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Previous Volume 334:1141 April 25, 1996 Number 17 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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By Christopher Bollas and David Sundelson. 215 pp. Northvale, N.J., Jason Aronson, 1996. $22. ISBN 1-56821-595-9.

The practice of observing therapeutic confidentiality is so riddled with exceptions that it has all but disappeared. This book lucidly describes the disappearance of privacy, showing how the clinical effect of this loss has been destructive and how mental health professionals may respond constructively. The authors' critique extends well beyond psychiatry. Given the ubiquity of therapeutic relationships, observing a truly effective therapeutic privilege would buttress privacy norms in general.

The authors show that "the punitive arm of [the state apparatus] has entered the clinical space." They describe the main ways the privacy of the therapeutic relationship has been infringed upon: . . . [Full Text of this Article]

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