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Confidentiality Dilemmas in Group Psychotherapy

Management Strategies and Utility of Guidelines

Scot E. Purdon

Vanderbilt University

Elizabeth Ochoa

Beth Israel Medical Center

Frank Bloch

Vanderbilt University

This article examines how 100 experienced group psychotherapists report that they would manage problematic ethical incidents related to confidentiality. Findings suggest a relation between therapist gender, office location (private practice, public outpatient, hospital), degree of societal threat explicit in the incident (e.g., threats ofphysical endangerment), and management strategies. There is also some indication that psychoanalytically oriented group therapists are less likely than non-analytically oriented clinicians to contact authorities when confronted with psycholegal issues. Limitations in the study and directions for future research are discussed.

Small Group Research, Vol. 23, No. 2, 169-184 (1992)
DOI: 10.1177/1046496492232002


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