ABSTRACT In couple’s therapy, secrets between the couple often arise, and couple’s therapists must navigate a balance between their ethical and therapeutic responsibilities. This paper provides a scoping review of the literature on how couple’s therapists handle secrets in the context of couple’s therapy and discusses the ethical and clinical considerations in the context of the ethical standards of the AAMFT. Online databases were used to systematically identify peer-reviewed academic, English-language articles that focused on recommendations for therapists in handling secrets between couples in therapy. Seven articles met the search criteria. The empirical evidence supports a model of professional judgment, whereby the therapist can use their discretion about whether or not to disclose a secret on behalf of a client. To operate within the confines of ethical practice, we recommend therapists pair professional judgment with a clearly informed and signed written client policy.

中文翻译：

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夫妻秘方实践建议的范围综述

摘要 在夫妻治疗中，夫妻之间的秘密经常出现，夫妻治疗师必须在他们的伦理和治疗责任之间取得平衡。本文对关于夫妻治疗师如何在夫妻治疗的背景下处理秘密的文献进行了范围审查，并在 AAMFT 的伦理标准的背景下讨论了伦理和临床考虑。在线数据库被用来系统地识别同行评审的学术英语文章，这些文章侧重于为治疗师处理治疗中夫妻之间的秘密提供建议。七篇文章符合搜索条件。经验证据支持专业判断模型，据此治疗师可以自行决定是否代表客户披露秘密。