Category Archives: confidentiality

Anonymous, sort of

It’s not unusual for therapy clients to be curious about their therapist’s other clients. In the case of an art therapist, this curiosity Is intensified by the physical evidence, the materials and artwork, left by other clients in the art therapy room.

In the case of an art therapist working in a foster care agency, this curiosity is an ever-present topic. There is a family-like atmosphere in a foster care agency, where foster parents are often relatives or friends or at least acquaintances, and foster children become part of their social circles. Agency staff (case workers, therapists, psychiatrists, medical staff, etc) are shared by many children, which furthers the communal sense. Many of the kids stay in the system for years, so those who were my clients often knew each other, and my teen clients were sometimes good friends. Although kids often feel supported by this sense of community, they often feel exposed and smothered by it too. (Sounds like family, right?) Although they’re curious to know about OTHER clients, they don’t want anyone in THEIR business.

Maintaining boundaries and confidentiality in these circumstances is challenging, with so many interactions and all kinds of scenarios being played out publicly, right in the lobby. But it’s important to try.

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I love this cardboard tube piece that hung over the desk in my office because it seems a great metaphor for all these issues around community and privacy. The staff in our medical clinic, just down the hall from me, knew I used a lot of recycled materials, and they began collecting the cardboard tubes from inside the rolls of examining table paper. The tubes turned out to be really appealing to some kids, and they began painting them in their sessions and hanging them up all over the art therapy room. Eventually, when I moved from one office to another, the tubes became consolidated into one hanging. So the various artists are unknown to each other, but yet it imparts a sense of community while revealing nothing else.