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The impact of self disclosure
The impact of self disclosure
Essays on the benefits and risks of self disclosure
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Self discloser in a part of communication which is cannot be avoided in healthcare setting. healthcare. It plays an important role in building empathetic relationship with patients. When healthcare provider self disclose about him/her self patient feel connected with them and it helps provider to diagnose or evaluate the patients concerns. Sometimes patients ask questions to understand is healthcare provider is capable enough to treat them. Self disclosure can help to bridge the gap in patient-provider relationship and achieve therapeutic goal.
The biggest risk associated with self disclosure is you cannot control the interpretation of self disclosure by patients. Suppose a provider shares his/her clinical condition , it may have two kind
effect on patient, either it will help patient to calm down or raise question about provider's capability. Self disclosure related to personal information increases the risk of misuse of information. I am very comfortable in self disclosure until unless it is too personal in nature. In my past assignment, which was not a healthcare setting, it helped me to build deeper relationship with clients and co-workers.
A basic definition of confidentiality is that information about a patient is not discussed openly (Edge and Groves, 2007). This ethical principle became an issue when the government gave medical facilities lists of people who were in the study. Again, the patients were not informed that they would not be able to
“The Health Insurance Portability and Accountability Act (HIPAA) of 1996 made it illegal to gain access to personal medical information for any reasons other than health care delivery, operations, and reimbursements” (Shi & Singh, 2008, p. 166). “HIPAA legislation mandated strict controls on the transfer of personally identifiable health data between two entities, provisions for disclosure of protected information, and criminal penalties for violation” (Clayton 2001). “HIPAA also has privacy requirements that govern disclosure of patient protected health information (PHI) placed in the medical record by physicians, nurses, and other health care providers” (Buck, 2011). Always remember conversations about a patient’s health care or treatment is a violation of HIPAA. “All PHI is included in the privacy requirements for example: the patient’s past, present or future physical or mental health or condition; the provision of health care to the individual, or the past, present, or future payment for the provision of health care to the individual, and that identifies the individual or for which there is a reasonable basis to believe it can be used to identify the individual” (Buck, 2011). Other identifiable health information would be the patient’s name, address, birth date and Social Security Number (Keomouangchanh, 2011). (Word count 197)
Identity theft has always been in the back of my mind whenever I use my debit card but I wasn’t too concerned about my health information until I learned about HIPAA. It is a very important set of rules and standards that protects our privacy.
Firstly, Self-disclosure is a process of communication in which an individual reveals information about themselves to someone else. The information may be descriptive or evaluative, which may include thoughts, feelings, aspirations,
Disclosure is an essential aspect of a medical professional and his or her patients’ relationships. In the 1950s, the medical client and professional relationship was one of paternalism as opposed to the now fiduciary relationship. Then a paternalistic professional took all of the responsibilities, disclosed what he then thought was necessary, and essentially told the patien...
Disclosing confidential patient information without patient consent can happen in the health care field quite often and is the basis for many cases brought against health care facilities. There are many ways confidential information gets into the wrong hands and this paper explores some of those ways and how that can be prevented.
They argue that therapists should consider their own motivation to self-disclose and set boundaries. The therapists should never put their own needs above the client. They make sure to point out that self discourse alone cannot affect the outcome of treatment. Self-disclosure is effective only if it is used appropriately and only if it is used when it is necessary. The amount of information disclosed and when it is disclosed is also important. Therapists should draw a clear line with the amount of intimacy to include in their therapeutic disclosure to ensure that no inappropriate boundaries are crossed. The authors suggest two rules of thumb to follow when disclosing information which include: (a) “Why do I want to say what I am about to say” and (b) “What will be the likely impact of the client” (p. 567).
6. Should individuals and organizations with access to the databases be identified to the patient
Without patient confidentiality, patients would not be willing to tell about themselves or their family member for fear of it getting out (tTelegraph). If they were asked
Doctors, hospitals and other care providers dispute that they should have access to the medical records and other health information of any patient citing that they need this information to provide the best possible treatment for proper planning. Insurers on the other hand claim they must have personal health information in order to properly process claims and pay for the care. They also insist that this will provide protection against fraud. Government authorities make the same arguments saying that in providing taxpayer-funded coverage to its citizens, it has the right to know what it is paying for and to protect against fraud and abuse. Researchers both medical and none nonmedical have the same argument saying that they need access to these information so as to improve the quality of care, conduct studies that will make healthcare more effective and produce new products and therapies (Easthope 2005).
Firstly, what is self-disclosure? Self-disclosure is a term with numerous meanings but can be described as “disclosure of positive versus negative experiences, sharing an opinion, conveyance of demographic data versus divulgence of intimate details, and communication of emotional reactions similar to those of the patient versus dissimilar reactions” (Ziv-Beiman, 2013). These can also be broken down in to seven subcategories as described by Hill and Knox (2002) as biographical facts relating to the therapist’s life and professional training, feelings, insights into past experiences that exemplify what the therapist has learned about herself, strategies the
...y is not absolute and that the disclosure and justification of some individuals cases can potentially be successful. Moreover the person who disclosed the information will always be the person under scrutiny of the common law. Professionally, if the health care worker adhere to the policy it offers much protection for the topic of confidentiality and the correct attitude to retain information correctly.
Disclosure of pertinent medical facts and alternative course of treatment should not be overlooked by the physician in the decision making process. This is very important information impacting whether that patient will go along with the recommended treatment. The right to informed consent did not become a judicial issue ...
Counselors and researchers differ in their opinions regarding the use of self-disclosure. Some consider it a means to establishing a more effective relationship with patients, especially those from “diverse backgrounds or alternate lifestyles”(Nyman p.269) While others view counselor self-disclosure as having “potentially hazardous patient outcomes” (Nyman p.270). They argue self- disclosure by the counselor “can burden the client with too much information and have a negative effect on the self exploration of the client”(Nyman, p. 270). They also claim counselor self-disclosure may have the potential to cause the client to lose his perceived sense of safety and trust in the counselor and in an extreme case, result in iatrogenesis by causing the client to recall a traumatic situation suffered in the past and ”jeopardize the counseling outcome” (Nyman, p. 270).
The Health Insurance Portability and Accountability Act (HIPAA), Patient Safety and Quality Improvement Act (PSQIA), Confidential Information and Statistical Efficiency Act (CIPSEA), and the Freedom of Information Act all provide legal protection under many laws. It also involves ethical protection. The patient must be able to completely trust the healthcare provider by having confidence that their information is kept safe and not disclosed without their consent. Disclosing any information to the public could be humiliating for them. Patient information that is protected includes all medical and personal information related to their medical records, medical treatments, payment records, date of birth, gender, and