Preventing Boundary Violations in Clinical Practice

Front Cover
Guilford Press, Nov 30, 2011 - Psychology - 340 pages
0 Reviews

What do you do when you run into a patient in a public place? How do you respond when a patient suddenly hugs you at the end of a session? Do you accept a gift that a patient brings to make up for causing you some inconvenience? Questions like these—which virtually all clinicians face at one time or another—have serious clinical, ethical, and legal implications. This authoritative, practical book uses compelling case vignettes to show how a wide range of boundary questions arise and can be responsibly resolved as part of the process of therapy. Coverage includes role reversal, gifts, self-disclosure, out-of-office encounters, physical contact, and sexual misconduct. Strategies for preventing boundary violations and managing associated legal risks are highlighted.

 

What people are saying - Write a review

We haven't found any reviews in the usual places.

Contents

Introduction
1
Implications
12
Definitions and Dilemmas
15
Therapy and Its Limits
31
Role Time Place
45
Money Services Gifts
74
SelfDisclosure
104
Communication and OutofOffice Contacts
129
What Harms Are Caused?
197
Vulnerabilities
219
Understandings and Misunderstandings
241
Liabilities
259
Prevention
284
Afterword
301
References
303
Index
331

Clothing and Physical Contact
151
Sexual Misconduct
175

Other editions - View all

Common terms and phrases

Popular passages

Page 305 - DS, & Pope, KS (1989). Dual relationships between therapist and client: A national study of psychologists, psychiatrists, and social workers. Professional Psychology: Research and Practice, 20, 283-293. Bouhoutsos, J., Holroyd, J., Lerman, H., Forer, BR, & Greenberg, M.
Page 329 - Williams, MH (1997). Boundary violations: Do some contended standards of care fail to encompass commonplace procedures of humanistic, behavioral and eclectic psychotherapies? Psychotherapy, 34, 239-249. Williams, MH (2000). Victimized by "victims": A taxonomy of antecedents of false complaints against psychotherapists. Professional Psychology Research and Practice, 31 (1), 75-81.

References to this book

About the author (2011)

Thomas G. Gutheil, MD, is Professor of Psychiatry, Department of Psychiatry, Beth Israel Deaconess Medical Center, Harvard Medical School, where he is Assistant Director of Medical Student Training and Co-Founder of the Program in Psychiatry and the Law. One of the world's leading forensic psychiatrists, he is a past president of the American Academy of Psychiatry and the Law and current president of the International Academy of Law and Mental Health. Dr. Gutheil is coauthor of the widely used Clinical Handbook of Psychiatry and the Law, which won the American Psychiatric Association's Manfred S. Guttmacher Award (an award Dr. Gutheil has shared three times). His numerous other awards and honors include the American Psychiatric Association's 2000 Isaac Ray Award for outstanding contributions to forensic psychiatry. The author of more than 250 scholarly journal articles and book chapters, Dr. Gutheil lectures worldwide and is regularly consulted by attorneys, licensing boards, and institutions on boundary questions, risk management, and malpractice prevention.

 

Archie Brodsky is Research Associate in the Department of Psychiatry, Beth Israel Deaconess Medical Center, Harvard Medical School, where he is Co-Founder of the Program in Psychiatry and the Law. He is coauthor of  Sexual Dilemmas for the Helping Professional, a pioneering work on clinical and ethical boundaries in mental health treatment. Among the 15 trade and professional books he has coauthored in the mental health field are  Love and Addiction;  The Truth about Addiction and Recovery;  Medical Choices, Medical Chances; and  Clinical Supervision in Alcohol and Drug Abuse Counseling. A co-winner (with Dr. Gutheil) of the Guttmacher Award, Mr. Brodsky is a member and former chair of the Human Rights Committee at Massachusetts Mental Health Center.

 

 

Bibliographic information