Perceptions of the Limitations of Confidentiality Among Chinese Mental Health Practitioners, Adolescents and Their Parents

TitlePerceptions of the Limitations of Confidentiality Among Chinese Mental Health Practitioners, Adolescents and Their Parents
Publication TypeJournal Article
Year of Publication2016
AuthorsRodriguez, MA, Fang, CM, Gao, J, Robins, C, M. Rosenthal, Z
JournalEthics & Behavior
Date Published2016
Publication Languageeng
ISBN Number10508422
KeywordsAdolescents , Attitude , CHINA , confidence , Confidentiality , Data , descriptive , HIGH , Medical , ODDS , ONE-way , Parents , Patients , Privacy , PROBABILITY , PSYCHOEDUCATION , PSYCHOLOGISTS , psychotherapy , Questionnaires , research , SCALE , T-test
AbstractThe present study aims to (a) survey Chinese mental health professionals’ attitudes toward therapeutic confidentiality with adolescent patients in specific clinical situations, and (b) compare Chinese adolescents’ and parents’ beliefs about when most mental health professionals would breach confidentiality. A sample of 36 mental health practitioners, 152 parents, and 164 adolescents completed a survey to assess their opinions about when confidentiality should be breached in 18 specific clinical situations (e.g., an adolescent tells his or her therapist that he or she smoked a cigarette, had unprotected sex, or attempted suicide). Nearly half of the parents (46%) and adolescents (41%) and 78% of the therapists in our sample selected “yes” in response to the question of whether the principle of confidentiality applies to adolescents. However, 49% of parents indicated “no,” and 53% of adolescents indicated “not sure.” Compared to adolescents, parents were significantly more likely to believe that therapists would breach confidentiality for thehigh-breach-likelihooditems. For thelow-breach-likelihooditems, adolescents and parents were significantly more likely than therapists to believe confidentiality should be breached. Results from this study provide data to inform the development, refinement, practical implementation, and communication of guidelines and recommendations specific to adolescents receiving psychotherapy in China. 
NotesRodriguez, Marcus A. 1,2 Fang, Caitlin M. 2 Gao, Jun 1 Robins, Clive 2 Rosenthal, M. Zachary 2,3; Affiliation: 1: Department of Psychology, Fudan University 2: Department of Psychology and Neuroscience, Duke University 3: Department of Psychiatry and Behavioral Sciences, Duke University Medical Center; Source Info: May-Jun2016, Vol. 26 Issue 4, p344; Subject Term: PRIVACY -- Moral & ethical aspects; Subject Term: MEDICAL personnel; Subject Term: ATTITUDE (Psychology); Subject Term: CONFIDENCE intervals; Subject Term: HIGH schools; Subject Term: MEDICAL cooperation; Subject Term: MEDICAL ethics; Subject Term: PROBABILITY theory; Subject Term: PSYCHOLOGISTS; Subject Term: PSYCHOTHERAPY; Subject Term: QUESTIONNAIRES; Subject Term: RESEARCH; Subject Term: SCALE analysis (Psychology); Subject Term: T-test (Statistics); Subject Term: PARENTS -- Attitudes; Subject Term: DATA analysis -- Software; Subject Term: PATIENTS -- Attitudes; Subject Term: DESCRIPTIVE statistics; Subject Term: PSYCHOEDUCATION; Subject Term: ODDS ratio; Subject Term: ONE-way analysis of variance; Subject Term: CHINA; Author-Supplied Keyword: adolescents; Author-Supplied Keyword: China; Author-Supplied Keyword: confidentiality; Author-Supplied Keyword: parents; NAICS/Industry Codes: 611110 Elementary and Secondary Schools; Number of Pages: 13p; Illustrations: 2 Charts; Document Type: Article