PMID: 16618058Apr 19, 2006Paper

Ethical dilemmas in psychotherapy: comparison between patients, therapists and laypersons

The Israel Journal of Psychiatry and Related Sciences
Silvana FennigShmuel Fennig

Abstract

The attitudes of patients towards ethical dilemmas in psychotherapy have been reported in only a few studies. We investigated whether the attitudes of patients undergoing psychotherapy to confidentiality and boundaries are different from those of therapists and laypersons. Clinical vignettes describing ethical dilemmas of confidentiality and boundaries were presented to 103 patients undergoing psychotherapy (patient group), 93 psychotherapists of different professional backgrounds (professional group), and 55 staff and students from the fields of law and the humanities (lay group). Patients were asked how they think therapists should act in the situations presented and therapists were asked how they should behave in such situations. In general, the patient group showed a greater tendency to view their therapists as breaching confidentiality than the professional and lay groups. Regarding boundaries, the majority of psychotherapists were against initiating any sexual relationship with current patients, former patients, students or supervisees, whereas both patients and laypersons showed a less stringent attitude; these differences were statistically significant. The vast majority of therapists (96.7%) disapproved of accepting mo...Continue Reading

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