The confidentiality of individual cases in psychological counseling is special, and the principle of confidentiality can be broken under certain circumstances, such as the suicide of visitors.
Of course, in addition to suicide visitors can break the confidentiality principle, they can also break the confidentiality principle in other cases.
First, when consultants discuss with each other or give better help to visitors, they can share it normally, but it can only be limited to sharing among consultants.
Secondly, when the consultant participates in the supervision, the consultant seeks supervision from the supervisor and can share it with other consultants during the discussion and exchange, which breaks through the principle of confidentiality to some extent.
Third, of course, even if the above two can break through the principle of confidentiality, when sharing, the consultant does not mean that he can completely disclose all the information of the visitors, but still try to hide some extremely important individual characteristics of the visitors and protect their privacy as much as possible.
I think your's answers are very formal and rigorous. I won't move this book. Let me talk about my own practice! During my work in the Women's Federation. There is a need for an interview. The TV station asked for an example of domestic violence. There are many situations. But I can't disclose their information, even the details of the case. Because the program of this TV station has very high ratings in the local area. If I tell them the details of the case, it may hurt them. So my approach is: choose a few real cases. Break up all the details of their case and reorganize it into a story case. This not only truly restores the facts of domestic violence, but also reminds the audience of the correct way to deal with it and ask for help. Without hurting my client. It can also serve as a warning to society.
The boundary is that, in any case, you can't let everyone see this case and have a chance to know that it is this person, and do everything possible to avoid disturbing the parties. Therefore, even if the teaching case has signed a sharing agreement with visitors, the following preventive measures should still be taken:
1, basic privacy protection, personal information of visitors is strictly prohibited.
2. You can write stories to share, but it is strictly forbidden to directly publish the original conversation between the visitor and the consultant and the original words said by the visitor. Students who need to learn consultation recording must also sign a confidentiality agreement and study in a relatively closed environment. It is strictly forbidden to discuss the case afterwards.
3. Before sharing, it is necessary to modify the anthropological data of visitors, such as age, gender, occupation, etc.
4. The case to be shared is preferably a comprehensive case, that is, only the similarities in similar cases are shared, and similarities are extracted from multiple cases to form a virtual case. (Just conceptualize the case. )
5. The case-handler must put an end to some subjective evaluation of the case, such as avoiding saying, "I think there is a kind of depressed patient who is too idle, which can be seen from the case." The evaluation given in the case must be "psychological", "described in standard diagnostic language" and "value neutral and objective".
In view of the above points, we need to add that we may mistakenly think that the more real cases are more valuable for reference, but in fact it is just the opposite. Those highly abstract and summarized cases are more obvious and valuable for reference, and everyone with similar problems will be inspired and helped.
More importantly:
When people with the same troubles know that such cases are combined cases, these shared cases will have a healing effect. You know, when we finally find that many people have similar problems to ourselves, we won't feel weird, lonely and helpless. If organic diseases are not considered, self-strangeness and loneliness can be said to be the culprit of almost all psychological problems.
In addition, the definition of each counselor may be different. And what is the meaning of caring? Manufacturing consulting dependence is not only bad, but also immoral. It is unhealthy for patients to feel "extremely warm" in a short time. More importantly, let patients have the energy to recover. This is the purpose of negotiation.
With the consent of the parties, the traceable information is hidden.