Confidentiality in crisis counseling: a philosophical perspective.

Crisis interventionists frequently confront a moral dilemma when violating client trust seems necessary if self-destructive behavior is to be prevented. Two fundamental moral values conflict in such cases: concern for client welfare and respect for client rights and autonomy. Each of these values is grounded in one of two important Western ethical traditions: Utilitarianism and Kantian Formalism, respectively. Following critical examination of each of these theories, attention is given to a series of hypothetical cases involving the confidentiality dilemma.