II
THE MORAL OBLIGATIONS OF
THE PSYCHOLOGIST REGARDING THE HUMAN PERSONALITY
We now reach the questions of
medical deontology, of which you have asked Us the solution, that is to say,
first concerning the licitness of certain techniques and the manner of applying
certain psychological tests, then regarding the principles of a religious and
moral order which are fundamental for the psychologist and the patient. We will
in this respect observe that the questions of deontology dealt with here also
concern anyone who has the faculty of reasoning and, in a general way, anyone
capable of making a conscious psychic act.
Tests and other
psychological methods of investigation have contributed enormously to the
knowledge of the human personality and have been of considerable service to it.
One might then think that there does not exist in this domain any particular
problem of medical morals and that everything can be approved without
reservation. No one will in fact deny that modern psychology in general
deserves approval from the religious and moral point of view.
But, if one takes into
consideration specifically its objectives and the means which psychology uses
to achieve them, one will be led to make a distinction. Its objectives, that is
to say the scientific study of human psychology and the healing of psychic
diseases only deserve praise; but the means used sometimes give grounds for
justifiable reservations, such as We mentioned previously concerning the
publication in America of the work "Ethical Standards for
Psychologists."
The best psychologists are
aware of the fact that the most clever use of existing methods does not succeed
in penetrating the area of the psyche which constitutes, one might say, the
center of the personality and which always remains a mystery. At this point,
the psychologist cannot but acknowledge with modesty the limitations of his
possibilities and respect the individuality of the man on whom he must pass
judgment; he should strive to perceive the divine plan in every man and help
develop it insofar as it is possible. Human personality with its specific
characteristics is in fact the most noble and wondrous work of creation.
Now, to whomever takes
cognizance of your works, it would appear that certain moral problems arise
here: you reveal in fact several times the objections raised against the
intrusion of the psychologist into the intimacy of the personalities of other
beings.
Thus for instance the use
of narcosynthesis, already questioned in psychotherapy, is considered illicit
in legal proceedings as well as the use of the instrument for the detection of
lies, known as "Lie-detector" or "polygraph."2
One author will denounce
the harmful consequences of violent emotive tensions, provoked in a subject for
experimental reasons, but he will also affirm that preference should be given
to the interest of scientific progress over that of the individual person who
serves as subject for the experiment.
Some in psychiatric
research and treatment carry out intrusions without the previous consent of the
patient, or without the patient being aware of their exact bearing. And the
revelation of the real elements of their personality can, in the case of some
people, provoke serious traumatisms.
In short, it can be said
that one must sometimes deplore the unjustified intrusion of the psychologist
in the depths of the personality and the serious psychic harm resulting
therefrom to the patient and even to third parties.
It sometimes happens that
the complete consent of the interested person is not secured, and that in order
to justify disputable proceedings the priority of science over moral values and
over the interests of the individuals (in other words the priority of the
common good over the individual good) is alleged.
We are, therefore, going to
examine the value of the principles which even good psychologists invoke to
Justify certain disputable proceedings.
1) The Interest of Science
and the Importance of the Psychologist
Moral law teaches that
scientific demands do not by themselves alone justify the indiscriminate use of
psychological techniques and methods, even by serious psychologists and for
useful objectives.
The reason for this is that
people concerned with the processes of psychological investigation must take
into account not only scientific laws, but also transcendant norms. In fact,
the primary question is not psychology itself and its possible progress but the
human person who applies it and who obeys high social, moral and religious
norms.
The same also holds true
for the other branches of science; mathematics, for instance, or physics are in
themselves alien to morals and therefore do not come under these norms, but the
person who dedicates himself to their study and applies their laws is never
removed from the moral field, because at no time does his free action cease to
prepare his transcendent destiny.
Psychology as a science can
only make its demands prevail insofar as the echelon of values and higher norms
to which We have referred and which includes right, justice equity, respect of
human dignity, and well ordered charity for oneself and for others, is
respected. There is nothing mysterious in these norms. They are clear for any
honest conscience and are formulated by natural reasoning and by Revelation.
Inasmuch as they are observed, there is nothing to prevent the just demands of
the science of psychology in favor of modern methods of investigation from
being asserted.
2) The Consent of the
Subject
The second principle under
discussion is that of the rights of the person who lends himself to
psychological experiments or treatments. In itself, the contents of the psyche
is the exclusive property of the person himself (here regarding experiments and
treatments) and is known only to him. But he already reveals something of it by
his behavior.
When the psychologist
concerns himself with what has been thus revealed, he does not violate the
intimate psyche of the patient. He can also act with complete freedom when the
patient consciously expresses a part of it and thereby indicates that he
attaches no importance to the secret. But there is a considerable part of his
interior world that a person reveals only to a few confidents and which he
defends against the intrusion of others.
Certain matters will be
kept secret at all cost from everyone, no matter whom. And then there are other
matters which he could not bring himself to consider.
Psychology also shows that
there exists a region of the intimate psyche-particularly tendencies and
dispositions - concealed to such an extent that the individual will never know
of them or even suspect their existence. And in the same way as it is illicit
to take what belongs to others or to make an attempt against a person's
corporal integrity without his consent, neither is one allowed to enter his
interior domain without his permission, whatever may be the techniques or
methods used.
