Confidentiality Limits of Managed Care and Clients’ Willingness to Self-Disclose
confidentiality in client–therapist relationship & managed care oversight & reporting requirements, willingness to self disclose, psychotherapy patients (mean age 39 yrs)
Digital Object Identifier (DOI)
The confidentiality of the client–therapist relationship has been seriously challenged by managed care oversight and reporting requirements. The impact of such requirements on psychotherapy clients' willingness to disclose was explored. Three descriptions of confidentiality limits were presented: standard limits of therapeutic confidentiality, a rationale for client acceptance of limited confidentiality, and the typical informational requirements of managed care. Clients and potential clients showed less willingness to self-disclose under managed care conditions than standard confidentiality limits. Psychologists must increase awareness of confidentiality issues and advocate strongly for changes in managed care requirements that inhibit disclosure and interfere with psychotherapy.
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Citation / Publisher Attribution
Professional Psychology: Research and Practice, v. 29, issue 6, p. 553-558
Scholar Commons Citation
Kremer, Thomas G. and Gesten, Ellis L., "Confidentiality Limits of Managed Care and Clients’ Willingness to Self-Disclose" (1998). Psychology Faculty Publications. 1446.