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Case Study #20

The Client's Right to Give Informed Consent

When to inform the client. During the course of therapy, Sergio provides his therapist (Carol) with his private journal. He hopes it will augment his therapy as well as safeguard it from the wife that he is presently divorcing. Sometime later, Carol refers Sergio to a colleague who is more experienced in his problem area. At the time of the referral, Carol gives Sergio's journal to the new therapist. Several weeks later, Sergio requests the return of his journal. Carol informs him that she has given his journal to his new therapist.

Question 1: Was Carol justified in handing over the journal to the new therapist solely because she believed that it would be helpful to Sergio?

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Question 2: Would you consider her behavior ethical? Why or why not?

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Question 3: If Sergio was requesting the journal to give to his new therapist, would that make a difference? Explain.

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