Competing Ethical Interests Regarding Privacy and Accountability in Psychotherapy

This article focuses on how three different parts of Jane’s multidisciplinary care (i.e. clinicians, policy professionals and medico-legal professionals) exhibit diff erent competing ethical priorities. Psychotherapeutic clinicians private use of audio recordings of the therapy enhances patient care and their own professional development but with the risk of concealing possible unethical behaviour by either party. Medico-legal access to the therapy recordings pre serves potentially relevant evidence in the pursuit of justice but risks the interpretation of the psychotherapeutic information outside of the therapeutic context. Policies advocating the inclusion of the therapy recordings in the medical record improves clinician (and health service) accountabilit y but risks harming the vulnerable patient due to threats to patient-therapist confidentiality.
Source: Journal of Bioethical Inquiry - Category: Medical Ethics Source Type: research

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Publication date: Available online 18 August 2019Source: Journal of Anxiety DisordersAuthor(s): Casey L. Straud, Jedidiah Siev, Stephen Messer, Alyson K. ZaltaAbstractThere is conflicting evidence as to whether military populations (i.e., veteran and active-duty military service members) demonstrate a poorer response to psychotherapy for posttraumatic stress disorder (PTSD) compared to civilians. Existing research may be complicated by the fact that treatment outcomes differences could be due to the type of trauma exposure (e.g., combat) or population differences (e.g., military culture). This meta-analysis evaluated PTSD ...
Source: Journal of Anxiety Disorders - Category: Psychiatry Source Type: research
Researchers say drug is safe and appears more effective than conventional treatmentsThe first study looking into the use of MDMA to treat alcohol addiction has shown the treatment is safe and early results show encouraging outcomes from the approach, scientists have said.Doctors in Bristol are testing whether a few doses of the drug, in conjunction with psychotherapy, could help patients overcome alcoholism more effectively than conventional treatments. Those who have completed the study have so far reported almost no relapse and no physical or psychological problems.Continue reading...
Source: Guardian Unlimited Science - Category: Science Authors: Tags: Alcoholism Drugs Mental health Science Society Medical research Source Type: news
Researchers say drug is safe and appears more effective than conventional treatmentsThe first study looking into the use of MDMA to treat alcohol addiction has shown the treatment is safe and early results show encouraging outcomes from the approach, scientists have said.Doctors in Bristol are testing whether a few doses of the drug, in conjunction with psychotherapy, could help patients overcome alcoholism more effectively than conventional treatments. Those who have completed the study have so far reported almost no relapse and no physical or psychological problems.Continue reading...
Source: Guardian Unlimited Science - Category: Science Authors: Tags: Alcoholism Drugs Mental health Science Society Medical research Source Type: news
CONCLUSIONS: Methodologically, rigorous research advancing current understandings of non-specific components may increase effectiveness across different treatments, potentially benefitting large numbers of patients. Brief training for clinicians and structuring clinical communication should be used more widely in practice. PMID: 31412975 [PubMed - as supplied by publisher]
Source: Epidemiology and Psychiatric Sciences - Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research
Authors: Wongpakaran N, Wongpakaran T, Kuntawong P Abstract The study aimed to development a short screening scale for borderline personality disorder (Short-Bord), and to validate its psychometric properties using Rasch analysis. Ninety-eight outpatients undergoing psychotherapy were evaluated using a semistructured diagnostic interview for DSM-IV Personality disorders. Correlational analysis and Rasch analysis were used to identify the best-fitted items for the shorter scale. Rasch analysis identified three underfitted items. The best five items were selected for the Short-Bord using two analyses, resulting in tw...
Source: Asian Journal of Psychiatry - Category: Psychiatry Tags: Asian J Psychiatr Source Type: research
ConclusionsPostpartum women face many barriers to psychiatric care. Mental health care embedded within the pediatric setting lowers barriers to care during this critical period. These insights should inform further collaboration between adult psychiatrists and pediatric care providers.
Source: Academic Pediatrics - Category: Pediatrics Source Type: research
Yesterday I found myself in the familiar presence of people who have been pivotal in my life for 40 years. Like everyone else I now know and love, they were once strangers, going about their own lives, not knowing I existed either until our paths crossed.  Most of us were college students, enrolled in psychology, sociology and teaching programs at what once was called Glassboro State College in Glassboro, NJ. The name has since been changed to Rowan University, but it will always be GSC to me. One of the mainstays of the school was a crisis intervention/counseling center called Together, Inc. Not sure who it was tha...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Friends Personal Psychotherapy Friendship Loneliness Old Friends Social Health Source Type: blogs
CONCLUSION: Patients with depression report individually different treatment preferences. These findings underline the importance of elucidating patients' preferences within a shared decision making process as recommended by treatment guidelines. There is a need of evidence-based information on the role of alternative therapies in the context of depression treatment. PMID: 31412368 [PubMed - as supplied by publisher]
Source: Psychiatrische Praxis - Category: Psychiatry Tags: Psychiatr Prax Source Type: research
Authors: García-Mieres H, Niño-Robles N, Ochoa S, Feixas G Abstract Current research and clinical practice in person-centered approaches highlight the importance of self, identity, and personal meanings in psychosis. Previous research has focused on dimensions of self, but less attention has been paid to the personal meanings involved in identity. The Personal Construct Theory framework and the Repertory Grid Technique (RGT) allow the study of identity and personal meanings within person-centered approaches of psychopathology and treatment in psychosis, as suggested by studies that began more than 40 ...
Source: Clinical Psychology and Psychotherapy - Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research
ConclusionBased on these results, the EASE is valid in terms of content, internally consistent, clear, and acceptable to patients with seizures. The measure has now been developed to the stage at which the validity and reliability as well as the psychometric properties and factorial structure of the new instrument can be assessed in larger patient groups in a prospective clinical study.
Source: Epilepsy and Behavior - Category: Neurology Source Type: research
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