What is the ethical obligation regarding client confidentiality in a group therapy setting?

• A. The counselor must keep all information secret
• B. Clients are expected to maintain confidentiality among themselves
• C. Only the counselor is responsible for confidentiality
• D. Information can be shared with family members

Answer: (B)

In a group therapy setting, the ethical obligation surrounding client confidentiality emphasizes the collective responsibility that clients have to maintain confidentiality among themselves. While counselors are expected to uphold confidentiality and protect the privacy of clients, it is also vital that group members understand their role in this process. When engaged in group therapy, clients are privy to sensitive information shared by their peers. For the therapeutic environment to remain safe and supportive, it is crucial that all participants practice discretion and confidentiality regarding what is discussed within the group.

This mutual commitment to confidentiality helps foster trust among group members and promotes an atmosphere where individuals feel safe to share their experiences. Therefore, the expectation for clients to maintain confidentiality amongst themselves serves both ethical and practical functions in facilitating effective group therapy.

In contrast, other options suggest misunderstandings about confidentiality in a group context. While the counselor has a strong obligation to ensure confidentiality, it is not solely their responsibility. Confidentiality is a shared process that involves all participants. The assertion that the counselor must keep all information secret overlooks the necessity of group members also taking responsibility for what they hear and share. Lastly, sharing information with family members without consent contradicts the foundational principles of confidentiality that protect client privacy.