice. Psychotherapists shall encourage socially just practices in their professional relationships within the community.

3.6 Encourage social debate. Psychotherapists shall encourage debate in the shaping of social policies and social institutions.

4. Psychotherapists' Responsibilities to Employing Institutions

4.1 Uphold professional standards. Psychotherapists shall avoid compromising their professional standards when these conflict with institutional requirements.

4.2 Promote quality services. Psychotherapists shall seek to maintain and improve the policies and quality of service in institutions or agencies in which they work, using as a guide the standards of practice expected by the Association.

4.3 Use resources appropriately. Psychotherapists shall use the resources of their employing organisations responsibly and with regard for their intended purpose.

Currency of this Code of Ethics until February 2007

CHAPTER FIVE: COMPLAINTS PROCEDURE

ll members of the Association accept that they are accountable for their actions. The existence of the Complaints Procedure demonstrates one aspect of the Association's concern for the provision of quality psychotherapy and the maintenance of high professional standards. Complaints may arise with or without foundation, and it is the Association's responsibility to resolve the questions raised and provide an outcome.

Procedures have been developed to assist Council in dealing with com­plaints made against members (or provisional members) of the Association. The aim is to provide natural justice and consistency and a process that is fair, effective, timely and subject to external scrutiny.

Psychotherapists in the Association are professional practitioners who under­stand that psychotherapy takes place within the context of complex relation­ships. Sometimes psychotherapy raises boundary issues and ethical questions which are difficult for psychotherapist and client to manage. In those circumstances it is wise to consult a supervisor first. There may be occasions when it seems appropriate to complain. The Association has a process available to members, clients, or others to enquire whether a complaint about a member is appropriate and would be supported by the Association.

If a psychotherapist or a client wants to find out whether their concerns are substantive enough to form the basis for a complaint the first step is to contact the Complaints Convenor through the Association’s Executive Officer. The Complaints Convenor is a senior member of the Association whose sole responsibility is to ensure that the process is followed correctly and that people's rights and confidentiality issues are attended to. Sometimes simply talking to the Complaints Convenor results in a way forward without using more steps in the process. In situations where the Convenor fails to resolve the issue or judges its nature to be in possible breach of good professional standards or the Association’s Code of Ethics, he or she forwards the complaint to the Complaints Assessment Committee. This small committee is independent of the Complaints Convenor and has a lay person in attendance. If they decide the complaint should proceed, the complainant and the respondent are advised accordingly. A well-designed procedure ensures that each person's rights are protected. These steps are shown in a flow chart which the Association can make available to members and clients. If a complaint is proven, there are provisions for ensuring that members are held accountable.

There is also a Professional Practice review procedure which provides the opportunity for a practitioner’s work to be discussed and reviewed carefully. This scrutiny may be requested or required by Council. The Ethics and Professional Standards Committee meets as required, is convened by its appointed chairperson and draws its members from around the country. It reports its findings to Council and to the practitioner under review. This is another aspect of the Association’s concern to promote and support safe ethical practice and to provide guidance and review of individual practice. The Committee takes care to be respectful and helpful to those concerned. Its work may be instead of, or in addition to, the function of the complaints process.

The Complaints Procedure sits alongside the Code of Ethics and the Constitution of the Association. The Association reviews the process and makes amendments when necessary. The aim is to enable psychotherapists and clients to feel supported and safe. The psychotherapy profession is enhanced when boundaries are in place and there are pathways to resolve important ethical issues.



CHAPTER SIX: BENEFITS OF MEMBERSHIP

Psychotherapy is a solitary profession that attracts a wide range of interesting and sometimes unusual and colourful individuals. The Association brings its members together to meet, to get to know each other, to argue, to challenge and support, to share problems, and to enjoy familiar and evolving opportunities for companionship.

Members are people who are passionate about the potential of psycho­the­rapy in the lives of individuals and communities. Maintaining a high standard of ethical professional practice, enabling access to psychotherapy for all New Zealanders, the inclusion of a psychotherapy-based viewpoint in com­mu­nity, national and international issues are some of the aspects which engage members’ energies. Joining together as a professional body allows a more prominent and effective voice in such matters.

The admission process is often experienced as a challenge by provisional members. The hard work of writing a psychotherapeutic study generates both anguish and satisfied relief. However, in retrospect, the process may be viewed rather differently by the new member.

The regard with which membership of the Asso­ciation is held in the wider com­mu­nity and among other professionals is a significant benefit. The consistent standards of admission, the carefully designed Code of Ethics, the clear procedures for dealing with concerns and complaints are important aspects of this.

For all members, local branches provide fellowship and regular meetings which offer stimulating presentations and discussion, often about the Asso­ciation and its activities. In branch meetings, individual voices are heard, issues debated and information disseminated. Members who have been away to conferences are often asked to share their learning with colleagues back home.

The experience of being involved in the management of the organisation is regarded as a major benefit for many. There are numerous opportunities for all members, ordinary and provisional, to become involved in the day-to-day running of the Association, both at local and national levels. To implement practices which embody strongly felt concerns and enthusiasm is a privilege. The roles and collegial relationships that develop from this are extending and satisfying.