Ethics and Cultural Competency

Manualized Therapy closely follows the paradigm of applicable approaches that ensure uniformity among therapists while promoting minimal variability. To be particular, this approach involves treatment methods presented in a manual format and comprises a series of prescribed techniques and approaches to be deployed in every phase. In most scenarios, manual therapy lasts between 10-15 phases. While researchers outline several treatment methods, the consistent nature of Manualized Therapy is one of the profound merits that illuminate it from other therapeutical methods. However, a different approach to psychological problems delineates data and findings from a broader perspective of research illustrating that standardized treatment offers almost similar outcomes to Manualized Therapy (Wilson, 2012).

One of the outstanding merits of treatment manuals is its effectiveness within a controlled treatment environment. Besides, Manualized Therapy reduces the number of errors that may imminently arise from clinical judgment during treatment. One of the common shortcomings of manual treatment is the possibility of its approach to undermine effective case formulation.

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A few works revealed that clinicians affirm that assumptions regarding the common signs and symptoms of a specific disorder are a detrimental aspect of accomplishing effective treatment among patients.

Clinician-researchers examine past assumptions on therapeutic treatment, hailing Manualized Therapy as an imperative breakthrough in the dissemination evolution and development of empirically verifiable therapies in tackling various illnesses. The evolution of this treatment process has however involved the application of validated principles to treat patients (Wilson, 2012). Another fundamental point to note is the fact that the approach applies fixed approaches to addressing the fundamental challenges of a specific illness instead of relying on validated criteria has been widely criticized.

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Dissenters have opposed the broader application of manual treatment for various reasons. For example, a sizable scope of dissenters believes that the deployment of such a treatment method is a robot-like approach which fails to consider the patients who have comorbid signs and symptoms during the validation of such treatment methods. Other clinicians have dissented against structured treatment methods since it can potentially compromise the integrity of a treatment method. For example, the process may replace the imperative perspectives of a clinician given its structured nature relies mechanized and pre-installed on programs of treatment (Richardson , 2015).

I intend to help a specific group of patients comprising of senior, elderly, and aged individuals within the society. The decision to focus on the elderly has primarily been motivated by the existing evidence that they face multiple challenges with mental illness. Such a decision will enable the specific group of individuals within the category to address the multiple problems associated psychological illness within the society. Despite the desire to address the various challenges facing every individual who has a mental illness, various cultural, ethical, and legal issues are considered in such a scenario.

The scope of the vulnerability of elderly patients is imperative to consider while handling them on mental illness. Although the mental status of an individual can affect the level of reasoning, legal provisions demand patient freedom, and choice while implementing various treatment options. In such a scenario, relatives of elderly patients must be engaged and informed while executing various treatment options. Despite the old nature of various patients, it is highly imperative to consider cultural and religious connotations of the various patients under treatment. For example, it is important to understand the cultural interpretation of various issues to prevent a possible escalation of their mental condition from possible infringement of their cultural practices.

Ethically, it is highly imperative to understand the importance of medical autonomy of elderly patients under different types of mental illness. Such an approach will play an essential role in the overall protection of the rights and privacy of such patients. Gender bias is one of the personal beliefs that may affect my proper dispensation of medical services to patients. To be particular, gender bias may potentially influence my understanding of the scope at which different patients respond to medication during treatment procedures (Govender & Penn-Kekana, 2008).

Given the implicit nature of gender bias in offering medical services, there is an imperative need to bring the bias to light to minimize such a gender bias prejudice.

Embracing gender diversity and maintaining high standards of professionalism is a necessary step towards tackling gender bias within the society, hence professional and ethical medical services (Govender & Penn-Kekana, 2008).

Currently, I am of stable wellness and mental condition. I am convinced of my healthy mental status owing to the ordinary reasoning and effective decision making which I am in a position to accomplish.

Various factors have played an essential role in my overall mental wellbeing. Proper upbringing, especially during my childhood has enabled me to come up with multiple challenges with minimal mental stress. Also, I have established various relationship networks in which I have relied upon during stress.

Over the years, I have relied on various approaches to cope and de-stress personally. For example, I have depended on my friends, parents, and partner to deal with tough situations and distress. The need to maintain high standards of professionalism and understand my inner self, are the various approaches to manage both inter-personal and personal conflict effectively. Interpersonal understanding will involve embracing diversity and understanding the unique needs of my colleagues within the workplace. On the other hand, an in-depth comprehension includes my strengths and weaknesses that consequently limits the possibility of pushing myself beyond unreasonable limits.


  • Govender, V., & Penn-Kekana, L. (2008). Gender biases and discrimination: a review of health care interpersonal interactions. Global public health, 3(S1), 90-103.
  • Robert W. Richardson (2015). Ethical issues in physical therapy. Current reviews in musculoskeletal medicine, 8(2), 118-21.
  • Wilson, G. T. (2012). Manual-based treatment: Evolution and evaluation. In Psychological Clinical Science (pp. 126-153). Routledge.

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Ethics and Cultural Competency. (2021, Oct 12). Retrieved from

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