Confidentiality and duty to protect are complex issues for psychotherapists treating clients with HIV. The application of the Tarasoff ruling to situations involving HIV has long been debated with questions about how the Tarasoff principles of identifiability of the victim, foreseeability of harm, and necessary protective action apply to HIV within the context of psychotherapeutic relationships. The complexity of these debates is compounded by advances in HIV medicine including the availability of antiretroviral therapy and pre- and postexposure prophylaxis in addition to the current state of knowledge about treatment as prevention. The purpose of this article is to revisit Chenneville's (2000) decision-making model on HIV, confidentiality, and duty to protect in the age of pre- and postexposure prophylaxis and antiretroviral therapy. This revised model may serve as a critical framework for psychotherapists providing services to clients with HIV. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

中文翻译：

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艾滋病毒，机密性和保护义务：治疗年龄的心理治疗师应考虑作为预防措施。

对于治疗艾滋病毒感染者的心理治疗师而言，保密和保护义务是复杂的问题。长期以来，关于将塔拉索夫裁决适用于涉及艾滋病毒的问题一直存在争议，这些问题涉及在心理治疗关系范围内，塔拉索夫的受害人的身份，可预见的伤害以及必要的保护性行动原则如何适用于艾滋病毒。这些辩论的复杂性加上艾滋病毒医学的进步，包括抗逆转录病毒疗法的可及性以及接触前和接触后的预防以及当前关于预防治疗的知识水平，使情况更加复杂。本文的目的是重新探讨Chenneville（2000）关于HIV，机密性和在暴露前和暴露后预防和抗逆转录病毒治疗年龄的保护责任的决策模型。修订后的模型可以作为心理治疗师向艾滋病毒感染者提供服务的关键框架。（PsycINFO数据库记录（c）2019 APA，保留所有权利）。