In the words of Supreme Court Justice John Paul Stevens, citing the amicus briefs of the American Psychological and Psychiatric Associations: Effective psychotherapy…depends upon an atmosphere of confidence and trust in which the patient is willing to make a frank and complete disclosure of facts, emotions, memories, and fears.Because of the sensitive nature of the problems for which individuals consult psychotherapists, disclosure of confidential communications made during counseling sessions may cause embarrassment or disgrace.Material in this online course has been adapted from Ethics in Psychology and the Mental Health Professions: Standards and Cases (Edition), published by Oxford University Press, and additional new material has been added. Koocher and Patricia Keith-Spiegel, all rights reserved.Please note that all case material has been drawn from public records or the experience of the authors.This course material will equip clinicians to have a basic understanding of core ethical principles and standards related to the topics discussed and to ethical decision-making generally, but cannot cover every possible circumstance.When in doubt, we advise consultation with knowledgeable colleagues and/or professional association ethics committees. Social workers should contact their regulatory board to determine course approval.Many ethical challenges arise on the basis of highly variable and unpredictable contextual factors.
The trust conveyed through assurance of confidentiality seems so critical that some have gone so far as to argue that therapy might lack all effectiveness without it (Epstein, Steingarten, Weinstein, & Nashel, 1977).
He had also been a law partner and personal acquaintance of Hillary Clinton.
Foster had struggled with depression and had a prescription for Trazodone, authorized by his physician over the telephone just a few days earlier.
Fiske and Kenneth Starr, his death was ruled a suicide. Foster had met with James Hamilton, his personal attorney. Starr, the Special Prosecutor investigating the Clinton Administration, sought grand jury testimony from Foster’s lawyer. Middlebrook sought access to them to assist in her writing. Orne’s release of the audiotapes caused considerable debate within the profession despite authorized release (Burke, 1995; Chodoff, 1992; Goldstein, 1992; Joseph, 1992; Rosenbaum, 1994).
Foster’s family refused to waive the deceased man’s legal privilege and Hamilton declined to testify. served as Sexton’s psychotherapist for the last years of her life. Orne had tape recorded the sessions so that Sexton, who had a history of alcohol abuse and memory problems, could listen to them as she wished. Linda Gray Sexton, the poet’s daughter and executrix of her literary estate, granted permission, and Dr. Unlike the Simpson and Foster cases, the Sexton case involved release of the audio records approved by a family member with full legal authority to grant permission.