Negotiating Consent in Psychotherapy

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Overview

Psychotherapists have an ethical requirement to inform clients about their treatment methods, alternative treatment options, and alternative conceptions of their problem. While accepting the basis for this "informed consent" requirement, therapists have traditionally resisted giving too much information, arguing that exposure to alternative therapies can cause confusion and distress. The raging debates over false/recovered memory syndrome and the larger move towards medical disclosure have pushed the question to the fore: how much information should therapists provide to their clients?

In Negotiating Consent in Psychotherapy, Patrick O'Neill provides an in-depth study of the ways in which therapists and clients negotiate consent. Based on interviews with 100 therapists and clients in the areas of eating disorders and sexual abuse, the book explores the tangle of issues that make informed consent so difficult for therapists, including what therapists believe should be part of consent and why; how they decide when consent should be renegotiated; and how clients experience this process of negotiation and renegotiation.

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Editorial Reviews

Booknews
Based on 92 interviews with clients and with therapists who consider themselves specialists in treating eating disorders, working with survivors of childhood sexual abuse, or treating sex offenders, this study explores how therapists cope with the demands to negotiate consent with their clients and how clients perceive this process. Annotation c. by Book News, Inc., Portland, Or.
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Product Details

  • ISBN-13: 9780814761953
  • Publisher: New York University Press
  • Publication date: 11/1/1998
  • Series: Qualitative Studies in Psychology Series
  • Edition description: New Edition
  • Pages: 200
  • Product dimensions: 5.80 (w) x 8.90 (h) x 0.60 (d)

Meet the Author

Patrick O'Neill is Professor of Psychology at Acadia University in Nova Scotia. He is also a coauthor of Community Consultation.

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Table of Contents

Acknowledgments
Introduction: Therapy as Narrative Structure 1
1 Informed Consent as a Challenge for Psychotherapists 10
2 Asking Questions 27
3 Making Meaning 40
4 Clients with Rating Disorders 53
5 Survivors of Sexual Abuse 93
6 Sex Offenders 136
7 Conclusion: Therapy as Negotiated Transition 164
References 177
Index 185
About the Author 189
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