Family secrets in family therapy: An ethical dilemma

Cristy, Barbara L. E.

doi:10.1080/15426432.1982.10383410

Cited by 3 publications

(1 citation statement)

References 2 publications

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“…Unless this is clarified it becomes impossible, for example, to determine what and whose information is to be kept confidential and from whom. As Christy (1982) notes, an interesting ethical question is "does thc clinician have the right 10 disregard confidentiality if research and pracficc wisdom indicate that, for example, 'uncoeering family sccrcts improves family functioning?"' In this insrancc, studies on intelvcntion and clinical experiencc indicate that revealing very personal material rclated to drinking is highly cffeclive.…”

Section: Ethical Issuesmentioning

confidence: 99%

An Ethical Assessment of Structured Intervention with Chemically Dependent Clients

Dsw

1998

Employee Assistance Quarterly

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Structured intcrvention is a widely accepted approach to helping the chemically dependcnt clicnt get treatment. Because this method departs from the tradition of the client dircctly sceking help, it raises unique ethical dilemmasfor both client and practitionerincluding issucs of self-determination, secrecy, coercion, environmental manipulation, and "fair exchange." Analysis o f these issues using a model for ethical decision-making is followed by discussion of fow ethical options for the practitioner. The authors identify a preferred ethical position based on theoretical and practice knowledge plus professional and personal values. [Article copies available for a fee fmm The Haworfh Document Delivery Service: 1-800-342-9678. E-mail address: getin/o@howorth.com]

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Section: Ethical Issuesmentioning

confidence: 99%

An Ethical Assessment of Structured Intervention with Chemically Dependent Clients

Dsw

1998

Employee Assistance Quarterly

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AIDS: Confidentiality and the social worker

Goldberg

1989

Social Thought

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Disclosure dilemma: Revealing biological paternity to family and others after unexpected direct‐to‐consumer genetic results

Grethel,

Ross,

Obadia

et al. 2024

Family Relations

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ObjectiveThis study explores the experiences of direct‐to‐consumer (DTC) genetic test results of recipients who learn of unexpected biological paternity, not parent expected (NPE). We characterize the process of disclosing NPE discoveries, as well as the benefits and the repercussions of such disclosures on individuals, families, and others.BackgroundThe popularity of DTC genetic testing is increasing. Consequently, many discover unexpected information about their ancestry, heritage, and paternity.MethodsThis qualitative study used an inductive thematic analysis of in‐depth interviews with adults (n = 27; aged 40–70) who received DTC genetic test results revealing unexpected biological paternity.ResultsThe NPE disclosure dilemma encompasses uncertainty about narrating their discovery; gauging the dispositions of others; wondering what repercussions may arise; and managing feelings about stigma, betrayal, and anger. Culture, history, and family dynamics are vital in navigating disclosures. A desire to understand their origins, connect with new genetic families, and validate their sense of self is essential. Biological connections of kinship remain important arbiters of relatedness for many individuals.ConclusionDisclosure of NPE discoveries differs from other stigmatized identities because the secret belongs to someone else; thus, self‐disclosure affects the entire family system.ImplicationsDrawing on family systems theory and disclosure processes model, our findings provide insights into the intricate dynamics inherent in NPE disclosure.

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Family secrets in family therapy: An ethical dilemma

Cited by 3 publications

References 2 publications

An Ethical Assessment of Structured Intervention with Chemically Dependent Clients

An Ethical Assessment of Structured Intervention with Chemically Dependent Clients

AIDS: Confidentiality and the social worker

Disclosure dilemma: Revealing biological paternity to family and others after unexpected direct‐to‐consumer genetic results

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