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Disclosure of incidental constituents of psychotherapy as a moral obligation for psychiatrists and psychotherapists

Trachsel, Manuel and Gaab, Jens. (2016) Disclosure of incidental constituents of psychotherapy as a moral obligation for psychiatrists and psychotherapists. Journal of Medical Ethics, 42 (8). pp. 493-495.

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Official URL: http://edoc.unibas.ch/43955/

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Abstract

Informed consent to medical intervention reflects the moral principle of respect for autonomy and the patient's right to self-determination. In psychotherapy, this includes a requirement to inform the patient about those components of treatment purported to cause the therapeutic effect. This information must encompass positive expectancies of change and placebo-related or incidental constituent therapy effects, which are as important as specific intervention techniques for the efficacy of psychotherapy. There is a risk that informing the patient about possible incidental constituents of therapy may reduce or even completely impede these effects, with negative consequences for overall outcome. However, withholding information about incidental constituents of psychotherapy would effectively represent a paternalistic action at the expense of patient autonomy; whether such paternalism might in certain circumstances be justified forms part of the present discussion.
Faculties and Departments:07 Faculty of Psychology > Departement Psychologie > Forschungsbereich Klinische Psychologie und Neurowissenschaften > Klinische Psychologie und Psychotherapie (Gaab)
UniBasel Contributors:Gaab, Jens
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:BMJ Publishing Group
ISSN:0306-6800
e-ISSN:1473-4257
Note:Publication type according to Uni Basel Research Database: Journal article
Identification Number:
Last Modified:27 Oct 2017 12:38
Deposited On:27 Oct 2017 12:38

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