Psychologists sometimes find themselves in situations in which they need to balance respect for patient autonomy with other competing values and neither the laws nor ethics codes provide clear direction on how they are to do so. With the use of a model from principle-based ethics, this article recommends a strategy for resolving those dilemmas in a manner that promotes patient autonomy as much as possible, even when respect for autonomy may be temporarily trumped by other values. (PsycINFO Database Record (c) 2010 APA, all rights reserved).