That's interesting -- in the standard informed consent form I used for many years there's a paragraph that says the client promised to do their best to be open and honest. I don't think many clinicians do have that in their consent forms, and basically I think objective third-party observers -- say, a jury -- would think that the client was responsible for telling the truth or not -- not sure if there is any case law on this point. Interesting question. A client who regrets not having told the truth, however, can always fess up. It's never too late. Therapists do understand that people underreport, omit, deny or even outright lie. I mean, we aren't happy about it, but we know it is part of the human condition, and part of some diagnoses, so we aren't that surprised.
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