Sexual Boundary Violations: Therapeutic, Supervisory, and Academic Contexts
Sexual boundary violations are considered the most series ethical infraction in the mental health profession, as well as in higher education and pastoral counseling. Recognized as unethical due to the power imbalance inherent in the structure of the therapist-patient and teacher-student dyads, erotic contact between therapists and patients has been revealed in prevalence studies to occur at an unacceptably high incidence rate (9 to 12 per cent) among mental health practitioners. There exist few programs, teaching methods, and preventative measures that adequately address the problem of sexual boundary violations, despite the fact that discussing this problem openly is no longer taboo. Sexual Boundary Violations addresses this gap, providing educators, trainers, and clinicians with a resource to aid in developing programs, ethics workshops, seminars, and other educative or clinical teaching projects.
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How Do They Happen?
This Couldnt Happen to Me
Precursors to Therapist Sexual Misconduct
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aggression analyst and/or anger aspects assess awareness become behavior Burn Burn's Celenza chapter characteristics childhood clergy clients clinical colleagues complaint consultation couch countertransference hate countertransference love defensive discussed dyad dynamic dysphoria engaged in sexual especially ethical code evaluation experience exploitation factors fantasy father feelings felt female Gabbard Gutheil hostile incest interpersonal issues licensing board male mental health professionals MHPs mother multiple narcissistic needs Normative Sample occur one-time transgressor one's overseeing professional Pope potential power imbalance practitioners precursors prevalence priest problem psychoanalytic psychodynamic psychopathic predator psychotherapy reflected rehabilitation relation reported responsibility role Rorschach Sabina Spielrein Schoener SDR group seduction sexual abuse sexual boundary transgressions sexual boundary violations sexual contact sexual misconduct sexually involved sociopathic spouse structure style subscales supervisee's supervision supervisor thera therapeutic context therapeutic setting therapist and patient therapy tion transgres transgressing therapist treatment unconscious unresolved victim vulnerable