Final answer:
The four main premises justifying confidentiality are respecting privacy and dignity, protecting from personal harm, preserving confidentiality, and seeking informed consent.
Step-by-step explanation:
The four main premises that justify confidentiality, according to Bok, are:
- Respecting subjects' rights to privacy and dignity.
- Protecting subjects from personal harm.
- Preserving confidentiality.
- Seeking informed consent.
Confidentiality is important to maintain trust and safety, especially in situations where people fear for their lives or well-being, as in the case of survivors in a program. It is not only ethically and legally important but also contributes to the long-lasting success of a program. Confidentiality rules and regulations at agency, state, and federal levels should be considered to ensure effective confidentiality.