D. Gardner et J. Marzillier, DAY-TO-DAY MAINTENANCE OF CONFIDENTIALITY - PRACTICES AND BELIEFS OF TRAINEE AND QUALIFIED CLINICAL PSYCHOLOGISTS IN THE UK, Clinical psychology and psychotherapy, 3(1), 1996, pp. 35-45
Day to day maintenance of confidentiality by clinical psychologists is
one of several areas of ethical practice that has been little researc
hed in the UK. This study describes results from a survey of clinical
psychologists working in the adult mental health speciality and a comp
arison group of trainee psychologists. Respondents rated the frequency
with which they practised 11 behaviours relating to unintentional dis
closure of information, discussion of cases and securing files. They a
lso rated the ethical acceptability of the same 11 behaviours. Qualita
tive data on the constraints on maintaining confidentiality were also
collected. Results demonstrated that absolute confidentiality was not
the norm and that clinicians' practices fell short of their beliefs ab
out ethical acceptability. The results and their implications are disc
ussed along with suggestions for further research.