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Books > Medicine > General issues > Medical ethics
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Confidentiality - Ethical Perspectives and Clinical Dilemmas (Paperback)
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Confidentiality - Ethical Perspectives and Clinical Dilemmas (Paperback)
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The distinguished contributors to Confidentiality probe the
ethical, legal, and clinical implications of a deceptively simple
proposition: Psychoanalytic treatment requires a confidential
relationship between analyst and analysand. But how, they ask,
should we understand confidentiality in a psychoanalytically
meaningful way? Is confidentiality a therapeutic requisite of
psychoanalysis, an ethical precept independent of psychoanalytic
principles, or simply a legal accommodation with the powers that
be? In wrestling with these questions, the contributors to
Confidentiality are responding to a professional, ethical, and
political crisis in the field of mental health. Psychotherapy -
especially long-term psychotherapy in its psychoanalytic variants -
has been undermined by an erosion of personal privacy that has
become part of our cultural zeitgeist. The heightened demand for
public transparency has forced caregivers from all walks of
professional life to submit to increasing bureaucratic regulation.
For the contributors to this collection, the need for
confidentiality is centrally involved in the relationship of the
psychotherapeutic professions both to society and to the law. No
less importantly, the requirement of confidentiality brings a
clarifying perspective to debates within the psychotherapeutic
literature about the relationship of theory to practice. It thereby
provides a framework for shaping a set of ethical principles
specifically adapted to the psychotherapeutic, and especially to
the psychoanalytic, relationship. Linking general issues of privacy
to the intimate details of psychotherapeutic encounter,
Confidentiality will serve as a basic guide to a wide range of
professionals, including lawyers, social scientists, philosophers,
and, of course, psychotherapists. Therapy patients, policy makers,
and the wider public will also find it instructive to know more
about the special protected conditions under which one can better
come to "know thyself."
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