chapter  8
11 Pages

The ethics and responsibilities of record keeping and note taking

WithDAVID PURVES

Ethical practice is one of the most important cornerstones of clinical work. Clients trust that we, the therapist, will not be abusive, manipulative or place our own concerns above those of the client. These trusts are implicit in the therapist-client relationship, but the impetus to ensure these must come from the therapist. One of the most dangerous forms of therapist malpractice is the misuse of power. The UK government, over a period of years, has developed legislation to enable clients (data subjects) to gain greater access to material (data) held on record about them. This serves to reduce secrecy and facilitate openness. The tide of secrecy and paternalism that dominated the medical professions has now turned, at least where the keeping of records and notes is concerned.