WHY ETHICS MATTER
Most people in healthcare are being asked to make high-stakes decisions inside systems that reward speed, compliance, and plausible deniability, not depth, dignity, or care. Clinicians are documenting more, trusting confusing tools, and carrying ethical strain that too often gets mislabeled as a personal resilience problem.
My work is about making those pressures visible and helping people respond with more clarity, integrity, and usefulness. Because ethics is not just about what the code says. It’s about power, context, and what happens to actual human beings when policy, technology, and care collide.
My Ethics Code
I’ve adapted this framework for self-governance of my clinical practice, consulting, teaching, and public media work. It is meant to complement, not replace, formal codes like AAMFT Code of Ethics and institutional policies.
This code sits on three foundations:
The AAMFT Code of Ethics that I am beholden to as a licensed marriage and family therapist.
Core principles from Western bioethics: respect for autonomy, beneficence, nonmaleficence, and justice,
And a broader set of perspectives that ask harder questions about power, history, culture, and lived experience, including care ethics, feminist and Black bioethics, Indigenous and decolonial ethics.
I don’t just care about “doing no harm,” but also how relationships, systems, racism, colonization, technology, and policy shape who is harmed, who is heard, and who gets left out.
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Ethics is practiced in relationship, not just in paperwork. Work is grounded in real people and communities, with their histories, identities, and contexts shaping what safety, consent, and respect look like. When rules and relationships pull in different directions, the goal is to honor both while refusing to lose sight of the human beings at stake.
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People deserve clear, plain-language information about risks, benefits, limits, and alternatives, across therapy, consulting, research, technology, and public work. Autonomy is considered in context, alongside forces like racism, colonization, gender identity, gender expression, sexual orientation, economic precarity, disability, immigration status, and institutional power, all of which can sharply narrow the space in which real choice is possible. Using expertise to steer decisions primarily toward institutional interests or personal convenience is prohibited.
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Reducing harm and promoting benefit includes asking who routinely bears which. Foreseeable harm is avoided where possible and addressed openly if it occurs. Beyond individual cases, attention stays on how practices, policies, and technologies reinforce or interrupt harmful patterns. When AI and other tools are involved, questions extend past “does it work” to include privacy, equity, labor, and clinical judgment.
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Justice is understood as more than equal treatment; it involves confronting and repairing patterned harm. Work explicitly recognizes that healthcare, research, and bioethics have often centered whiteness and marginalized Black, Indigenous, and other communities of color, disabled people, and queer and trans communities. Analysis and recommendations deliberately decenter dominant norms and elevate the experiences and knowledges of those most affected, even when that requires redistributing attention, resources, or priority.
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Roles, aims, and limitations are stated plainly. Funding, affiliations, and potential conflicts that may influence the process are disclosed. Questions that sit outside current expertise are acknowledged and referred on. Claims about what an intervention, training, or technology can do stay within what the evidence and context can reasonably support.
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I am a human who makes mistakes regularly. While harm is never intended, I recognize that (like all people) I may unknowingly cause harm. Accountability runs first to the people and communities affected by decisions, and then to institutions, employers, or platforms. Legal requirements, professional codes, and organizational policies are taken seriously, but compliance is treated as a floor, not a ceiling. When institutional demands clash with this ethics code, the priority is minimizing harm to those with the least power and being willing to say so. Feedback and critique from impacted communities are treated as an ethical resource, and a vital part of my learning and improving as someone who provides care and guidance, not a threat.
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Cultural difference is approached with humility, curiosity and a commitment continually doing my own work. Identities are understood as dynamic and self-defined; simplistic categorizing is resisted. Indigenous and decolonial approaches centered on relationship, land, community, interdependence, and strengths inform the work, without being reduced to extractable “tools.” Practice evolves in response to ongoing learning about colonization and structural racism and marginalization in healthcare, research, and technology.
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Technology is expected to answer to ethics, not the other way around. Claims about safety, privacy, “HIPAA compliance,” and neutrality in AI and digital tools are examined carefully, especially when they involve clinical documentation or sensitive data. Preference goes to tools and workflows that protect confidentiality, respect agency, and avoid unnecessary data extraction, including local or privacy-preserving options where appropriate.
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The well-being of collaborators is treated as an ethical concern, not a side issue. Moral injury, burnout, and vicarious trauma are read as information about systems, not verdicts on individual character. Recommendations are designed with real workloads, resource constraints, and emotional labor in mind, and include space for rest, reflection, consultation, and repair.
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Public work is understood as part of ethical practice. Complex issues are explained as clearly as possible without sacrificing nuance or context. Sensationalism, faux neutrality, and trauma-as-content are avoided. Stories and examples are used with consent, protection of identity, and a clear purpose beyond attention. Whenever possible, commentary is situated in its wider social, historical, and political context, acknowledging that ethics never actually happens in a vacuum.