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Preceded by Boundaries and boundary violations in psychoanalysis / Glen O. Gabbard, Eva P. Lester. New York: BasicBooks, c1995.
This book addresses training, supervisory, and therapeutic issues related to the consequences from sexual boundary violations among mental health professionals and clergy. These problems are discussed on theoretical and practical levels aimed at understanding, recovery, rehabi...
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.
This book explains how sexual boundary violations occur in psychotherapy, how to avoid them, and how such violations affect clients, therapists, colleagues, institutions, and families.
Across the lifespan we may experience moments of sublime intimacy, suffocating closeness, comfortable solitude, and intolerable distance or closeness. In Interpersonal Boundaries: Variations and Violations Salman Akhtar and the other contributors demonstrate how boundaries, by delineating and containing the self, secure one's conscious and unconscious experience of entity and of self-governance. Interpersonal Boundaries reveals the complexities of the self and its boundaries, while identifying some of the enigmatic questions about how the biological, psychological, and cultural aspects of the self interrelate. The contributors skillfully integrate a wide range of theory with a wealth of clinical material. Examples range from the dark side of boundary-violating therapists to an extraordinary presentation of harrowing analytic work with a severely traumatized man. Readers will find that this volume makes a significant contribution to the knowledge of boundaries of the self in psychotherapeutic theory and practice.
This book is for the professional who feels unsure when entering the gray areas that inevitably arise in psychotherapy practice. The author carefully differentiates between what constitutes appropriate and helpful boundary crossing rather than inappropriate boundary violation and explores the ethical and clinical complexities involved in boundary issues such as the exchange of gifts, nonsexual touch, and more.
Inspired by the clinical and ethical contributions of Muriel Dimen (1942-2016), a prominent feminist anthropologist and relational psychoanalyst, Sexual Boundary Trouble in Psychoanalysis challenges the established psychoanalytic and mental health consensus about the sources and appropriate management of sexual boundary violations (SBVs). Gathering contributions from an exciting range of analysts working at the cutting edge of the field, this book shatters normative professional guidelines by focusing on the complicity and hypocrisy of professional groups, while at the same time raising for the first time the taboo subject of the ordinary practicing clinician’s unconscious professional ambivalence and potentially "rogue" sexual subjectivity. Sexual Boundary Trouble in Psychoanalysis uncovers the roots of SBV in the institutional origins and history of psychoanalysis as a profession. Exploring Dimen’s concept of the psychoanalytic "primal crime," which is in some ways constitutive of the profession, and the inherently unstable nature of interpersonal and professional "boundaries," Sexual Boundary Trouble in Psychoanalysis breaks new ground in the continuing struggle of psychoanalysis to reconcile itself with its liminal social status and morally ambiguous practice. It will appeal to all psychoanalysts and psychoanalytic psychotherapists.
Boundaries and Boundary Violations in Psychoanalysis is a state-of-the-art overview of the problem of boundary violations in psychoanalysis and psychotherapy. This new edition is a major overhaul of the seminal first edition, published 20 years ago, and addresses topics with which every psychoanalyst, therapist, resident, and training director should be conversant. Penned by one of the foremost experts on psychoanalysis, the book is both broad and thorough in scope, presenting models of prevention to help readers avoid boundary problems in their practices and providing expert advice on institutional responses to complaints and rumors. In addition, the impact of boundary violations on patients is examined, a long-neglected and overdue exploration that encourages increased institutional responsiveness to victims' needs. The book was designed to inform and forearm, with chapters and features that psychoanalysts and therapists will find eminently useful: The fear that the patient may commit suicide and how that fear may play a role in the development of boundary violations warrants a separate chapter therapists will find illuminating. Boundaries in cyberspace, a topic only recently pertinent, is explored in depth in a chapter that provides guidance on how the therapeutic frame has been broadened by the impact of texting, email, googling, and social media. Detailed guidelines on how to handle complaints are included, information that will prepare organizations to respond both strategically and compassionately to these complex situations. Examples and cases are based on those the author has encountered over 30 years of evaluating, treating, and consulting and reflect the diversity of clinical practice, involving both male and female violators as well as victims and their families. Boundary violations do not always include a sexual relationship, and the types of boundary violations discussed include nonsexual, supervisory, and post-termination. Every chapter has been updated to include new data and current understanding, addressing the most critically important topics in a rigorous, yet humane manner. Boundaries and Boundary Violations in Psychoanalysis is the most authoritative resource on the subject, and will help the reader manage boundaries across a variety of therapeutic contexts.
Inspired by the clinical and ethical contributions of Muriel Dimen, Social Aspects of Sexual Boundary Trouble goes beyond the established consensus that sexual boundary violations (SBV) constitute a serious breach of professional ethics, in order to explore the cultural and historical implications of their chronic persistence. In Rotten Apples and Ambivalence, her last major publication, Dimen (2016) maintained that "the phenomenon of sexual transgression between analyst and patient . . . is insufficiently addressed so long as it is only deemed psychological." In responding to and developing Dimen’s argument, the distinguished contributors to this volume bring the discussion of SBV to a new level of ethical rigor and depth, challenging the psychoanalytic profession to go beyond its codified complacency. This collection shatters normative professional guidelines by focusing on the complicity and hypocrisy of professional groups, while at the same time raising the taboo subject of the ordinary practicing clinician’s unconscious professional ambivalence and potentially "rogue" sexual subjectivity. Social Aspects of Sexual Boundary Trouble uncovers the roots of SBV in the institutional origins and history of psychoanalysis as a profession. Exploring Dimen’s concept of the psychoanalytic "primal crime," which is in some ways constitutive of the profession, and the inherently unstable nature of interpersonal and professional "boundaries," Social Aspects of Sexual Boundary Trouble breaks new ground in the continuing struggle of psychoanalysis to reconcile itself with its liminal social status and its origins as a subversive, morally ambiguous practice. It will be highly relevant to specialists in psychoanalysis, psychotherapy, critical theory, feminist studies and social thought.
Passionate feelings of love and hate are stirred in psychotherapy. Paradoxically, these passions may either undermine the therapist catastrophically or serve as the crucible in which profound understanding is forged. Transferences and countertransferences of love and hate occur on a spectrum that includes unobjectionable negative and positive feelings, relatively benign forms of love and hate, and more malignant, intractable versions of love and hate that present formidable challenges to the therapist. Each of these variations is explored in different chapters of this book. Gender configurations, gender fluidity, adolescent transferences, the link between love and lust, and passive forms of hating are among the topics discussed. Most of all, the author, noted psychoanalyst Glen Gabbard, depicts what it is like to be in the eye of the hurricane when passions are aroused. He provides a practical yet theoretically sophisticated guide to the management of love and hate as they are experienced by both patient and therapist.