[Secrecy in the individual or shared care relationship]

Laurent Schmitt; Juliette Salles; Antoine Yrondi

doi:10.1016/j.spsy.2018.11.002

[Secrecy in the individual or shared care relationship]

Soins Psychiatr. 2019 Jan-Feb;40(320):10-13. doi: 10.1016/j.spsy.2018.11.002.

[Article in French]

Authors

Laurent Schmitt¹, Juliette Salles², Antoine Yrondi²

Affiliations

¹ Service universitaire de psychiatrie et de psychologie médicale du CHU de Toulouse, bâtiment de psychiatrie, 330, avenue de Grande-Bretagne, 31059 Toulouse cedex, France. Electronic address: schmitt.l@chu-toulouse.fr.
² Service universitaire de psychiatrie et de psychologie médicale du CHU de Toulouse, bâtiment de psychiatrie, 330, avenue de Grande-Bretagne, 31059 Toulouse cedex, France.

PMID: 30654872
DOI: 10.1016/j.spsy.2018.11.002

Abstract

Secrecy in the care relationship raises questions. For caregivers in psychiatry, it is an ethical requirement. However, the transparency of the information collected or recommendations upheld by quality departments rock the foundations of the therapeutic relationship. On which aspects is the therapeutic alliance based? How should secrecy be evoked in the team today? Beyond the dual caregiver-patient relationship, mechanisms to ensure the respect of secrecy relies on the institutional level.

Keywords: care relationship; caregiving team; ethics; information; lien thérapeutique; relation de soins; secrecy; secret; therapeutic alliance; équipe soignante; éthique.

MeSH terms

Caregivers / psychology*
Confidentiality*
Humans
Professional-Patient Relations*