Law and Ethics Practice Exam

When a group member reveals confidentiality breaches in a therapy group, what is the most ethical initial action for the therapist?

1. Confront the offending group member during the next session

2. Encourage the concerned client to raise the issue in the group

3. Remind all group members about confidentiality rules

4. Schedule a private meeting with the group member who breached confidentiality

The correct answer is: Encourage the concerned client to raise the issue in the group

Encouraging the concerned client to raise the issue in the group serves several important functions in the therapeutic context. Firstly, it validates the client's feelings and concerns about the breach of confidentiality, reinforcing that such issues deserve attention and discussion. This approach promotes empowerment and self-advocacy, encouraging clients to take an active role in their therapeutic process. Additionally, by facilitating an environment where group members can address issues directly, the therapist fosters open communication and accountability among group members. This can lead to a more collaborative and supportive therapeutic environment, where the importance of confidentiality is collectively understood and respected. Promoting group discussion also allows the therapist to observe the dynamics of the group and gauge the impact of the breach on other members, which is crucial for maintaining a safe therapeutic space. Overall, this approach aligns with the ethical principles of transparency and respect for client autonomy, which are vital in therapeutic settings.