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[Informed consent: a prerequisite for psychotherapy?]

J Marta¹, F H Lowy

¹Département de psychiatrie, Université de Toronto, Ontario.

Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie

|October 1, 1993

Summary

Explicit informed consent for psychotherapy is desirable and possible. This interactive, revokable model respects patient autonomy and enhances treatment satisfaction and efficacy.

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Area of Science:

Psychology
Medical Ethics
Psychotherapy Research

Background:

Current psychotherapy often relies on implicit informed consent.
The nature of psychotherapy presents unique challenges for traditional consent models.

Purpose of the Study:

To explore the desirability and feasibility of explicit informed consent in psychotherapy.
To propose a model for explicit informed consent tailored to psychotherapy's characteristics.

Main Methods:

Literature review on informed consent theory and psychotherapy.
Reflective analysis of the advantages and practicalities of explicit consent.

Main Results:

Explicit informed consent can be interactive, iterative, repeated, and revokable.
It respects patient autonomy while considering psychotherapy's unique aspects (process, unpredictability, patient role, unconscious dynamics).

Conclusions:

Explicit informed consent offers benefits beyond medico-legal compliance, enhancing patient experience and therapeutic outcomes.
The proposed model guides future empirical and theoretical research in psychotherapy consent.

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