Reflection On The Issue Of Confidentiality

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Reflection On The Issue Of Confidentiality

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Question:
Write a reflection on the issue of confidentiality and its limits is fraught with problems for the psychologist, the client and the reputation of the profession. It is a very delicate balance especially when there is harm, crime or abuse. An inexperienced psychologist can easily get into trouble, even legal trouble.

Answer:

Issue of Confidentiality
Confidentiality is becoming a growing issue in the profession of psychologist. The profession of psychologist would not be in existence, if the psychologists are not capable of maintaining the confidentiality in their therapies. As per my viewpoint, confidentiality is not just about content of therapy, but also it includes the fact that the client is under the therapy session. For example, if any client describes abusive behavior towards their children, the therapist is bound to file a report with social services. In my opinion, psychologists should discuss with their clients the limitations of confidentiality in the interests of safety and compliance with the law.
Limitations of psychologists
The patients going through the traumatic life changes are especially unwilling to share their private feelings with others. The professionals are strictly restricted by the state laws to protect the private information of the patients. However, inexperienced professionals often break the laws of confidentiality causing issues to the patients. For example, the inexperienced professionals often share the private information of the patients over the voicemail, which can lead to the confidentiality issue for them.
Reputation of the profession
As per my research, a good reputation is harder to build than to destroy. Building a good reputation needs efforts, time and patience. Therefore, psychologists behave ethically with their clients and maintain the reputation of their profession. According to me, being loyal to one’s own profession will always result in great success or otherwise it leads to issues with their reputation.
Trouble faced by inexperience psychologists
Based on my valuable learning, inexperience psychologists are bound to face trouble and hassles in their profession at the beginning. Age and experience plays a factor in the starting of a profession. Clients tend to accuse inexperience psychologists if they are not satisfied with the solution. This also leads to legal trouble at times. In such situations, it becomes difficult for them to balance. For example, many inexperienced psychologists in Malta have been alleged by the state law for their issues with confidentiality. It has severely hampered their reputation in their professional field.
Media Issues
After an extensive research, I found that we have become more dependent on technology. Malta is also developing and hence more training on e-therapy is needed. Psychologists do not make public views or statements about their activities that are not true or fraudulent. For example, in Malta, psychologists use TV, radio and other media channels for educating the confidentiality of the profession.

The State Psychology Boards and the Associations
In my opinion, the Board of Malta Psychology profession has an essential responsibility where the Board decides seeing that one has the right requirements and needs to check on the applicant’s skills and if he is mentally adequate. According to me, the board should keep an eye on the new applicant’s eligibility
Ethics of multiple relationships
As per my learning experience, it is unethical in a psychologist’s profession to have multiple relationships. This is a drawback for a psychologist as it might get him less clients if others find out about the multiple relationships. Therefore, I feel the code of ethics protects the psychologists and the client by maintaining boundaries, which is important.
Ethics and minors and the work of an educational Psychologist
There is a confusion between educational and child psychologists in Malta. In my opinion, both should follow the common principle by giving importance and priority to children and the advocacy principle for finding out the interest of the children. However, confidentiality plays a complex role when the clients are minors and the parents are involved. For example, patients, who participate in couple counselling or family counselling, expect to receive information from the therapists that lay out confidentiality parameters of therapy.
The work of a Clinical and Counselling Psychologist
As per my research, there are well developed clinical and counseling psychologists in Malta. They tend to overlap each other as both courses have similar study units. Although, clinical psychologists aim on the pathological aspect and on the other hand, psychologists focus on humanistic psychology. For a valid clinical assessment, the conversation between the clients and the psychologists must be conceptual. However, both clinical and counseling psychologists are required in Malta.
The role of a Psychology Officer
From my experience, I can state that unlike other professionals, a psychology officer after completing the course of under graduation must not be warranted because of an absence of specialized training. Therefore, they are limited in the area of competence. They still maintain boundaries and cannot disclose any kind of personal information.

The role of a Health Psychologist
According to me, health psychology is the only sphere in psychology that deals with physical health and is majorly affected by a bio psychosocial model. Unless there are threats of physical harm, confidentiality is maintained. Consent of treatment was organized with every client. In case of a minor, a consent form from the parents is usually needed. For example, the mental-health professionals are not permitted to comply reflexively will every request of an insurer for a treatment record of patient.
Psychologists and social media
As per my research, I observed that unlike other profession, psychologists are restricted to social media. Although they are allowed to have an official page where they can post and update articles related to their profession. They also advertise their workshops and conferences. They are not allowed to talk to their clients on any social platform.
The role of work of a Forensic Psychologist
From my experience, I observed that Forensic Psychologists should be manipulative with their clients and must be able to see their needs and weakness. Unlike other psychology profession, forensic psychologists are generally encouraged to disclose all the relevant information obtained to other professionals, which is not ethical. For example, forensic psychologists are only allowed to share patients’ information, when it is related to any legal aspect.

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