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En policy is intended to inform you, the participants in family therapy or couple therapy, that when I agree to work with a couple or a family, I consider that couple or family (the treatment unit) to be the patient. For instance, if there is a request for the treatment records of the couple or the family, I will seek the authorization of all members of the treatment unit before I release confidential information to third parties. Also, if my records are subpoenaed, I will assert the psychothera.
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Subpoenaed FAQ
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If you are in couples therapy, then the rules of confidentiality are set up front. Couples therapists are encouraged to have a “no secrets” rule, meaning that the therapist cannot “hold” sensitive information from one or the other participants.
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3 things you should never tell your marriage counselor "Don't tell my husband/wife this, but ..." Sorry, as marriage counselors we're not supposed to take sides and we can't keep important secrets from your partner. ... 2. " No, I think you're wrong" ... 3. " That's it; I want a divorce"
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The “No Secrets Agreement” allows the therapist to release information learned from one member of the couple to the other member of the couple without it being viewed as a breach of confidentiality.
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Family therapists seek to promote justice and fairness in their practice and to support the rights of all persons to respectful regard and treatment, regardless of age, culture, disability, ethnicity, gender, national origin, religion, sexual orientation, socio-economic status, or related factors.
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You don't have to be ready to disclose the secret in order to let your therapist know that there is one. Additionally, you can talk about and explore with your therapist the reasons why you are keeping the secret. Once the reasons are dealt with, talking about the secret becomes easy.
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In the context of couple, family or group treatment, the therapist may not reveal any individual's confidences to others in the client unit without the prior written permission of that individual.
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Systemic therapy. From families to orchestras, co-workers to sports teams – systemic therapy focuses on relationships between a group of people, rather than solely on an individual's thoughts and feelings. It's often used as an umbrella term to cover family therapy or couples therapy.
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Unique to the ethics in couple and family therapy is the notion of the family or couple system; everyone is impacted both individually and relationally. At times this creates ethical dilemmas in that what is best for the individual may not be best for the couple or family system.
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