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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...
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.
Preceded by Boundaries and boundary violations in psychoanalysis / Glen O. Gabbard, Eva P. Lester. New York: BasicBooks, c1995.
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.
They open up discussions of post-termination boundaries and the role of boundaries in psychoanalytic supervision.
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, 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.
The availability of practical applications, techniques, and case studies by international therapists is limited despite expansions to the fields of clinical psychology, rehabilitation, and counseling. As dialogues surrounding mental health grow, it is important to maintain therapeutic modalities that ensure the highest level of patient-centered rehabilitation and care are met across global networks. Research Anthology on Rehabilitation Practices and Therapy is a vital reference source that examines the latest scholarly material on trends and techniques in counseling and therapy and provides innovative insights into contemporary and future issues within the field. Highlighting a range of topics such as psychotherapy, anger management, and psychodynamics, this multi-volume book is ideally designed for mental health professionals, counselors, therapists, clinical psychologists, sociologists, social workers, researchers, students, and social science academicians seeking coverage on significant advances in rehabilitation and therapy.
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.
People who use forensic mental health services are defined by the fact that they have violated boundaries, often in many ways. For clinicians employed to work therapeutically with this client group however, the capacity to initiate and maintain boundaries is critical to safety as well as to good treatment outcomes. This book provides a thorough introduction to the subject of professional and therapeutic boundaries and their particular complexities within forensic mental health settings. The contributors, all experts in their respective fields, address the challenges of establishing working boundaries within forensic mental health services from multiple perspectives. They explore the ways in which boundaries can be initiated and maintained in different areas of forensic mental health work, including in psychotherapy, mental health nursing, arts therapies, forensic psychiatry and family therapy, and when working with different client groups, including children and adolescents, offenders with severe personality disorders in high security settings and sex offenders. Consideration is also given to boundaries and homicide, maternal boundary violations and boundaries in a forensic learning disability service. This authoritative, interdisciplinary resource will support all forensic mental health practitioners in this crucial aspect of their work.