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Psychotherapists preparing for death: denial and action
American Journal of Psychotherapy
|April 1, 1983
Summary
Psychotherapists must ethically prepare for their deaths, planning for patient care continuity and disclosure. This addresses the literature
Area of Science:
- Psychology
- Psychiatry
- Psychoanalysis
Background:
- A notable absence exists in professional literature regarding psychotherapists' end-of-life planning.
- Factors like death anxiety and the unique nature of psychotherapeutic practice contribute to this avoidance.
Purpose of the Study:
- To highlight the ethical imperative for psychotherapists to prepare for their deaths.
- To propose practical steps for ensuring patient care continuity.
Main Methods:
- This study is a conceptual analysis and ethical argument.
- It reviews existing literature on death, psychotherapy, and professional ethics.
Main Results:
- Psychotherapists have an ethical duty to pre-determine arrangements for patient care in the event of their death.
- Clear protocols are needed for managing patient contact and clinical considerations.
Conclusions:
- Proactive end-of-life planning by psychotherapists is an ethical responsibility.
- Such planning ensures patient welfare and therapeutic continuity.
- Therapists should consider transparent communication with patients about their end-of-life plans.