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Abstract:
The problem. This study examined marriage and family therapists' (MFT) policies, perspectives and procedures regarding family secrets. When secrets are shared with the family therapist that is obscured to the rest of the family unit, family systems practitioners will encounter clinical and ethical therapeutic conundrums. Furthermore, it is unfeasible for professional organizations with ethical codes of conduct to provide ethical guidelines in every perplexing ethical circumstance. Clinical and ethical ramifications arise, as a result of these puzzling treatment circumstances. Family therapists need to carefully anticipate ethical dilemmas that involve confidentiality when the client consists of more than one individual in therapy. Therefore, it is pertinent for family practitioners to evaluate their ideologies and practices pertaining to family secrets. Given that the available research in the area of marriage and family therapy in relation to family secrets was limited, this study attempted to investigate the policies, procedures and perspectives of family system practitioners. Method. Seventy-nine licensed family system clinicians from various mental health disciplines were recruited at professional seminars and conferences for voluntary participation. After obtaining the participants' consent to partake in the study, family system practitioners were asked to complete one self-report measure. Pearson Chi-Square was utilized to assess which sociodemographic characteristics were significant in influencing policies, practices and clinical and professional judgment in dealing with family secrets in family therapy. Results. The results of this study demonstrated that there were statistically significant differences between sociodemographic variables and policies, procedures, and clinical and professional judgment of licensed mental health practitioners. A significant relationship was discovered between age and practices in therapy and clinical and professional judgment. In addition, the study found a significant difference between ethnicity and practices in family therapy when confronted with family secrets. Also, a meaningful difference was discovered between family system practitioners that are currently practicing and their professional ideologies concerning the field of mental health. Furthermore, practices in family therapy were found to be significantly related to participants' clinical experience. Lastly, professional licensure was significantly related to the respondents' policies, practices and clinical and professional judgments in family therapy when confronted with ethical dilemmas.
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