This is a response . This is about the article by Weinstock &…
Question Answered step-by-step This is a response . This is about the article by Weinstock &… This is a response. This is about the article by Weinstock & Weinstock. After reading the article, includean explanation of a key concept from the articleyour response to that concept, as it is developed in the article, in relation to confidentialityImage transcription textCLINICAL FLEXIBILITY AND CONFIDENTIALITY:EFFECTS OF REPORTING LAWS Robert Weinstock, M.D.,and Diana Weinstock, Ph.D. ABSTRACT: Lega… Show more… Show moreImage transcription textto others or may have abused a child. Child abuse reports often arerequired prior to a thorough evaluation of the situation despite atherapist’s preferences for alternative actions. Such legal… Show more… Show moreImage transcription textand understandable concern about rapidly escalating reports of childabuse. The extensive disclosures of child sexual abuse has createdstrong reactions in the public as well as among some ther… Show more… Show moreImage transcription textby the law to act in ways they consider unethical, i.e., when anunnecessary and unproductive breach of confidentiality is manda- tedor coerced through fears of liability. However, many other … Show more… Show moreImage transcription textabuse as reported by my patient had not been as extreme as reportedby the wife. Furthermore, the patient and I had been therapeuticallyworking on the problem and I anticipated an early resoluti… Show more… Show moreImage transcription textIt is not our intention to question the value of Child Protective Services,but it is unrealistic to expect that overworked state agencies alwayswill do a better job than involved and motivated clinicians. … Show more… Show moreImage transcription text140,000 reports per year. It is likely that similar percentages exist inmany parts of our country and that such numbers are far beyond thecapacity of overworked and understaffed state agencies…. Show more… Show moreImage transcription textwhen courts expanded potential liability in totally unreasonable wayswhich were based upon the expectation that psychothera pists wereclairvoyant and could predict the future.15-18 As stated by… Show more… Show moreImage transcription textexist in the child abuse reporting statutes. Therapists who do not reportas well as warn, under the “Tarasoff” laws and decisions,depending on the circumstances, risk at most potential ma… Show more… Show moreImage transcription text204 PSYCHIATRIC QUARTERLY METHOD A questionnaire oncontroversial ethical issues was sent to mem- bers of the Psychiatryand Behavioral Science Section of the Amer- ican Acade… Show more… Show moreImage transcription textCASE EXAMPLES Case I Mrs. A. lived contentedly and comfortably in arural community with her husband and two teenage children. One nighther hus- band reached over and touched her much as he … Show more… Show moreImage transcription texttimes in their 18 years of marriage. However, this time something wasdifferent. Mrs. A. suddenly gasped, and ran out of bed sobbinghysterically. Neither Mrs. A. nor her husband understood t… Show more… Show moreImage transcription textexperiencing a betrayal by a psychotherapist. Mrs. A. left therapy, stilllocked into her marital problems with no help in resolving them. Case 2A 20-year-old female student expressed concern to her t… Show more… Show moreImage transcription textPSYCHIATRIC QUARTERLY source of the information be secret. Hewas assured by the social worker who took the report that his requestswould be honored. Instead, through an error, another socia… Show more… Show more Image transcription textCase 4 A 28-year-old graduate student from India came into treatmentbecause he had murderous impulses towards his wife. They had twochildren and she did not want to have more because their… Show more… Show moreImage transcription textthe intent of the statutes, he may feel he has no choice. Hopefully,courts too will recognize that the intent of the law is to protect fromactual danger and support a therapist who does not repor… Show more… Show moreImage transcription textDISCUSSION The results of the survey indicate that most respondentforensic psychiatrists see an ethical problem in reporting and warningin order to provide themselves with maximum legal protec… Show more… Show moreImage transcription texting. However, most therapists still will attempt appropriate clini- calmethods to protect potential victims and to prevent their pa- tientsfrom acting out their violent feelings. The survey also foun… Show more… Show moreImage transcription textprotecting the child, in a manner that is in the child’s best inter- ests. Inorder to prevent ongoing or future abuse of a child, viola- tions ofclinical confidentiality sometimes may be necessary, but o… Show more… Show moreImage transcription textHopefully, complacency about earlier violations of confidentiality under”Tarasoff” to which the profession may have overreacted,will not blind therapists to the new and unprecedented da… Show more… Show moreImage transcription textsarily and voluntarily to an extent even greater than mandated by thelaw, when such violations appear to benefit no one. Acknowledgement.The authors wish to thank Richard Rosner, M.D. for distri… Show more… Show more Arts & Humanities Philosophy PHIL 4401 Share QuestionEmailCopy link Comments (0)
