Documentation of Psychotherapy by Psychiatrists. Therapeutic Alliance is a Factor in Readiness Conclusions and Recommendations Clinical and research evidence from the civilian sector indicates that both privacy and confidentiality are required to maintain a functional therapeutic alliance and thus good psychotherapy technique. This position is endorsed by Supreme Court. In the military sector privacy of health care records is appropriately a function of and defined by command. Psychotherapy makes essential contributions to readiness by diminishing and preventing psycho-pathology and enhancing the functional capacity of service members.
Confidentiality is an essential precondition of effective psychotherapy.
American Psychiatric Press, 159-166. A Training Psychotherapy Elective for Psychiatric Residents. Paper presented at The American Academy of Psychoanalysis, Scottsdale, Arizona 5 December 1996.