The present research assessed the relationship between therapists' beliefs and ethical decision making when working with clients who are HIV positive and who refuse to warn sexual partners or use safe sex practices. The sample consisted of licensed psychologists in Florida. Results demonstrated a significant relationship between homophobia and likelihood of breaching confidentiality. In addition, scenarios depicting highly dangerous clients yielded higher breach scores than scenarios depicting less dangerous clients. The study demonstrated that personal bias may affect professional ethical decision making. Discussion focuses on the need for continued education and self-monitoring in work with highly sensitive and often stigmatized client groups.

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