Читать книгу Positive Ethics for Mental Health Professionals - Sharon K. Anderson - Страница 21

In spite of the difficulties inherent in navigating your new mansion, we hope you see developing your ethical identity as a positive and personal venture rather than an alienating attempt to follow a disembodied set of rules (Handelsman et al., 2009). For example, it is important for psychotherapists to include the informed consent process in the first session and it is an unethical choice not to do so. However, sometimes new psychotherapists skip the informed consent process because they aren’t comfortable with talking about confidentiality and its limits. Other therapists skip it because they believe it detracts from building the relationship with clients. Although we understand these concerns, a more positive and aspirational perspective is honoring the client and their right to be truly informed and addressing the difficult questions that might come with limits to confidentiality. Avoidance of confidentiality issues and upfront conversations about the limits work against our desire to produce beneficial therapeutic outcomes and to act in clients’ best interests. Clients need to know what is promised and what is not promised in the therapy relationship.