Dilemmas on confidentiality of people with mental health problems

It is a general principle that when so highly sensitive and personal information is shared by the patient with the therapist should be kept secret and confidential. In this study is given a critical discussion about the significance of confidentiality by Mental Health professionals of mental patients “medical” secrets. The justification of confidentiality is based on deontologic principles such us autonomy and trust. Two theoretical frameworks provide a justification for medical confidentiality. First, a principle-based ethic, as set forth by Beauchamp Childress, that explores the basis of confidentiality in terms of “the normal principles it expresses" as well as “the consequences it produces." The second one, is a case-based ethic, as discussed by Baier, which is primarily concerned with interpersonal attachments and the moral decision-making that emanates from those relation-ships.