“A15.1 Practitioners should respect the privacy and confidentiality of clients as is ethically and legally appropriate…They should respect and maintain confidentiality at all times...Practitioners need to be aware of their responsibilities under the Data Protection Act….GDPR and any other legal requirements. A15.2 [Therapists] should normally obtain the consent of clients who are considered legally competent, or their duly authorised representatives, for disclosure of confidential information. A15.3 [Therapists] should restrict the scope of disclosure. No more information should be disclosed that is consistent with the professional purposes, the specifics of the initiating request or event. A15.8 Before breaching a client’s confidence, [a therapist] should consult a professional supervisor or colleague, unless the need for disclosure is so urgent that any delay is undesirable. A15.10 When disclosing confidential information directly to clients, practitioners need to consider not only their client’s confidentiality; they should also safeguard the confidentiality of information relating to others. A.18 In the event of any ethical dilemmas or queries arising in the course of practice, practitioners may wish to consult with their supervisor or to contact HGI’s…Registration and Personal Standards Committee, for support. B1.20 An effective practitioner should… beware of conflicts of interest arising between clients, particularly in couple therapy, where they may have to choose between clients if they break up during therapy. Think whether it would be best to stop seeing either party and advise that each gets another therapist. If a conflict arises, notify those concerned in writing.”
“Due to [my] code of confidentiality permission has been given by [Mr A] to share the following information”
“I have been asked to provide you with an overview of the circumstances of the counselling I have been providing to [Mr A] over the last few years. I started seeing [Mr A] and his wife [Mrs A] on31st May 2013 for couple counselling and I saw them intermittently over a period of months, both individually and together as is usual practice for couple counselling, for safeguarding practices and to allow for sharing in a supportive environment. Subsequently in March 2017 I was a neutral party when [Mrs A] chose to end the relationship during one of the joint sessions. During the session [Mr A] became very overwhelmed and distressed and displayed signs of a panic attack i.e. shaking, shallow and rapid breathing and tearfulness… At the beginning of the couple counselling due to information shared with me about the challenges in the home environment and the stresses that this was having on the relationship, I suggested to [Mr A] that he be of more help to his wife around the house, and with the children, for example getting breakfast for the children so that [Mrs A] may be able to have a shower or to get dressed; allowing [Mrs A] to rest during the day due to still nursing their daughter at night; supporting her in her hobbies; gaining the services of cleaners and that of a childminder so that [Mrs A] may have some free time away from the demands of the children to develop hobbies, to go for a walk or to rest, all of which I was led to believe by both parties, at the time, that [Mr A] had complied with… Though, over time, in my professional opinion I came to the conclusion from the information that was being shared with me that [Mr A] was in an emotionally abusive relationship. I was informed of times when [Mr A] was working from home that [Mrs A] had been verbally abusive to him whilst he was on the phone to his employer because he was unable to her in a task. I was informed of times that [Mrs A] would shout at him or refuse to listen to his point of view, becoming argumentative or aggressive, going over a subject or following him around the family home until he would agree with her point of view. I was informed of times when [Mr A] had gelt intimidated by his wife due to her size and her behaviour around him. I was informed of times when [Mrs A] was emotionally cold and hostile towards him which added to his anxiety and feelings of emotional stress. I was informed of his need for emotional warmth and affection, that I was led to believe that [Mrs A] stated if he mentioned one word about this during the month then he would not be shown any affection or that they would not have sexual intercourse. I was informed of times when [Mr A] was aware of [Mrs A’s] resentment towards him for preparing special meals for him due to his preferences; she would choose not to eat with him and he felt that he was a nuisance to her because of this. I was informed of times when [Mr A] was working away that she informed him that he was away having a rest whilst he was at home managing the children and this made him feel guilty. I was informed by [Mr A] that [Mrs A] often blamed him for her overall unhappiness and depressive mood. In my professional opinion [Mrs A’s] behaviour created feelings of stress and anxiety in [Mr A], undermined his confidence, his self-worth and jeopardized his mental health which all fit the criteria for emotional abuse…”
“Mrs Emmerson should have sought guidance from her supervisor as to how she would best handle this request [for a letter]…I still maintain that the letter includes information from my individual or joint sessions and that I should have been asked for approval or at least have been given visibility…”
“…I have [had] a long time to reflect on this case…I am truly sorry for any distress I may have caused [Mrs A] by writing the letter to the Court. I have never had any training therein, either by [the Institute] or in any of my previous roles and in hindsight I should have said so. I answered the husband’s questions that he put to me by letter and in all honesty I believed that I was bound to do so but that does not detract from the fact that I did not have knowledge about such procedures. I am very sorry for my actions and I am of course willing to do whatever is required to improve my practice going forwards.”
“On27th August 2019 I did write to [the Institute] apologising for [the Letter] for the reasons set out in that letter. But I did not breach [Mrs A’s confidentiality. All that I put in [the Letter] was with [Mr A’s] authority and request. It was from information that he provided me and no confidential information from [Mrs A] was included… …I answered the questions put to me by [Mr A] in his email to me of14th August 2018 … I repeat I answered a request by my client [Mr A]. I gave my letter in my honest belief… [The Letter] is a statement made from information provided by the husband and opinion of the effect on him. I do not believe I have broken confidentiality with [Mrs A] as I did not include any information that I leant in counselling her. Which was not known to [Mr A] as we had agreed to share…. I believed that I had complied with his request and that I answered the questions put to me in a truthful manner…”
“[The letter of30th August 2018 ] was fully authorised by me and it contained only information that I had given to [Mrs Emmerson]. There was not information in that letter, as far as I was concerned, that had been uniquely given to [Mrs Emmerson] by [Mrs A].”
“At this hearing itself, I recall it seemed to be about her barrister. He had one single point he kept reiterating which about the complainant not attending the hearing. He wanted the case to be thrown out immediately because of that but we as a panel resisted that because, whether or not she was in the room we had the hard evidence of the letter and that did need an explanation.” d. Tina Hamilton-Jones: Mrs Hamilton-Jones is a nurse and a psychotherapist and sat on this Appeal Panel. So far as is material, she stated: “…the written evidence was pretty detailed…It was (and remains) my view that there was clear written evidence of breach of confidentiality…I thought that the complaint made against [Mrs Emmerson] was indefensible.”
“…it would be a mistake to expect [of a lay body] the same expert, professional and almost microscopic investigation of the problems, both factual and legal, that is demanded of a suit in a court of law.”