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Confidentiality Under Pressure

Dr. Death

This flow follows Alex's attempts to protect private disclosures while police, clients, and families demand information.

increasingupBearing stren­gth in each eventdowndecreasing
A Prior PatientA Prior Patient from "Dr. Death". Confidential Knowledge The Doss Connection Alex has treated Stacy and learned private details about Joanne's death and Richard's feelings.
Confidential Knowledge The Doss Connection Alex has treated Stacy and learned private details about Joanne's death and Richard's feelings. An Ethical Boundary He understands that those disclosures cannot automatically become investigative evidence.
Richard Gives PermissionRichard Gives Permission from "Dr. Death". Consent Without Clarity A Deliberate Disclosure Alex tells Richard that he is consulting with police on Mate's murder.
Consent Without Clarity A Deliberate Disclosure Alex tells Richard that he is consulting with police on Mate's murder. A Complicated Response Richard tells Alex to continue, but his motives and expectations remain unclear.
Stacy ObjectsStacy Objects from "Dr. Death". A Patient's Trust at Risk The Complaint Stacy says Alex should have told her directly that he was working with Milo.
A Patient's Trust at Risk The Complaint Stacy says Alex should have told her directly that he was working with Milo. A Choice Offered Alex says he will withdraw if she wants, and she eventually asks him to keep investigating.
Safer's WarningSafer's Warning from "Dr. Death". A Lawyer Sets Terms Limited Disclosure Joe Safer reminds Alex that legal and clinical confidentiality operate differently.
A Lawyer Sets Terms Limited Disclosure Joe Safer reminds Alex that legal and clinical confidentiality operate differently. The Unspoken Request He hints that Alex should not reveal damaging information unless a duty to protect requires it.
The Judgment CallThe Judgment Call from "Dr. Death". Secret Knowledge A Private Confession Judy tells Alex about Joanne's abuse of Becky and her own presence at the motel.
Secret Knowledge A Private Confession Judy tells Alex about Joanne's abuse of Becky and her own presence at the motel. Silence as Duty Alex leaves without promising to expose the secret, carrying the moral cost of what he now knows.
Before Milo asks for consultation
During their first phone conversation about the case
Mid-September, by telephone
The morning after Richard's arrest
During Alex's conversation with Judy