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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.
This book provides detailed guidelines on how to navigate the complexities of intended and unintended crossings of the boundaries of the therapeutic relationship. It demonstrates how non-sexual dual relationships may result in therapeutic effectiveness. The authors challenge some of the basic "principles" of clinical codes of ethical conduct that have been established for psychiatrists, psychologists, and other mental health workers. (Midwest).
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.
Are dual relationships always detrimental? Speaking the Unspeakable provides an in-depth exploration of client-practitioner dual relationships, offering critical discussion and sustained narrative on thinking about and being in dual relationships. Lynne Gabriel draws on the experiences of both practitioners and clients to provide a clear summary of the complex and multidimensional nature of dual relationships. The beneficial as well as detrimental potential of such relationships is discussed and illustrated with personal accounts. Subjects covered include: · roles and boundaries in dual and multiple role relationships · client experiences and perceptions of being in dual and multiple role relationships · developing a relational ethic for complex relationships This book offers an insightful and challenging portrayal of dual relationships that will be welcomed by therapists, trainers, trainees and supervisors.
Chapter 1 - Boundary Issues are Commonplace: Setting the Limits Chapter 2 - The Absolute Limit: Sexual Dual Relationships - The prevelance and harmful effects Chapter 3 - The Significance of Sexual Feelings in the Therapeutic Relationship Chapter 4 - Nonsexual Dual Relationships: The Management of Gifts and Barter Chapter 5 - Touching: Finding the Limits Chapter 6 - Managing Social Situations and Friendship Chapter 7 - Nonsexual Dual Relationships in Training, Supervision and Research Chatper 8 - Challenging the Limits: Dual Relationships in Small Communitites and Pastoral Relationships Chapter 9 - Learning from the Boundary Riders
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.
First published in 2002, the landmark Psychotherapy Relationships That Work broke new ground by focusing renewed and corrective attention on the substantial research behind the crucial (but often overlooked) client-therapist relationship. This thoroughly revised edition brings a decade of additional research to the same task. In addition to updating each chapter, the second edition features new chapters on the effectiveness of the alliance with children and adolescents, the alliance in couples and family therapy, real-time feedback from clients, patient preferences, culture, and attachment style. The new editon provides "two books in one"--one on evidence-based relationship elements and one on evidence-based methods of adapting treatment to the individual patient. Each chapter features a specific therapist behavior that improves treatment outcome, or a transdiagnostic patient characteristic (such as reactance, preferences, culture, stage of change) by which clinicians can effectively tailor psychotherapy. All chapters provide original, comprehensive meta-analyses of the relevant research; clinical examples, and research-supported therapeutic practices by distinguished contributors. The result is a compelling synthesis of the best available research, clinical expertise, and patient characteristics in the tradition of evidence-based practice. The second edition of Psychotherapy Relationships That Work: Evidence-Based Responsiveness proves indispensible for any mental health professional. Reviews of the First Edition: "A veritable gold mine of research related to relationships, this is a volume that should be an invaluable reference for every student and practitioner of psychotherapy."--Psychotherapy "This is a MUST READ for any researcher, clinician, or counselor who is genuinely interested in the active ingredients of effective psychotherapy and who appreciates the importance of applying empirical evidence to the therapy relationship."--Arnold A. Lazarus, Ph.D., Distinguished Professor Emeritus, Rutgers University "Psychotherapy Relationships That Work is a superb contemporary textbook and reference source for students and professionals seeking to expand their knowledge and understanding of person-related psychotherapy." --Psychotherapy Research "One is struck with the thoroughness of all the chapters and the care and detail of presentation."--Brief Treatment and Crisis Intervention
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.
Should a therapist disclose personal information to a client, accept a client's gift, or provide a former client with a job? Is it appropriate to exchange email or text messages with clients or correspond with them on social networking websites? Some acts, such as initiating a sexual relationship with a client, are clearly prohibited, yet what about more subtle interactions, such as hugging or accepting invitations to a social event? Is maintaining a friendship with a former client or client's relative a conflict of interest that ultimately subverts the client-practitioner relationship? Frederic G. Reamer, a certified authority on professional ethics, offers a frank analysis of a range of boundary issues and their complex formulations. He confronts the ethics of intimate and sexual relationships with clients and former clients, the healthy parameters of practitioners' self-disclosure, electronic relationships with clients, the giving and receiving of gifts and favors, the bartering of services, and the unavoidable and unanticipated circumstances of social encounters and geographical proximity. With case studies addressing challenges in the mental health field, school contexts, child welfare, addiction programs, home-healthcare, elder services, and prison, rural, and military settings, Reamer offers effective, practical risk-management models that prevent problems and help balance dual relationships.
In this volume, as the title indicates, the focus is on understanding and elaborating what might be said to be "going on" in supervision as well as further exploring what is distinctive about systemic supervision. Looking at processes within systemic supervision involves engaging with the different contexts within which the supervision takes place and engaging with a range of theories - some developed or applied within therapeutic contexts and others drawn from theories of learning. Various theoretical frameworks have emerged and been described as underpinnings for systemic supervision. Social constructionist and narrative ideas have been vital in the creation of supervisory practices that promote open dialogues, multiple perspectives and the interrogation of traditional assumptions about expertise and hierarchy. This has inevitably led to a discussion of tensions and contradictions: unease about implicit practices of power, the problematics of assessment and evaluation and issues concerning the allocation of clinical responsibility. Positioning theory, dialogic theories and ideas from the field of adult education have also contributed helpful theoretical concepts for use by systemic supervisors.