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These principles will help psychoanalysts individually
and collectively to maintain a high level of ethical
conduct. They are not laws, but standards by which
psychoanalysts or psychoanalysts-in-training (also
referred to as candidates) under the auspices
of the Canadian Psychoanalytic Society and Institute
determine the propriety of their conduct in their
relationship with patients, colleagues, students,
members of allied professions, and the public.
For the purpose of these Principles, a psychoanalyst
(sometimes referred to as an "analyst") is a member
of the Canadian Psychoanalytic Society.
A psychoanalyst shall maintain the standards of
practice as set out by the profession.
As a method of investigation of psychic processes,
and as a therapeutic method, psychoanalysis has
its own specific and particular ethical considerations.
A psychoanalyst shall refrain from any conduct
or acts relevant to the practice of psychoanalysis
that, having regard to all the circumstances,
members would reasonably regard as disgraceful,
dishonourable, or unprofessional.


The selection of psychoanalysis as a method of
treatment is determined on the basis of clinical
assessment and psychodynamic formulations.
When recommending psychoanalysis, the psychoanalyst
considers and discusses with the analysand a number
of factors specific to the psychoanalytic process,
which include contractual arrangements (schedule,
modes of payment, frequency of sessions, absence,
etc.) that are necessary to the maintenance of
psychoanalytic work.
Adequate notice and opportunity for discussion
and exploration must be provided for if there
will be changes to the contractual framework originally
agreed upon.
The
psychoanalyst and/or analysand has the right to
recommend or consult another psychoanalyst or
other consultant whenever either believes that
such consultation may benefit the treatment.
A psychoanalyst shall respect the confidentiality
of the patient's information and documents.
When a psychoanalyst uses case material in exchanges
with colleagues for scientific, educational, or
consultative purposes, every reasonable effort
will be made to ensure that the identity of the
analysand is protected.
When applicable and in accordance with rules governing
third-party payment, when undertaking the treatment
of an analysand, the psychoanalyst and the analysand
will agree on the fee and the conditions of payment.
Financial agreements between psychoanalyst and
analysand must be voluntary, based on full and
clear disclosure, and without any coercion by
the psychoanalyst.
If
dealing with patients in another professional
capacity (for instance, as a general psychiatrist,
social worker, or psychologist), the psychoanalyst
will also be bound by the rules of that profession.
A psychoanalyst shall not engage in sexual relationships
or other forms of sexually intimate behaviour
with the analysand.
In
providing consultation to analysands/patients
of colleagues, consultants should discover whether
the person seeking consultation has informed the
treating analyst. The consultant should determine
that this is in the best interest of the analysand
before making a recommendation.
Rules of conduct contained in these principles
of ethics apply equally to the relationship between
training analyst and candidate analysand.
As teachers and supervisors, psychoanalysts have
a special responsibility to be aware of difficulties
that can arise as a result of the asymmetry inherent
in relationships with candidates.
When analysts become aware that personal difficulty
or illness could threaten or disturb the quality
of their work, they should promptly use remedial
measures. Any analysts who observe such an occurrence
in colleagues should encourage and help them to
seek these measures. Alternatively, analysts may
report such matters to members designated by the
Executive Council.
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