The Ethics of Conditional Confidentiality

Therapists once promised patients "Everything you tell me will remain in this room." Today, they can keep that promise only if they are willing to break the laws that now require them to disclose information without patient consent. Most avoid such civil disobedience by placing limits on confidentiality; but ethically speaking, this 'conditional' confidentiality can be difficult to practice. The Ethics of Conditional Confidentiality: A Practice Model for Mental Health Professionals is a guidebook designed to help therapists and other mental health professionals navigate the ethical and legal maze surrounding confidentiality. At its core is a practical Confidentiality Practice Model-a step-by-step guide for clarifying the ethical and legal issues that make the ethics of conditional confidentiality so complicated. Ethics codes represent the 'ethical floor,' which is theminimum standard of behavior about confidentiality. The goal in this book is to encourage reaching for the 'ethical ceiling,' by protecting confidentiality to the extent legally possible and not disclosing patients' confidences just because certain laws would allow them to be disclosed. The Ethics ofConditional Confidentiality demystifies confidentiality for therapists, clinical supervisors, educators, ethics consultants, attorneys who represent mental health professionals, clinicians, and administrators, and is an ideal supplemental ethics text for graduate courses. It is also useful for establishing confidentiality policies in any clinical setting and training program.