101770: This Couldn't Happen to Me: Boundary Problems and Sexual Misconduct in the Psychotherapy Relationship

About the Course:

Drawing on their own consultative experience illustrated by case vignettes and with support from the professional literature, the authors discuss the perennial problematic issue of boundary violations and sexual misconduct, aiming at an audience of both experienced and novice clinicians. The authors review the difference between boundary crossings and boundary violations and stress the therapist’s responsibility to maintain boundaries. Therapist risk factors for violations include the therapist’s own life crises, a tendency to idealize a “special” patient or an inability to set limits, and denial about the possibility of boundary problems. Factors exacerbating patient vulnerability, such as overdependence
on the therapist, seeking therapy to find an intense relationship
or even “true love,” and the acceptance by childhood abuse victims
of an abusive therapy relationship, are discussed. Consultation and education—for students and for clinicians at all levels of experience—and effective supervision are reviewed as approaches to boundary problems. (Psychiatric Services 54:517–522, 2003)

Publication Date:

April 2003

Author

Donna M. Norris, M.D., Thomas G. Gutheil, M.D., Larry H. Strasburger, M.D.

Recommended For:

This basic-to-intermediate course material is designed for Licensed Professional Counselors, Social Workers, Psychologists, Chemical Dependency Counselors, Marriage and Family Therapists, Nurses, and other allied healthcare professionals who are likely to gain professionally from increased knowledge in the areas of ethics and boundary issues.

Course Objectives:

1. To assess the difference between boundary crossings and boundary violations and stress the therapist’s responsibility to maintain boundaries in a therapeutic relationship.
   2. To understand therapist risk factors for such violations.
   3. To understand the factors that exacerbate patient vulnerability in a therapeutic setting.

2. To understand therapist risk factors for such violations.

3. To understand the factors that exacerbate patient vulnerability in a therapeutic setting