In the era of digital technology and easy access to scientific articles on the internet, the authors question the ethical tension created by the publication of a clinical case. Do the desire for, and duty of, scientific work prevail over the rule of discretion imposed by therapy? Conversely does professional secrecy justify restricting the sharing of psychoanalytic reflections? The article looks at the relevance of a publication and its effects on psychotherapy. In this context, the therapists find themselves caught between the model based on biomedical research which requires the request for free and enlightened consent, and the fundamental rule of confidentiality which favours free association. It seems necessary, therefore, to look at the singularity of each clinical situation, while taking the transference/countertransference dimension into consideration.