This article provides a framework, based on the Tarasoff decision and its sequelae, for examining several confidentiality issues that may emerge in psychotherapy situations related to acquired immune deficiency syndrome (AIDS). Four Tarasoff issues (special therapeutic relationship, dangerousness, identifiable victim, therapist's action to detain and/or warn) are described and applied to therapy situations with clients who have AIDS or are positive for antibodies. Recommendations are provided for psychotherapists dealing with such confidentiality dilemmas.
DOUGLAS H. LAMB received hisPhD in clinical psychology from Florida State University in 1969 and is currently Professor of Psychology and Training Director of the Student Counseling Center at Illinois State University. His current interests include professional training, career passages of psychologists, and how individuals deal with life-threatening events. CLAUDIA CLARK is a PhD candidate in clinical psychology at the University of Toledo. PHILIP DRUMHELLER received his PhD in counseling psychology from the University of Mississippi in 1988 and currently resides in Leeds,
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