Guarding confidentiality in clinical groups: The therapist's dilemma

H. B. Roback, E. Ochoa, F. Bloch, S. Purdon

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


This study examines the confidentiality practices of highly experienced, well-trained group psychotherapists. A provocative finding was that practitioners rarely inform prospective clients of confidentiality limitations. Their reluctance to do so appears to be based upon the belief that it might discourage persons from entering treatment, as well as having negative ramifications for the therapeutic process (e.g., members may be less likely to talk about unprotected topics). The prevalence and content of breaches in confidentiality are explored. Ethical, legal, clinical, and educational implications of these and other findings are addressed. Research recommendations are offered.

Original languageEnglish
Pages (from-to)81-103
Number of pages23
JournalInternational Journal of Group Psychotherapy
Issue number1
StatePublished - 1992
Externally publishedYes


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