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Article
Published Online: December 1965

CONFIDENTIALITY AND THE REQUEST FOR PSYCHIATRIC INFORMATION FOR NONTHERAPEUTIC PURPOSES

Publication: American Journal of Psychiatry

Abstract

As more agencies and organizations have become aware of psychiatric insights, they have requested information from psychiatrists about patients who have made application for special positions or situations with them. The Peace Corps is one agency which has sought information, with permission of the applicant, from psychiatrists about individuals who have seen them prior to making application for Peace Corps service.
The Peace Corps recognizes that its seeking of information about an applicant's psychiatric contact is not primarily for therapeutic but for evaluative purposes. This request for information has been respected and acknowledged by most psychiatrists, but a good number have been concerned about confidentiality and a possible conflict of interest between psychiatric treatment and the use of psychiatric information for evaluative purposes.
This paper has reviewed some of the complex questions surrounding this issue, utilizing the Peace Corps situation and policies as a basis for concrete discussion. Most of the questions raised are moot and have no simple resolution. An objective of this discussion is to provoke further thought as well as to urge careful consideration by all psychiatrists of the implications of the use of psychiatric information for nontherapeutic purposes, albeit with the permission of the patient.

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Published In

Go to American Journal of Psychiatry
Go to American Journal of Psychiatry
American Journal of Psychiatry
Pages: 638 - 645
PubMed: 5843656

History

Published in print: December 1965
Published online: 1 April 2006

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Menninger Foundation, Topeka, Kans., and a Senior Psychiatric Consultant to the Peace Corps, Washington
Chief Psychiatrist, Medical Division, Peace Corps, Washington, D. C., and Assistant Policy and Program Coordinator, Office of the Director, National Institute of Mental Health

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