It is important to distinguish between different types of ethical analyses in order to explain the approach that was taken to the development of the ethical framework discussed herein. Callahan and Jennings draw a useful distinction between applied ethics and critical ethics [7] . Our ethical framework is an example of applied ethics because the framework identifies and relies on "general principles that can be applied to real-world examples of professional conduct or decision-making" [7] and because it is "designed to give professionals guidance and to give clients and the general public standards to use in assessing professional conduct" [42] . While there is certainly a need for critical ethical analysis that pays attention to problems that are the "result of institutional arrangements and prevailing structures of cultural attitudes and social power" [7] , one would not expect a ethical framework designed to guide clinical decision-making to explicitly address these kinds of issues.