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.
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 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.
Human beings are social creatures, and from the moment we enter the world, our personal horizons are defined by our relationships with others. Parents, siblings, teachers, friends, lovers, colleagues-even the countless strangers with whom we interact during the course of any given day-we exist through them and they through us. This book is concerned with one of the most profound, yet difficult to define of human relationships, the healing relationship of psychotherapy. There are many psychotherapeutic schools of thought, and while they may vary considerably in theory and methodology, virtually all agree that the relationship that develops between therapist and client is important to the success of treatment. But how do you define a "successful" client/therapist relationship? How exactly does the psychotherapy relationship influence process and outcome? What are its various components, and which are most important to the healing process? In this groundbreaking study, Charles Gelso and Jeffrey Hayes provide answers to these and other challenging questions about The Psychotherapy Relationship. The authors begin by defining the three main components of the psychotherapy relationship: the working alliance, transference configuration, and the real relationship. They then consider how each is generally defined by and functions within various psychotherapeutic approaches, how each interrelates with the other two components within the context of the therapy relationship, and how relationship components and therapeutic techniques interact during treatment. Throughout, the authors draw upon their extensive clinical experience to offer advice and guidance on how to avoid and overcome major obstacles to a successful psychotherapy relationship. The remainder of the book is devoted to a fascinating in-depth look at the psychotherapy relationship in action in four major psychotherapy schools: psychoanalytic, cognitive/behavioral, humanistic, and feminist. Ever mindful of important factional differences within schools of thought, the authors explore the role of the relationship within each approach in terms of the centrality of the relationship; whether the relationship is seen as a means to an end or an end in itself; the extent to which the emphasis is on the "real" relationship versus the transference; and the manner in which the therapist uses power in the relationship. The most penetrating and far-ranging exploration yet of this most crucial aspect of the psychotherapeutic process, The Psychotherapy Relationship is must reading for all psychotherapists. A far-ranging and insightful exploration of one of the most important and controversial aspects of the psychotherapeutic process The Psychotherapy Relationship is an impartial research-based exploration of the role of the client/therapist relationship in most major approaches to psychotherapy. Drs. Gelso and Hayes break the relationship down into its component parts-including the working alliance, transference/countertransference, and the real relationship-and define the function of each, as it interrelates with both the other two and with various intervention techniques. They explore various theories about the nature and function of the therapy relationship espoused by the psychoanalytic, cognitive/behavioral, humanistic, and feminist schools of thought. And they develop a broad-based, practical synthesis of theory, research, and personal clinical experience that all psychotherapists will find helpful in their efforts to assess and improve the quality of their relationships with their clients.
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.