- Acknowledgments
- Introduction
- 1 Ethical Responsibilities About Confidentiality
- 2 Laws Affecting Confidentiality
- 3 Placing Laws Into Ethical Context
- Introduction to Part II: The Ethics of Conditional Confidentiality
- 4 Step 1: Preparing
- 5 Step 2: Telling Patients the Truth About Confidentiality’s Limits
- 6 Step 3: Obtaining Truly Informed Consent Before Disclosing Confidential Information Voluntarily
- 7 Step 4: Responding Ethically to Legal Demands for “Involuntary” Disclosure of Patient Information
- 8 Step 5: Avoiding Preventable Breaches of Confidentiality
- 9 Step 6: Talking More About Confidentiality: Educating Each Other and the Public
- 10 Clinical Record Keeping
- 11 Confidentiality Considerations With Specific Populations
- 12 Confidentiality in Specific Roles and Settings
- 13 Ethics-Based Staff Training About Confidentiality
- Appendix I Selected Ethical Standards Relevant to Confidentiality Listed Numerically
- Appendix II Selected Ethical Standards Relevant to Confidentiality Arranged in Categories
- Appendix III Examples of Laws Affecting Confidentiality
- Appendix IV Health Insurance Portability and Accountability Act (HIPAA)
- Appendix V Using the Ethical Practice Model to Place Laws Into Ethical Context
- Appendix VI Ethical Obligations of Mental Health Professionals in Legal Contexts: Which Hat Are You Wearing?
- Appendix VII Selected Ethical and Professional Resources Related to Confidentiality Ethics
- Appendix VIII Ethics-Based Staff Training: Sample Table of Contents
- References
- Author Index
- Subject Index
(p. 73) Step 3: Obtaining Truly Informed Consent Before Disclosing Confidential Information Voluntarily
- Chapter:
- (p. 73) Step 3: Obtaining Truly Informed Consent Before Disclosing Confidential Information Voluntarily
- Author(s):
Mary Alice Fisher
- DOI:
- 10.1093/med:psych/9780199752201.003.0007
Chapter 6 walks therapists through Step 3, and covers how to obtain truly informed consent before disclosing confidential information voluntarily. It emphasizes that ‘confidential’ is a reminder that every disclosure of patient information constitutes an exception to the rule of confidentiality, and how therapists are often tempted (or urged by others) to create their own ‘personal exceptions’, and this chapter is therefore a reminder that, ethically speaking, confidentiality is still the rule. It also examines how, in the absence of a legal requirement to disclose, information about a patient should ordinarily remain confidential, and therapists should not disclose it without first obtaining the patient’s consent, either as part of the informed consent process at intake or in preparation for a patient-specific disclosure.
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- Acknowledgments
- Introduction
- 1 Ethical Responsibilities About Confidentiality
- 2 Laws Affecting Confidentiality
- 3 Placing Laws Into Ethical Context
- Introduction to Part II: The Ethics of Conditional Confidentiality
- 4 Step 1: Preparing
- 5 Step 2: Telling Patients the Truth About Confidentiality’s Limits
- 6 Step 3: Obtaining Truly Informed Consent Before Disclosing Confidential Information Voluntarily
- 7 Step 4: Responding Ethically to Legal Demands for “Involuntary” Disclosure of Patient Information
- 8 Step 5: Avoiding Preventable Breaches of Confidentiality
- 9 Step 6: Talking More About Confidentiality: Educating Each Other and the Public
- 10 Clinical Record Keeping
- 11 Confidentiality Considerations With Specific Populations
- 12 Confidentiality in Specific Roles and Settings
- 13 Ethics-Based Staff Training About Confidentiality
- Appendix I Selected Ethical Standards Relevant to Confidentiality Listed Numerically
- Appendix II Selected Ethical Standards Relevant to Confidentiality Arranged in Categories
- Appendix III Examples of Laws Affecting Confidentiality
- Appendix IV Health Insurance Portability and Accountability Act (HIPAA)
- Appendix V Using the Ethical Practice Model to Place Laws Into Ethical Context
- Appendix VI Ethical Obligations of Mental Health Professionals in Legal Contexts: Which Hat Are You Wearing?
- Appendix VII Selected Ethical and Professional Resources Related to Confidentiality Ethics
- Appendix VIII Ethics-Based Staff Training: Sample Table of Contents
- References
- Author Index
- Subject Index