title: Factors related to family therapists' breaking confidence when clients disclose high-risks-to-HIV/AIDS sexual behaviors.
abstract: This national survey of 309 marriage and family therapists examined what therapists do when their HIV-positive clients disclose that they are engaging in high-risk sexual behavior. The participants were given vignettes in which a fictitious client told the therapist about engaging in unprotected sex. Although the basic situations were the same, the client variables of age, gender, race, sexual orientation, and HIV status were systematically varied. The participants were more likely to break confidence regarding unsafe sex practices when their clients were male, young, gay, or African American. Moreover, therapists who were more likely to disclose were older, female, had less experience with gay/lesbian populations, were Catholic, were very religious, and were more likely to practice in urban areas. The authors discuss the implications of these and other findings.
authors.affiliation: Indiana University/Methodist/Clarian Family Practice Residency Program, Indianapolis 46202-1261, USA.
authors.forename: S
authors.initials: S
authors.lastname: Pais
authors.forename: F
authors.initials: F
authors.lastname: Piercy
authors.forename: J A
authors.initials: JA
authors.lastname: Miller
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D001291:Attitude of Health Personnel; D003219:Confidentiality; D018563:Disease Notification; D004995:Ethics, Professional; D005006:Ethnicity; D005196:Family Therapy / Q000331:legislation & jurisprudence / Q000592:standards / Q000706:statistics & numerical data; D005260:Female; D015658:HIV Infections / Q000517:prevention & control / Q000523:psychology / Q000635:transmission; D019538:Health Care Surveys; D006801:Humans; D016018:Least-Squares Analysis; D008297:Male; D008388:Marital Therapy / Q000331:legislation & jurisprudence / Q000592:standards / Q000706:statistics & numerical data; D008875:Middle Aged; D011364:Professional Practice / Q000331:legislation & jurisprudence / Q000592:standards / Q000706:statistics & numerical data; D012308:Risk Management; D012309:Risk-Taking; D012737:Sex Factors; D012938:Social Perception; D012941:Social Responsibility; D014342:Truth Disclosure; D014481:United States