But one can also ask
whether the consent of the patient is sufficient to give the psychologist
unlimited access to his psyche.
If the consent is unfairly
extorted, all action on the part of the psychologist will be illicit; if it is
impaired by lack of freedom (due to ignorance, to error or to deception) all
attempts to penetrate the depths of the soul will be immoral.
But if consent is given
freely, the psychologist can in the majority of cases, but not always, act
according to the principles of his science without contravening any moral
norms. One must ascertain whether the interested person has not overstepped the
limits of his competence and capacity in giving a valid consent.
Man, in fact, does not have
an unlimited power over himself. Often in your works one quotes (without,
however, giving the formula) the juridical principal: [volenti non fit
injuria]: there is no injustice done to the person who consents.
Let Us first of all observe
that the intervention of the psychologist might well injure the rights of a
third party, for instance through the revelation of secrets (of state, of
office, of family or of confession), or simply the rights of individuals or
communities to their reputations.
It does not suffice that
the psychologist himself or his assistants are sworn to secrecy, or that a
secret can be entrusted sometimes to a cautious person for serious reasons.
Because, as We already pointed out in Our address of April 13,1953, on
psychotherapy and psychology, there are certain secrets which absolutely cannot
be revealed, not even to one cautious person.
As for the principle
[volenti non fit injuria] it puts only one obstacle in the way of the
psychologist, namely, the right of the person to protect his interior world.
But there may be other obstacles which continue to exist by virtue of moral
obligations and which the subject involved cannot suppress at his pleasure:
religiousness, self-respect, chastity and decency for instance.
In this case, though he
does not violate any right, the psychologist is wanting morally. One must
therefore examine with regard to each specific case whether one of these
reasons of moral order is not opposed to his intervention and their bearing
must be accurately estimated.
3) Heroic Altruism
What must one think of the
motive of heroic altruism invoked to justify the unconditional application of
psychological techniques of exploration and treatment?
The moral value of human
action depends in the first place on its object. If this is immoral the action
is also immoral; it is of no use to invoke the motive behind it or the aim
pursued. If the object is indifferent to good, one can then question the
motives or the end which confer new moral values on the action. But however
noble a motive may be, it can never render an evil action good.
Thus, any psychological
intervention must be examined from the point of view of its object in the light
of the given indications. If this object is not in line with right and morals,
the motive of heroic altruism does not make it acceptable: if the object is
licit, a higher moral value in addition to the motive invoked, can be
attributed to the action.
People who, urged by this
motive, offer themselves for the most painful experiments so as to help others
and be useful to them deserve admiration and should be imitated. But one must
be wary of confusing the motive or the aim of the action with its object and of
transferring to the latter a moral value which it does not deserve.
4) The General Interest and
the Intervention of the Public Authorities
Can the general interest
and the intervention of the public authorities authorize the psychologist to
use just any method?
No one can deny that the
public authorities can, with regard to individuals and for just motives, put to
advantage the proven acquisitions and methods of psychology. But here the
question reverts to the choice of certain techniques and methods.
A characteristic trait of
the totalitarian states is to give no thought to the means employed but to use
indiscriminately all that serves the aim pursued without any regard for the
exigencies of moral law. We already have denounced in Our speech of October 3,
1953, to the Sixth International Congress of Criminal Law the aberrations still
sadly displayed by the 20th Century in its acceptance of torture and violence
in judiciary proceedings.
The fact that immoral
procedures are imposed by the public authorities does not in any way make them
legal. Therefore, when the public authorities create experimental or consulting
offices, the principles which We have described apply to all the steps of a
psychological order that they may have to take.
Insofar as the free
researches and initiatives of these offices are concerned, the principles
applicable to free research and individual initiatives and to the use of
theoretical and applied psychology in general will be enforced.
As regards the competence
of the public authority to impose psychological examinations, the general
principles concerning the limitations of the competence of the public authority
will be applied. In Our speeches of September 13, 1952, on the moral
limitations of medical research and treatment (Discourses and Radio messages
Vol. XIV, pages 320-325) and of September 30, 1954, to the [Solidalitas
medicorum universalis] ([Discourses and Radio messages] Vol. XVI, pages
174-176), We enounced the principles which regulate the relations between the
doctor and his patients and the public authorities, and examined particularly
the possibility for the public authorities to grant rights to certain doctors
and psychologists which exceed the usual ones of a doctor concerning his
patients.
Decisions taken by the
public authorities calling for children and youth to be submitted to certain
examinations - assuming that the object of such examinations is licit-must take
the educators into account if they are to be moral. These are the family and
the Church who have a more immediate authority over the children and the youth
than the state does.
Furthermore, neither the
family nor the Church will oppose steps taken in the interest of the children;
but they will not allow the state to act in this field without taking into
account their own rights, as was declared by Our Predecessor Pius XI in the
Encyclical [Divini illius Magistri] of December 31, 1929, and as We Ourselves
have stressed on several occasions.
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