By Fiona Palmer Barnes

What's strong perform while dealing with a grievance? what's the moral foundation of such perform? Fiona Palmer-Barnes can pay equivalent cognizance to either those concerns that are crucial for psychotherapists and counsellors working towards at the present time. Drawing on her massive adventure of dealing with lawsuits for either the British organization for Counselling and the uk Council for Psychotherapy, she delineates the fundamentals for placing in position a qualified and moral approach of research and motion. Illustrated via case examples, the guide covers all points of lawsuits and criticism administration: * competence * agreement * confidentiality * error or malpractice * rules for facing court cases * research * adjudication * sanctions * results * appeals It comprises invaluable addresses, present codes of ethics from significant umbrella firms, protocols and pattern letters.

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The attitude of the practitioner will be crucial in determining the degree of trust the patient may feel. The patient has a general and sometimes a specific need to be certain that sensitive personal information will not be passed on to other parties. Without this reassurance, patients will feel inhibited by a lack of safety and they may well leave. The close professional relationship with the practitioner requires openness about the most intimate thoughts, fears and fantasies, current and past situations, opinions and values.

In private practice the practitioner might say ‘What we say here is confidential and remains between us, but from time to time I discuss my work with one or two colleagues and I would expect to be able to discuss our work in this way. I would, of course, not identify you by name. ’ Should the patient wish to know who has access to his or her file, the practitioner, while possibly treating the question as clinical material, needs to inform the patient of the limits of confidentiality. It is important to explain that supervision is the way that work is monitored professionally and that this serves as a safety net for the patient.

No supervisor should take an uninsured practitioner into supervision or consultation. Content and use of time The supervisor and practitioner need to consider the work that the practitioner wishes to bring to supervision and whether the supervisor agrees that it is appropriate. In the early stages of training the practitioner’s entire caseload is usually supervised. Once training is complete the practitioner may wish to concentrate on one patient in supervision. However, in the case of psychotherapy or analytic training the weekly supervision will concern one training patient only.

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