How should psychologists approach discussing confidentiality with clients who cannot provide informed consent?

Psychologists should approach discussing confidentiality with clients who cannot provide informed consent by explaining it to their legal representatives as feasible. This is because informed consent is a critical component of the therapeutic relationship, even in situations where the client may not be capable of fully understanding or agreeing to the terms themselves.

Involving legal representatives ensures that the client's rights and best interests are considered. Legal representatives can help clarify the implications of confidentiality and what it means for the client's therapy, thereby facilitating a more informed engagement in the therapeutic process. It also promotes transparency and trust between the psychologist, the client, and those who may be acting on the client's behalf.

The other options suggest either limited discussions of confidentiality or postponement until the end of the therapeutic relationship, which do not adequately honor the ethical responsibility to ensure that even those who cannot consent understand the boundaries of their confidentiality. Making sure that a responsible party is informed helps protect the client’s rights and navigate the complexities of confidentiality effectively.