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Ethics

ETHICS AND THERAPEUTIC FRAMEWORK

THE INITIAL MEETING

 

The initial meeting offers a space in which one may speak about what brings them to psychotherapy and explore whether the therapeutic encounter can respond to the demand being brought. It does not yet constitute the beginning of psychotherapy, but rather a process of exploration through which the therapeutic framework, the way of working, and the basic conditions of the therapeutic relationship are clarified. The commencement of psychotherapy presupposes the explicit and free consent of the person seeking therapy. The therapeutic framework is not established through written contracts or formal agreements, but is constituted in speech, through discussion and the consent that emerges within the therapeutic encounter. The decision to continue—or not—to work together arises from this initial exploration and never constitutes an obligation or a predetermined commitment.

 

 

THERAPEUTIC FRAMEWORK AND COMMITMENT

 

Psychotherapy is organised within a clear and stable framework, which functions as a prerequisite for the therapeutic work itself. This framework does not have a formal or bureaucratic character, but rather structures the space and time within which speech may unfold and the therapeutic relationship be sustained. Commitment to therapy concerns primarily consistency in the therapeutic encounter and the assumption of responsibility in relation to the process. The form, frequency, and duration of therapy are not standardised, but are shaped in accordance with the singularity of each case and are discussed when this becomes clinically necessary.

 

 

CONFIDENTIALITY AND THERAPEUTIC PRIVACY

 

The therapeutic relationship is governed by the principle of confidentiality. What is said within psychotherapy remains confidential and is protected both ethically and legally. Confidentiality constitutes a fundamental condition of therapeutic work and of the safety of the therapeutic space. Confidentiality may be breached only in circumstances provided for by law, such as situations involving serious risk to the person in therapy or to others, or cases concerning the safety of children or vulnerable adults. In such situations, the person is informed, whenever possible, of the actions that need to be taken and of the reasons that render them necessary.

 

 

ETHICAL POSITION AND CLINICAL STANCE

 

The therapist works within the ethical frameworks that govern his professional practice. The therapeutic relationship does not have an advisory, arbitral, or directive character, nor is it organised around the provision of ready-made solutions or instructions. The therapist bears responsibility for maintaining the therapeutic framework and works clinically with what emerges in the speech of the person in therapy, in accordance with the clinical position he assumes.

©2026 Dr. Andreas Vassiliou  |  SEPS, BPS, AFBPsS, RAPPS, HCPC, UKCP, FHEA

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