Fennig Silvana, Secker Aya, Levkovitz Yechiel, Barak Vered, Benyakar Motty, Farina Jorje, Roe David, Treves Ilan, Fennig Shmuel
The Schneider Children's Medical Center of Israel, Beilinson Campus, Petach Tikva, Israel.
Isr J Psychiatry Relat Sci. 2004;41(2):82-9.
The issue of confidentiality often causes an ethical dilemma for the psychotherapist.
We investigated if therapists are consistent in their attitude to confidentiality or judge each case on its own merit.
A questionnaire consisting of a series of clinical vignettes representing different ethical dilemmas in confidentiality in psychotherapy was completed by 93 therapists of different professional backgrounds and by a control group of 55 students from the fields of law and the humanities.
Subjects in both groups were inconsistent in their attitude to confidentiality in two-thirds of cases, and most of the participants based their decisions on the particular history and circumstances of each case.
The rules guiding psychotherapists for the disclosure of confidential information are unclear. These findings failed to pinpoint a common denominator to explain the manner in which professionals handle information that may demand a break of confidentiality.
保密问题常常给心理治疗师带来伦理困境。
我们调查了治疗师在保密态度上是否一致，还是根据每个案例的自身情况进行判断。
93名不同专业背景的治疗师以及由55名法律和人文学科专业学生组成的对照组完成了一份问卷，问卷包含一系列代表心理治疗中保密方面不同伦理困境的临床案例。
两组受试者在三分之二的案例中对保密的态度不一致，且大多数参与者根据每个案例的具体病史和情况做出决定。
指导心理治疗师披露保密信息的规则尚不明确。这些研究结果未能找出一个共同标准来解释专业人员处理可能需要打破保密的信息的方式。
