文献类型：期刊文献

中文题名：高校心理咨询中自伤自杀相关保密突破议题的初步访谈

英文题名：A preliminary interview on counselor's decision making of breaking confidentiality about self-inflicted injury and suicide in college situation

作者：王一丹[1];王雅琦[1];于笑晗[1];蒋婧琪[1];贾艳杰[2];马亚静[3];钱铭怡[1]

第一作者：王一丹

机构：[1]北京大学心理与认知科学学院,行为与心理健康北京市重点实验室,北京100080;[2]河南财经政法大学社会学系,郑州450046;[3]中国矿业大学公共管理学院公共管理系,江苏徐州221116

第一机构：北京大学心理与认知科学学院,行为与心理健康北京市重点实验室,北京100080

年份：2018

卷号：32

期号：3

起止页码：227-232

中文期刊名：中国心理卫生杂志

外文期刊名：Chinese Mental Health Journal

收录：CSTPCD;;北大核心:【北大核心2017】；CSSCI:【CSSCI_E2017_2018】；CSCD:【CSCD2017_2018】；

语种：中文

中文关键词：保密突破;高校心理咨询;伦理;半结构性访谈

外文关键词：breaking confidentiality; college counseling; ethics; semi-structured interview

摘要：目的:了解在高校心理咨询中,面临来访者自伤或自杀情景时,咨询师如何进行保密与保密突破的伦理决策。方法:选取北京7所高校心理咨询中心的10名心理咨询师,对在高校工作遇到的自伤自杀相关保密议题与相应伦理决策进行半结构化访谈。受访者在高校平均任职时间为(10±8)年。采用内容分析法,对访谈誊录稿进行编码分析。结果:8名咨询师接受过一定的伦理培训且对咨询伦理较为重视;7个高校咨询中心相关规定仍存在与保密原则冲突之处;咨询师在自伤自杀的突破上的考虑差异较大;在面对高校规定与保密原则的冲突时,咨询师能够站在伦理原则的角度考虑,维护来访者的利益。结论:高校心理咨询环境下,自伤或自杀相关的保密与保密突破流程有待规范识。
Objective： To investigate the ethical decision-making process of breaking confidentiality when counselors dealing with self-inflicted injury and suicide issues in college situation. Methods： A semi-structural inter- view was addressed to 10 counselors from 7 college counseling centers in Beijing, among whom with （ 10 ± 8） years of experience on average in this field. Content analysis method was used to transcription of the interviewing data. Results： Totally 8 counselors had received ethical training more or less, and attached great importance to ethi- cal codes. There were still some conflicts between school regulations and confidentiality rules in 7 university counse- ling centers. Different counselors varied greatly in decision-making on breaking confidentiality when facing college students＂ self-inflicted injury and suicide. Faced with conflicts between college demands and confidentiality princi- ples, counselors could take the professional standpoint and consider more of the interests of students. Conclusion： The decision-making process on self-inflicted injury and suicide confidentiality breakthrough needs to be standard- ized. College＇s attention and support to the counseling work should be strengthen and enhance ethical awareness.