There have been concerns in recent years about use of clinical interventions that center on weight loss as a primary treatment goal for adults with elevated body weights, in light of evidence linking these interventions to adverse physical and mental health outcomes. An appraisal of weight loss-focused treatment efforts through the lens of the American Psychological Association’s Ethical Principles (2017) has yet to be conducted, though can uncover potential ethical limitations that may arise when this treatment focus is upheld in psychotherapeutic practice. Accordingly, this article first examines the extent to which the prevailing weight loss-focused treatment paradigm aligns with: (a) beneficence and nonmaleficence, (b) fidelity and responsibility, (c) integrity, (d) justice, and (e) respect for people’s rights and dignity. Clinical practice implications and applications stemming from a nondieting weight-neutral perspective are then presented for psychologists’ consideration as an alternative approach to clinical work with clients who possess larger bodies.

中文翻译：

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与肥胖客户进行临床工作的伦理考虑：心理学家的角色。

近年来，人们担心使用以减轻体重为主要治疗目标的临床干预措施，因为有证据表明这些干预措施与不利的身心健康结果有关。尚未通过美国心理学会的道德原则（2017 年）的视角对以减肥为重点的治疗工作进行评估，但可以揭示在心理治疗实践中坚持这种治疗重点时可能出现的潜在道德限制。因此，本文首先研究了流行的以减肥为重点的治疗范式在多大程度上符合：（a）善行和非恶意，（b）忠诚和责任，（c）正直，（d）正义，以及（e）尊重为了人民的权利和尊严。