W. Bernet, RUNNING SCARED - THERAPISTS EXCESSIVE CONCERNS ABOUT FOLLOWING RULES, Bulletin of the American Academy of Psychiatry and the Law, 23(3), 1995, pp. 367-374
Mental health professionals sometimes excessively follow rules and reg
ulations to the point of neglecting or even injuring their clients. Fi
ve vignettes are presented that illustrate how this problem might occu
r in clinical or administrative decisions. The vignettes involve confi
dentiality, informed consent, reporting of sexual abuse, and other iss
ues. Several specific recommendations are made that emphasize common s
ense and clinical reasoning, rather than relying merely on legal reaso
ning.