Meaning and rationale
Confidentiality underpins trust. Clients disclose freely only if they feel safe, which enables accurate assessment and respects privacy and self-determination.
Biestek's seven principles
Individualisation, purposeful expression of feelings, controlled emotional involvement, acceptance, non-judgemental attitude, client self-determination and confidentiality.
Absolute vs relative
Absolute confidentiality is rarely possible; practice relies on relative confidentiality (supervision, case conferences, legal demands), explained to clients through informed consent at the outset.
Exceptions
- Serious danger to others: the Tarasoff decision (California Supreme Court, 1976) recognised a duty to protect third parties.
- Risk of suicide or self-harm
- Child or elder abuse, subject to mandatory reporting laws
- Court orders and other statutory requirements
Guidelines
Disclose the minimum necessary to those who need it, inform the client where possible, and secure records. Professional codes such as the NASW Code of Ethics set these duties.
References
- Biestek, F. P. (1957). The Casework Relationship. Loyola University Press.
- Tarasoff v. Regents of the University of California, 17 Cal. 3d 425 (1976).
- National Association of Social Workers. (2021). Code of Ethics. NASW.
- Corey, G., Corey, M. S., & Corey, C. (2019). Issues and Ethics in the Helping Professions (10th ed.). Cengage.
- 한국사회복지사협회. (2023). 「한국사회복지사 윤리강령」.