ABSTRACT

Patient confidentiality inevitably overlaps with concerns about the analyst's own privacy throughout the analytic career. Mary Kay O'Neil argues that absolute confidentiality potentially complicates privacy, thereby affecting the analyst's professional development, self-expression, reputation, and legacy. A preliminary report of a survey of current North American and British Societies' and Institutes' policies and practices provides the basis for discussion of this inherent tension in the analyst's experience surrounding confidentiality. Consideration is given to how the profession can assist analysts in maintaining patient confidentiality while protecting their own privacy.