Department of Psychological and Quantitative Foundations, 361 Lindquist Center, University of Iowa, Iowa City, IA 52242, USA.
Psychotherapy (Chic). 2012 Mar;49(1):3-11. doi: 10.1037/a0025059. Epub 2011 Dec 19.
Clinical writing about psychotherapy clients has long been a part of didactic texts and research articles because it allows new treatments and interventions to be presented in an effective and memorable way. The main ways that clinicians write about their clients include obtaining informed consent, using client disguise, or creating case composites. Although many clinicians use a combination of all three approaches, this article specifically addresses the implications of using clinical writing informed consent. The present article begins with a brief history of clinical writing and an examination of the relevant standards in the current APA Ethics Code and the Health Insurance Portability and Accountability Act; this is followed by a discussion of the benefits of engaging in the clinical writing informed consent process. Subsequently, the limitations of using clinical writing informed consent are explored, including the potentially negative impact on the therapeutic alliance and the client's progress. The article concludes that clinicians should be cautious when deciding to engage in clinical writing informed consent. Recommendations in the form of a checklist are provided to help clinicians identify when it is most appropriate to use client disguise or case composites, and how to do so, as well as when it is appropriate to engage in clinical writing informed consent. Future directions are considered.
临床医生对心理治疗客户的描述长期以来一直是教学文本和研究文章的一部分，因为它可以有效地以令人难忘的方式呈现新的治疗方法和干预措施。临床医生描述其客户的主要方法包括获得知情同意、使用客户伪装或创建案例组合。尽管许多临床医生会结合使用这三种方法，但本文专门探讨了使用临床写作知情同意的影响。本文首先简要回顾了临床写作的历史，并考察了当前 APA 伦理准则和《健康保险携带和责任法案》中的相关标准；接着讨论了参与临床写作知情同意过程的好处。随后，探讨了使用临床写作知情同意的局限性，包括对治疗联盟和客户进展可能产生的负面影响。文章最后认为，临床医生在决定进行临床写作知情同意时应谨慎行事。本文以清单的形式提供了一些建议，以帮助临床医生确定何时最适合使用客户伪装或案例组合，以及如何进行，以及何时适合进行临床写作知情同意。还考虑了未来的方向。
