The selection of psychoanalysis as a method of treatment is determined on the basis of clinical assessment and psychodynamic formulations.
When recommending psychoanalysis, the psychoanalyst considers and discusses with the analysand a number of factors specific to the psychoanalytic process, which include contractual arrangements (schedule, modes of payment, frequency of sessions, absence, etc.) that are necessary to the maintenance of psychoanalytic work.
Adequate notice and opportunity for discussion and exploration must be provided for if there will be changes to the contractual framework originally agreed upon.
The psychoanalyst and/or analysand has the right to recommend or consult another psychoanalyst or other consultant whenever either believes that such consultation may benefit the treatment.
Protection of Confidentiality
A psychoanalyst shall respect the confidentiality of the patient’s information and documents.
When a psychoanalyst uses case material in exchanges with colleagues for scientific, educational, or consultative purposes, every reasonable effort will be made to ensure that the identity of the analysand is protected.
Payment for Services
When applicable and in accordance with rules governing third-party payment, when undertaking the treatment of an analysand, the psychoanalyst and the analysand will agree on the fee and the conditions of payment. Financial agreements between psychoanalyst and analysand must be voluntary, based on full and clear disclosure, and without any coercion by the psychoanalyst.
The Psychoanalyst in Other Roles
If dealing with patients in another professional capacity (for instance, as a general psychiatrist, social worker, or psychologist), the psychoanalyst will also be bound by the rules of that profession.
Sexual Conduct in Relation to Analysands
A psychoanalyst shall not engage in sexual relationships or other forms of sexually intimate behaviour with the analysand.
Relationships with Analysands/Patients of Colleagues
In providing consultation to analysands/patients of colleagues, consultants should discover whether the person seeking consultation has informed the treating analyst. The consultant should determine that this is in the best interest of the analysand before making a recommendation.
Relationships in Psychoanalytic Training and Education
Rules of conduct contained in these principles of ethics apply equally to the relationship between training analyst and candidate analysand.
As teachers and supervisors, psychoanalysts have a special responsibility to be aware of difficulties that can arise as a result of the asymmetry inherent in relationships with candidates.