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Therapist responses to requests for disclosure of therapeutic records: an introductory study

Jenkins, P 2003, 'Therapist responses to requests for disclosure of therapeutic records: an introductory study' , Counselling and Psychotherapy Research, 3 (3) , pp. 232-238.

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Abstract

This paper describes a questionnaire survey of therapists in the UK who have been subject to requests for disclosure of client records as part of a legal process. Therapist responses are outlined in terms of the perceived effect of such disclosure on the client, therapist and the therapeutic relationship. Negative effects included the experience of exposure of sensitive client material in an adversarial legal system, of powerful emotional responses by therapists, and a sense of feeling professionally de-skilled in an unfamiliar and often challenging legal environment. Positive effects for the client included the achievement of valued outcomes such as compensation, and, for the therapist, the facilitation of support for the client in this process. These findings are discussed in terms of a contrast between therapist perceptions of consensual and contested disclosure. In the former, therapist and client are in agreement about the restorative value and outcome of disclosure. In contested disclosure, the process is experienced as disrupting therapeutic privacy, undermining professional self-confidence and introducing an unwelcome element of critical re-evaluation of client motives for undertaking therapy.

Item Type: Article
Themes: Subjects / Themes > R Medicine > R Medicine (General)
Subjects / Themes > B Philosophy. Psychology. Religion > BF Psychology
Health and Wellbeing
Subjects outside of the University Themes
Schools: Colleges and Schools > College of Health & Social Care
Colleges and Schools > College of Health & Social Care > School of Nursing, Midwifery, Social Work & Social Sciences > Centre for Social Justice Research
Journal or Publication Title: Counselling and Psychotherapy Research
Publisher: Routledge Taylor & Francis
Refereed: Yes
ISSN: 1473-3145 (print) 1746-1405 (online)
Depositing User: H Kenna
Date Deposited: 15 Jan 2009 09:30
Last Modified: 20 Aug 2013 16:52
URI: http://usir.salford.ac.uk/id/eprint/1130

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