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Breaking confidentiality survey

Y Z Zadik1

  • 1Department of Psychiatry, Rambam Medical Center, Haifa, Israel.

Medicine and Law
|January 1, 1993
PubMed
Summary
This summary is machine-generated.

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Therapists in Israel often face legal requirements to breach confidentiality. However, many prefer to manage sensitive information within therapy sessions, especially regarding past sexual abuse disclosures.

Area of Science:

  • Mental Health
  • Psychology
  • Social Work

Background:

  • Israeli legislation mandates therapists to breach confidentiality in certain situations.
  • Understanding therapist decision-making regarding confidentiality is crucial for ethical practice.

Purpose of the Study:

  • To investigate how Israeli mental health professionals (psychiatrists, clinical psychologists, social workers) decide whether to break confidentiality.
  • To explore factors influencing these decisions, including practice setting and the nature of disclosed information.

Main Methods:

  • Survey of psychiatrists, clinical psychologists, and social workers in Israel.
  • Inquiry into their decisions regarding breaking confidentiality for information revealed during psychotherapy.
Keywords:
Empirical ApproachLegal ApproachMental Health TherapiesProfessional Patient Relationship

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Main Results:

  • No significant differences in confidentiality practices were found between private and public services.
  • No significant differences were observed among psychiatrists, clinical psychologists, and social workers.
  • Many therapists reported preferring to handle sensitive information within therapy rather than reporting it.
  • Therapists showed less inclination to breach confidentiality for past sexual abuse compared to present abuse.
  • Disclosure by the abuser led to a lower inclination to break confidentiality than disclosure by the victim.

Conclusions:

  • Therapists' professional group or practice setting did not significantly influence confidentiality decisions.
  • Therapists often prioritize managing sensitive disclosures within the therapeutic relationship.
  • Specific details of the disclosure, such as the timing and source of sexual abuse information, impact a therapist's decision to breach confidentiality.