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Don't know where I got it from, but second google hit: https://www.amahahealth.com/blog/can-i-talk-to-my-therapist-about-my-illicit-drug-use/
So if they figure that you are in a state where you might be leaving needles behind at playgrounds, they have to report you. They have no leeway to say "I can convince this guy to be more mindful". That alone wouldn't be that bad, but if you're in a downward spiral, "causing harm to yourself", they also have to report you. Which, given the state of the US criminal justice system, is going to do even more harm. The whole thing is unethical AF.
[citation needed]
I mean not the matter of habit covering up thing particularly when it comes to the Catholic Church, but e.g. Lutherans also take confessions and over here the EKD very much had not that kind of issue: Abuse exists, as it does everywhere, but it did not have institutional backing, much less wide-spread. When one instance of one superior covering for one subordinate came to light they stepped on it hard and passed new laws that include mandatory reporting -- but not when it comes to confession. "See something, do something", yes, but not "Take confession, do something".
It's that kind of thing the Catholics should be criticised for -- somehow the Lutherans had several magnitudes less of a problem, and yet reacted magnitudes more decisively when it comes to stopping it, making sure that church structures don't turn into a criminal conspiracy. Lifting or not lifting the seal won't do anything to institutional rot. You're focussing on the wrong thing.
That drug use thing is a massive stretch of the words "cause harm to yourself or others". That clause is - to my knowledge - used exclusively to mean things like abuse, assault, murder, or suicide.
Please provide a source of that actually happening or a legislative or judicial ruling that supports that idea at all.
And really? Most of the Lutheran church specifically agrees with breaching the seal of confessional, and specifically supports mandated reporting.
Did some further googling and it appears that what I remember might apply to a) school councillors and the like, and b) law enforcement getting reports about type of treatment after they dropped someone off. Why law enforcement is doing EMT stuff is of course yet a whole another topic.
And that's exactly how German law sees it: Breaking confidence is permitted in certain cases, but not mandated. On the flipside, if you're e.g. a cop or a child care worker, when you see certain things you are required to pursue them, that's different in e.g. the Netherlands where cops are free to ignore you if you light up a joint in front of them, and tell them about it, and don't even hide it in a brown bag. People taking confessions including therapists are neither of those, though, so they do not have that kind of duty.
Law will never be able to cover, in detail, the balancing process necessary to actually reduce harm in any specific case. It is a very blunt instrument.
You're exchanging one absolute for another. The original absolute btw, not being that absolute because catholic priests can tattle anonymously (if the state allows for such things, different topic), and then themselves confess. But it should never be a "hear X, do Y" kind of deal. That doesn't serve the situation.