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Candidates are especially vulnerable when their personal analyses are spoken or written about by their analysts, given the risk of recognition by the candidate or by someone in the candidate’s professional and social circles. Possible consequences include undermining a candidate's identification with psychoanalysis as a future career and even adversely affecting a candidate's opportunity to pursue analysis as a career if, for example, those hearing the material take it to indicate a serious problem with the treatment. Presenting clinical material about a candidate could thus border on becoming a reporting analysis by another name. Similar considerations apply to the analysis of professional colleagues.
SPECIFIC RECOMMENDATIONS FOR PRESENTERS
● Announce that some details of the material have been omitted and/or changed to preserve patient confidentiality.
● Minimize the biographical details of the patient.
Presenters should be encouraged to reveal only what is necessary to illustrate the ideas of the author. In smaller gatherings where everyone knows each other, this by itself may be adequate, and is certainly advisable. There should be an evaluation, preferably with colleagues, in cases in which the aspects of interest could even conceivably identify the patient.
● Disguise clinical material.
This should be done so thoroughly in all clinical presentations that the likelihood of the patient being identified is remote. • Use of the form provided in Appendix A might assist presenters in appraising all of the confidentiality concerns to be considered.
For a comprehensive discussion of confidentiality in psychoanalytic practice as a whole, please see the 2018 IPA Report on Confidentiality. https://www.ipa.world/IPA_DOCS/Report%20of%20the%20IPA%20Confidentiality%20Co mmittee%20(English).pdf
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