Two major sociocultural developments in our society have profoundly impacted upon the practice of psychotherapy and psychoanalysis.
The ever-increasing violence has brought about an understandable societal concern that therapists become proactive in alerting law enforcement agencies and possible victims of any POSSIBLE violence intended by their patients.
A whole array of legal mandates and court decisions have emphasized the therapist's responsibilities towards society as watchdog and informant.
I will suggest that as important as this safeguarding is, it is incompatible if not irreconcilable with the analyst's action. ot only does it abrogate the patient's trust and the therapeutic relationship, it also communicates the patently anti-analytic message to the patient that we must be afraid of our strong and violent feelings.
The second social development which has raised serious ethical dilemmas for us is managed mental health insurance.
Probably in part brought on by our own conscious and unconscious avarice, managed mental health has certainly guarded against these abuses, but on the other hand has brought on such necessary expedients as the divulgence of privileged material to get insurance compensation, and triaging of covered sessions for the welfare of the patient.
These two social developments and the ethical dilemmas they present are discussed, and examples are given.
Mots-clés Pascal : Ethique, Relation thérapeutique, Cure psychanalytique, Traitement, Violence, Assurance maladie, Homme
Mots-clés Pascal anglais : Ethics, Therapeutic relation, Psychoanalytic cure, Treatment, Violence, Health insurance, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0069135
Code Inist : 002A27A. Création : 21/05/1997.