Should we or shouldn't we? some aspects of the confidentiality of clinical Reporting and dossier access

摘要

In this paper, reservations are expressed about two deviations from analytic neutrality: when the analyst seeks the patient's permission for publication or presentation of clinical material and when the analyst allows the patient access to the dossier under ac- cess-of-information legislation. In the first case, concern centres mainly on the entangle- ment of the patient in the therapist's sanctioned version of their work, an entanglement that might inhibit future revisions of the patient's self-understanding.