Keywords
record keeping
ethical rules
confidentiality
psychotherapy records
How to Cite
Article History
Abstract
It is stated that the ethical framework of psychotherapy records is specified by applicable laws, the Ethic Code of the American Psychological Association (APA) and the Ethic Regulations of the Turkish Psychologists Association. Ethical standards, occupational limitations and legal obligations may in some cases contradict themselves or suggest acting in different ways. In situations that create ethical dilemmas like this, a guideline is needed that will facilitate the ethical decision-making processes of psychotherapists and help balance these requirements. This study, in which a decent case example is given at the end, has been made to address the stated need. This review aims to present a gradual and detailed presentation of the ethical framework regarding the psychotherapy records that start from the first session, continue throughout the process, and are kept after the therapy ends. It is thought that emphasizing the importance of keeping records in psychotherapy in terms of professional ethics will guide psychotherapists. While reviewing the subject; ethical principles and obligations regarding psychotherapy records, purposes of record keeping, characteristics and content of records, the confidentiality of records, client's access to records, sharing of records with third parties and destruction of records are included.
Öz
Psikoterapi kayıtlarının etik çerçevesini ilgili yasaların, Amerikan Psikoloji Birliği (APA) Etik Kodu’nun ve Türkiye’de Türk Psikologlar Derneği Etik Yönetmeliği’nin belirlediği ifade edilmiştir. Etik standartlar, mesleğe özgü sınırlamalar ve yasal yükümlülükler bazı durumlarda kendi içinde ya da birbiriyle çelişebilmekte ve farklı şekillerde davranmayı önerebilmektedir. Bunun gibi etik ikilem yaratan durumlarda, psikoterapistlerin kayıt tutmayla ilgili etik karar verme süreçlerini kolaylaştıracak ve bu gereklilikleri dengelemesine yardımcı olacak bir rehbere ihtiyaç olduğu düşünülmektedir. Sonunda iyi bir uygulama örneğinin de verildiği bu derleme, belirtilen ihtiyacı karşılamaya yönelik yapılmıştır. Bu derlemenin amacı ilk seanstan itibaren başlayan, süreç boyunca devam eden ve terapi bittikten sonra da muhafaza edilen psikoterapi kayıtları ile ilgili etik çerçevenin aşamalı ve detaylı olarak sunulmasıdır. Meslek etiği açısından psikoterapide kayıt tutmanın öneminin vurgulanmasının psikoterapistlere yol gösterici olacağı düşünülmektedir. Konu gözden geçirilirken; psikoterapi kayıtlarıyla ilgili etik ilke ve zorunluluklar, kayıt tutmanın amaçları, kayıtların özellikleri ve içeriği, kayıtların gizliliği, danışanın kayıtlara erişimi, kayıtların üçüncü taraflarla paylaşımı ve kayıtların yok edilmesi ile ilgili bilgilere yer verilmiştir.
Anahtar Kelimeler: Psikoterapi, kayıt tutma, etik kurallar, gizlilik, psikoterapi kayıtları
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