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Confidentiality principle bolsters the therapeutic alliance, as it promotes an environment of trust. There are important exceptions to confidentiality, namely where it conflicts with the clinician's duty to warn or duty to protect. This includes instances of suicidal behavior or homicidal plans, child abuse, elder abuse and dependent adult abuse.
Despite the value and importance of protecting the client and their feelings, and thus the physician-client relationship, the court decided that the clinician's duty to society as a citizen of that society places certain limitations on the clinician's loyalty to a client's secrets, divulged in the context of the therapeutic relationship.
The American Psychological Association (APA) Ethical Principles of Psychologists and Code of Conduct (for short, the Ethics Code, as referred to by the APA) includes an introduction, preamble, a list of five aspirational principles and a list of ten enforceable standards that psychologists use to guide ethical decisions in practice, research, and education.
The newest 2014 edition of the American Counseling Association's Code of Ethics contains nine sections that each address a separate area of ethical conduct: the counseling relationship; confidentiality and privacy; professional responsibility; relationships with other professionals; evaluation, assessment, and interpretation; supervision ...
Counseling is a generic term for any of professional counseling that treats dysfunction occurring within a group of related people. This term describes a preventive system of counseling that works to combat psychological impairment through the improvement and development of community support. A community is defined as a group of interacting ...
Some decried the court's decision as a limitation of the foundation for the therapeutic relationship and progress, the client's expectation of confidentiality. In 1979, Max Siegel , a former president of the American Psychological Association, defended the therapist's right to confidentiality as sacrosanct, under any circumstances. [ 5 ]
Client confidentiality is the principle that an institution or individual should not reveal information about their clients to a third party without the consent of the client or a clear legal reason. This concept, sometimes referred to as social systems of confidentiality , is outlined in numerous laws throughout many countries.
The APA ethics code [4] outlines many professional guidelines for clinicians including the maintenance of confidentiality, minimizing intrusions to privacy, and obtaining informed consent. Informed consent ensures the client has an adequate understanding of the techniques and procedures that will be used during therapy, expected timeline for ...