This book presents the latest data on -- and clinical, ethical, and medicolegal issues pertaining to -- sexual intimacy in the professional relationship. Contributors (including psychiatrists, psychologists, social workers, clergy, and attorneys) explore the issue of professional incest across the broad spectrum of the helping professions.
Sexual abuse of patients has received much press in recent years. More victims have come forward documenting their experiences with professionals who abuse fiduciary and confidential relationships by engaging the victim in sexual liaisons. The work is written by a lawyer and a psychologist to examine the ramifications of these problems, and should be of interest to a wide audience of professional and scholarly readers, particularly those in the helping professions, and to college students especially in Women's Studies Courses with a focus on women and violence themes. For generations, untold numbers of women suffered the silent horror of being sexually exploited by respected professional men whom society deemed above reproach. The frightened cries of these victims fell on deaf ears. Lately, the epidemic abuse of professional power for sexual favors has secured a prominent place in America's conscience. Victimized women are now empowered to speak out as society tries to understand how and why their pillars have fallen. In this thought-provoking book, women who have been coerced into sexual liaisons by lawyers, doctors, clergymen, educators, and other professionals reveal their experiences and the toll it took on their lives. Their recollections provide fresh insight into why some women are vulnerable to exploitation and what leads these men to risk their entire livelihoods to seduce their patient, client, or confidante. What ensues is an in-depth examination of a type of relationship that begins with trust, feeds on real or imagined attraction, and often ends in emotional ruin. In Betrayal of Trust, studying the actual relationship is only the beginning. Friedman and Boumil dig deeper to educate about exploitative situations. Readers will learn about early warning signs for recognizing when a professional relationship is crossing the dangerous boundary line between professionalism and sexual abuse. On the legal front, new laws and statutes concerning sexual exploitation and malpractice are considered along with the time, financial, and emotional ramifications of lawsuits and other legal recourse. Victims are taken step-by-step through the long psychological healing process that leads from anger, shame, and guilt to vindication, resolution, and recovery. Related issues such as mutual consent and the ethics of sexual relationships between a man and woman after termination of their professional relationship are also discussed. The book not only sheds light on the misuse of power in professional relationships. It performs a valuable public service by pinpointing potential targets of abuse and offering hope for the thousands of victims who need to know why it happened to them and how they can pick up the pieces.
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 important new work covers clinical issues in treating victims of school violence and assessing children with the potential for violence. The editor also examines the effectiveness of prevention intervention programs and offers larger policy recommendations. The book looks at environmental factors such as cultural issues on behaviors from bullying to mass school shootings. And uniquely, the book delves into topics such as sexual boundaries and body image. In all, this book aims for a theoretical and applied picture of the current state of school violence and prevention.
This volume speaks directly to the issues that underlie sexual dynamics between clinicians and clients. Substantially updated and enlarged, this second edition addresses head-on the heightened openness and awareness of the contemporary consulting room.
Focusing on a matter of continuing contemporary significance, this book is the first work to offer an in-depth exploration of exploitation in the doctor-patient relationship. It provides a theoretical analysis of the concept of exploitation, setting out exploitation’s essential elements within the authors’ account of wrongful exploitation. It then presents a contextual analysis of exploitation in the doctor-patient relationship, considering the dynamics of this fiduciary relationship, the significance of vulnerability, and the reasons why exploitation in this relationship is particularly wrongful. Two case studies – sexual exploitation and assisted dying – are employed to assess what the appropriate legal, ethical and regulatory responses to exploitation should be, to identify common themes regarding the doctor’s behaviour (such as the use of undue influence as a conduit through which to take advantage of and misuse patients), and to illustrate the effects of exploitation on patients. A recurring question addressed is how exploitation in the doctor-patient relationship is and should be dealt with by ethics, regulators and the law, and whether exploitation in this relationship is a special case. The book provides a critical, interdisciplinary evaluation of exploitation in the doctor-patient relationship that will be of interest to health care lawyers, bioethicists, legal academics and practitioners, health care professionals and policymakers.
This two-volume set provides an authoritative overview of rape and other forms of sexual violence, containing the latest information about victims and perpetrators; events, laws, and trends related to sexual violence; and attitudes toward it. This encyclopedia will help readers to develop a deeper understanding of rape and other forms of sexual violence in the United States and around the world. Content illuminates all aspects of this serious issue, including the forms of trauma experienced by survivors/victims; different types of rape, from incest to acquaintance rape to prison rape; specific cases, events, and controversies; laws, policies, movements, and organizations pertaining to the issue; and legal, political, and cultural contributors to rape and other forms of sexual violence. Encyclopedia of Rape and Sexual Violence follows an A–Z format, but instead of comprising brief overview entries, it features twenty chapters, each of which is a long-form entry that covers key perspectives, laws, court cases, and statistics on survivors/victims and perpetrators. Leading scholars' and activists' perspectives on the subject add depth to the information provided; the set also includes a selection of essential primary documents.
The issue of Child Sexual Exploitation (CSE) is firmly in the public spotlight internationally and in the UK, but just how well is it understood? To date, many CSE-related services have been developed in reaction to high profile cases rather than being designed more strategically. This much-needed book breaks new ground by considering how psychosocial, feminist and geo-environmental theories, amongst others, can improve practice understanding and interventions. Edited by one of the leading scholars in the field, this is an essential text for students and those planning strategic interventions and practice activities in social, youth and therapeutic work with young people, as it supports understanding of how CSE arises and how to challenge the nature of the abuse.
The issue of child sexual exploitation (CSE) has received intense scrutiny in recent years, following a number of high profile legal cases, serious case reviews and inquiries. This has resulted in increasing expectations that those working in the field will know how to appropriately manage and respond to this form of abuse. Of course, this is no easy task given the widely acknowledged difficulties of identifying and responding to sexual abuse and the particular complexities associated with the gain dynamic within CSE and the predominantly older age of children affected by it. This edited collection draws on the latest research evidence and academic thinking around CSE to consider issues of understanding and response. Written by researchers from ‘The International Centre: Researching child sexual exploitation, violence and trafficking’ at the University of Bedfordshire, Part I considers issues of understanding and conceptualisation. Part II considers the practical implications of some of this thinking, sharing learning from research and evaluation on prevention, identification and response. Understanding and Responding to Child Exploitation presents critical learning for academics and students, and for those working in the fields of policy, practice and commissioning. It is relevant to a wide range of disciplines including social care, youth work, education, criminology, health and social policy.
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 e-mail 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 a client’s relative a conflict of interest? Frederic G. Reamer offers a frank analysis of a range of boundary issues that human-service practitioners may confront. He confronts the ethics of intimate relationships with clients and former clients, the healthy parameters of practitioners’ self-disclosure, the giving and receiving of gifts and favors, 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 health care, elder services, and prison, rural, and military settings, Reamer offers effective, practical risk-management models that prevent problems and help balance dual relationships. Since the publication of the previous edition of Boundary Issues and Dual Relationships in the Human Services in 2012, digital technology has transformed how human-service professionals deliver services to clients. This third edition brings the book up to date, adding discussion of the ways in which practitioners’ online communications and technology-based relationships with clients can violate ethical standards and providing practical advice for how to resolve boundary issues.
