Beyond the Code of Ethics, Part I: Complexities of Ethical Decision Making in Social Work Practice

Abstract

The authors have acquired experience in, and opinions on, ethical decision making while serving on a (U.S.) National Association of Social Workers (NASW) peer consultation ethics call line. The authors agree with scholars who view all human perceptions and activities as shaped by values, with the concurrent need to become more self-conscious about the ethical dimension of our daily life and professional practice. It is argued that our social work code of ethics is a necessary but insufficient tool for ethical decision making. The Code of Ethics (National Association of Social Workers, 1996) is frequently used as a risk management tool, offering guidelines for practice which may or may not be compatible with the goals of social justice for which social work ideally stands. Additionally, the unique and unexpected ways ethical issues emerge in clinical practice work against attempts to apply the Code as a rule book. Distinctions between ethical, legal, and clinical issues are difficult, given that the two latter domains have inevitable ethical implications. The authors urge readers to supplement a model of purely rational, ethical decision making with their emotions and intuition as shaped by our culture and our profession. Ethical judgments are best made in small groups where members bring different perspectives and intuitions to the process while agreeing on basic humanistic values.