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1852). He states that fear might also limit a person's capacity for self-disclosure and this fear includes: "fear of embarrassment by colleagues, fear of patient reaction, and fear of litigation" (p. 1852).
Disclosure has now come to occupy an important place on political policy-making agenda. Most people now believe that they must have access to information about a professional or procedure that is likely to cause serious harm. IOM's recommendations in this regard propose access to information and states that "requests by providers for confidentiality and protection from liability seem inappropriate in this context." (Kohn, et al.: 102) Some professional health-care institutions are now looking forward to making disclosure mandatory. While the process would take some time to complete, Veterans Affairs (VA) Medical Center in Lexington, Kentucky, has started working on it. Steve Kraman of the Lexington VA hospital explains why disclosure was made mandatory, "We didn't start doing this to try to limit payments; we did it because we decided we weren't going to sit on or hide evidence that we had harmed a patient just because the patient didn't know it.... We started doing it because it was the right thing to do, and after decade of doing it decided to look back to see what the experience had been. The indication that it's costing us less money was really unexpected." (Osterweil, 1999)
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Altman, I., Vinsel, A., & Brown, B. (1981). "Dialectic conceptions in social psychology: An application to social penetration and privacy regulation." In L. Berkowitz (Ed.), Advances in experimental social psychology (pp. 107-160). New York: Academic.
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N. Osterweil, "Truth or Consequences: Does Disclosure Reduce Risk Exposure?: Admitting Errors Makes Process Less Adversarial, MDs, Lawyers Agree," WebMD Medical News
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