Preventing boundary violations in clinical practice

Bibliographic Information

Preventing boundary violations in clinical practice

Thomas G. Gutheil, Archie Brodsky

Guilford Press, c2008

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Note

Includes bibliographical references (p. 303-329) and index

Description and Table of Contents

Description

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.

Table of Contents

Introduction I. Foundations 1. Definitions and Dilemmas 2. Therapy and Its Limits II. Explorations 3. Role, Time, Place 4. Money, Services, Gifts 5. Self-Disclosure 6. Communication and Out-of-Office Contacts 7. Clothing and Physical Contact 8. Sexual Misconduct III. Implications 9. What Harms Are Caused? 10. Vulnerabilities 11. Understandings and Misunderstandings 12. Liabilities 13. Prevention Afterword

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