Marriage and Family Therapists (MFT) Law and Ethics Practice Exam

A young adult client admits to planning a burglary. What should the therapist prioritize in response?

1. Report the client’s intent to the police

2. Discuss alternative ways to express aggression

3. Maintain client confidentiality

4. Obtain a written contract to prevent repeating such actions

The correct answer is: Maintain client confidentiality

The emphasis on maintaining client confidentiality is vital in the therapeutic relationship, as it fosters trust and encourages clients to be open about sensitive issues. In situations where a client reveals intentions that may involve illegal activities or self-harm, therapists are often faced with ethical and legal dilemmas concerning confidentiality. However, it is crucial to recognize that maintaining confidentiality does not absolve a therapist from the duty to protect others from harm. In many jurisdictions, therapists are mandated reporters, meaning they have the legal obligation to report certain threats or harmful intentions, particularly when they involve potential harm to others. While options focusing on discussing alternatives to aggression, obtaining written contracts, and reporting to police can hold importance in their contexts, none address the ethical balance required when dealing with disclosures of criminal intent. The correct response requires a nuanced understanding of when confidentiality can be ethically breached, prioritizing the immediate safety of individuals potentially at risk due to the client's actions over the confidentiality of that client. Thus, in accordance with applicable laws and ethical guidelines, maintaining respect for the principles of client confidentiality should still be a priority in initial responses, while also considering necessary actions to ensure safety and legal obligations.