Navigating Ethical Complexities in Qualitative Research With Interrelated Persons

This paper explores ethical complexities in qualitative research involving families/interrelated persons. Such research requires consideration of relational dynamics, informed consent, and methodological choices to avoid unintended harm to relationships. Drawing on research experiences across diverse clinical contexts, the authors reflect on ethical challenges encountered in family interviews, integrating established ethical frameworks with practical insights from joint and family interviews. Key considerations include: clarifying research objectives, distinguishing research interviews from therapeutic encounters; informed consent as an ongoing process, particularly with vulnerable populations; managing confidentiality and withdrawal in relational settings; attending to verbal and nonverbal cues to balance participant voices; maintaining professional boundaries while recognizing unintended therapeutic effects; sensitivity to interview location and group composition; and relational hierarchies. Ethical dilemmas in family-centered qualitative research are context-dependent and require reflexivity, empathy, and deliberate planning. By anticipating challenges and adopting flexible, participant-centered strategies, researchers can generate meaningful data while safeguarding respect for persons.