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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.
The boundaries of the therapeutic relationship are a crucial part of effective therapy. But understanding them, and the effects of power and responsibility, can be intimidating to trainee or newly-qualified therapists. This book will take step by step through everything they need to know to work ethically and safeguard the wellbeing of both themselves and their clients. It tackles: · Contracting and the importance of negotiating and clarifying boundaries with clients · The implications and limits of maintaining confidentiality · Keeping clear sexual boundaries, and how to work around issues safely and appropriately · What happens when circumstances change, and everyday or serious disruptions occur to therapy · The nature of the therapist’s power, and how to employ it responsibly to a client’s benefit Packed with case studies, ethical dilemmas and points for reflection and discussion, this is an essential read for trainee practitioners and qualified therapists looking to ensure safe and ethical practice.
In Boundaries in Counselling and Psychotherapy, Dr Marian Davies explores the concepts of boundaries that govern client-therapist relationships. Boundaries are discussed in the context of the theory and practice of psychodynamic, cognitive-behavioural and person-centred counselling and psychotherapy. Internal psychological boundaries within the personality and the effect of these on psychological disturbance are also examined. Dr Davies concludes with an analysis of the impact of boundary management on the effectiveness of counselling and psychotherapy. Concise and easy to read, Boundaries in Counselling and Psychotherapy is an excellent entry into an, at times, complicated subject and will appeal to anyone training to become a counsellor, as well as to anyone who has an interest in the theory and practice of counselling and psychotherapy.
This first-of-a-kind analysis will focus exclusively on unavoidable and mandated multiple relationships between clients and psychotherapists. The book will cover the ethics of a range of venues and situations where dual relationships are mandated, such as in the military, prisons/jails, and police departments, and settings where multiple relationships are unavoidable, such as rural communities; graduate schools and training institutions; faith, spiritual, recovery or 12-step, minority and disabled communities, total institutions, and sport psychology. The complexities of social network ethics and digital dual relationships, such as clients becoming "friends" or "fans" on their therapists’ social media pages are discussed. Finally, the book will discuss the complexities multiple roles that inevitably emerge in supervisory relationships.
ìThe opinions expressed in this publication go directly to the challenges we will collectively face as we enter the 21st century.." -- from the Foreword by Patrick H. DeLeon, PhD, JD, ABPP, Past President, American Psychological Association ìThis volume, through a series of diverse approaches and considerations, has dispelled for all time the monolithic notion that dual relationships are always harmful and should be avoided...remarkable and refreshing.î -- Nicholas A. Cummings, PhD, ScD, Former President., American Psychological Association This book, the first of its kind, covers the clinical, ethical and legal aspects of non-sexual dual relationships. It provides detailed guidelines on how to navigate the complexities of intended and unintended crossings of the boundaries of the therapeutic relationship. Contributors representing various therapeutic approaches and work settings challenge the prevailing interpretations of ethical standards as presented by the American Psychological and the American Counseling Associations' Code of Ethics. Through case examples, they demonstrate how non-sexual dual relationships may result in increased trust, familiarity, and therapeutic effectiveness. Discussions include concerns of rural, military, church, hearing impaired and other small communities; behavioral, cognitive, humanistic, and feminist views on DR; and more. This is a book for all practicing therapists. Appendices contain guidelines to nonsexual dual relationships in psychotherapy.
The authors propose to investigate the meaning and purpose of boundaries within and around the therapeutic experience. A boundary is more than a simple line delineating one space from another; it is an entity with properties that demand a response if they are to be negotiated. Boundaries circumscribe a space that can be viewed objectively, or experienced subjectively, as a 'container'. For the uninitiated, this therapeutic container can be difficult to penetrate. Even health professionals such as GPs and psychiatrists often do not know how to access psychotherapy organisations and their referral networks. Also, real constraints on the availability of counselling and psychotherapy within the National Health Service, and the cost of private sector services, may prohibit access to the help being sought. The book explores aspects such as the gradual evolution of therapeutic boundaries in psychodynamic work, boundary development in infancy and childhood, the role of the therapist's mind and the therapeutic setting, confidentiality and issues such as money and time.
In a world that is forever fragmenting into divisions of ethnicity and class, this groundbreaking book offers an approach to therapy that reaches across the boundaries that usually divide us. Reaffirming psychotherapy's roots in a progressive approach to social change, the contributors show how contemporary methods can be used to treat patients often previously thought unresponsive to psychodynamic therapy. Cultural values, countertransference guilt, immigration, bilingualism, and battered self-esteem in African-American patients are among the many topics discussed. Numerous examples guide the clinician to a better understanding of the role of culture in the therapeutic relationship. A Jason Aronson BookIn a world that is forever fragmenting into divisions of ethnicity and class, this groundbreaking book offers an approach to therapy that reaches across the boundaries that usually divide us. Reaffirming psychotherapy's roots in a progressive approach to social change, the contributors show how contemporary methods can be used to treat patients often previously thought unresponsive to psychodynamic therapy. Cultural values, countertransference guilt, immigration, bilingualism, and battered self-esteem in African-American patients are among the many topics discussed. Numerous examples guide the clinician to a better understanding of the role of culture in the therapeutic relationship.
The Therapeutic Use of Self is a ground-breaking examination of the individual therapist's contribution to process and outcome in counselling. Using many powerful case examples and extensive research findings from the author's own work, this book presents the counsellor's evaluation of their own practice as the main vehicle for the development of insight and awareness in to individual 'therapeutic' characteristics. It addresses many of the taboos and infrequently discussed aspects of therapy, such as: * the value of therapist failure * breaking the rules of counselling * working beyond the accepted boundaries of counselling. The Therapeutic Use of Self, will act as a spur to individual counsellors to acknowledge, develop and value their own unique contribution to the counselling profession.
The Oxford Handbook of Psychotherapy Ethics explores a whole range of ethical issues in the heterogenous field of psychotherapy. It will be an essential book for psychotherapists in clinical practice and valuable for those professionals providing mental health services beyond psychology and medicine, including counsellors and social workers.
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.