| Autor: |
KORNER, ANTHONY, MCLEAN, LOYOLA, HALIBURN, JOAN, WILLIAMSON, MICHAEL, PHILIPS, TESSA, GRAHAM, PHIL, LIANOS, GEORGE, CRISANTE, LEA, BAINS, JATINDER, STEVENSON, JANINE, TOUMA, KAMAL, HALOVIC, SHAUN |
| Předmět: |
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| Zdroj: |
Australasian Journal of Psychotherapy; 2018, Vol. 36 Issue 1, p8-21, 7p |
| Abstrakt: |
Psychodynamic psychotherapies rely upon trust, openness and free association in the context of a psychologically safe therapeutic relationship. Confidentiality is thus a cornerstone of psychotherapeutic practice. The achievement of a sense of safety is easily compromised and likely to be impinged upon by regulations that threaten the privacy of the individual. A recent situation faced by the Westmead Psychotherapy Program, where there has been an administrative direction to retain recordings of therapy sessions as part of the medical record, is given as an illustration of how public policy may impinge upon the psychotherapeutic relationship. A brief clinical vignette is presented to illustrate a situation where this may lead to harm to patients. The dilemma for clinicians relates to the principle of superior orders -- sometimes a directive may be ethically unacceptable to therapists. We argue the need for greater protection of professional privilege. Some have gone further and argued for the psychotherapeutic relationship being considered as requiring absolute privilege with respect to confidentiality. The situation in Australia lags behind other jurisdictions, despite advocacy by the Royal Australian and New Zealand College of Psychiatrists. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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