Applied ethics in mental health in Cuba: Part II - Power differentials, dilemmas, resources, and limitations

Isaac Prilleltensky, Laura Sánchez Valdés, Amy Rossiter, Richard Walsh-Bowers

Research output: Contribution to journalArticle

2 Scopus citations


This article is the second one in a series dealing with mental health ethics in Cuba. It reports on ethical dilemmas, resources and limitations to their resolution, and recommendations for action. The data, obtained through individual interviews and focus groups with 28 professionals, indicate that Cubans experience dilemmas related to (a) the interests of clients, (b) their personal interests, and (c) the interest of the state. These conflicts are related to power differentials among (a) clients and professionals, (b) professionals from various disciplines, and (c) professionals and organizational authorities. Resources to solve ethical dilemmas include government support, ethics committees, and collegial dialogue. Limitations include minimal training in ethics, lack of safe space to discuss professional disagreements, and little tolerance for criticism. Recommendations to address ethical dilemmas include better training, implementation of a code of ethics, and provision of safe space to discuss ethical dilemmas. The findings are discussed in light of the role of power in applied ethics.

Original languageEnglish (US)
Pages (from-to)243-260
Number of pages18
JournalEthics and Behavior
Issue number3
StatePublished - Jan 1 2002
Externally publishedYes


  • Applied ethics
  • Conflicts
  • Cuba
  • Dilemmas
  • Resources

ASJC Scopus subject areas

  • Psychology(all)

Fingerprint Dive into the research topics of 'Applied ethics in mental health in Cuba: Part II - Power differentials, dilemmas, resources, and limitations'. Together they form a unique fingerprint.

  • Cite this