Title

Confidentiality Limits of Managed Care and Clients’ Willingness to Self-Disclose

Document Type

Article

Publication Date

1998

Keywords

confidentiality in client–therapist relationship & managed care oversight & reporting requirements, willingness to self disclose, psychotherapy patients (mean age 39 yrs)

Digital Object Identifier (DOI)

http://doi.org/10.1037/0735-7028.29.6.553

Abstract

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.

Was this content written or created while at USF?

Yes

Citation / Publisher Attribution

Professional Psychology: Research and Practice, v. 29, issue 6, p. 553-558

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