Patient-therapist boundary issues: An integrative review of theory and research.

David A. Smith · Marilyn R. Fitzpatrick

187 citations0/0 files storedProfessional Psychology Research and Practice

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Counseling Practices and Supervision Psychotherapy Techniques and Applications Ethics in medical practice

Abstract

Boundary issues, which regularly arise in therapy, can present dilemmas for clinicians. The purpose of this article is to help clinicians resolve these dilemmas by integrating some of the theoretical positions with empirical evidence reported in the literature on boundary issues in counseling and psychotherapy. The authors review the concept of treatment boundaries and the ethical principles that underpin them. They also review common boundary violations and provide recommendations to attenuate harm done to clients when such boundary violations occur in therapy.

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References

1992Handbook of counseling psychology 1987Ethics of practice: The beliefs and behaviors of psychologists as therapists.1992Ethical dilemmas encountered by members of the American Psychological Association: A national survey.1989Dual relationships between therapist and client: A national study of psychologists, psychiatrists, and social workers.1989Sexual Exploitation in Professional Relationships 1986Sexual attraction to clients: The human therapist and the (sometimes) inhuman training system.1986Sexual Intimacy Between Therapists and Patients 1989Sexual Exploitation of Patients: How It Begins Before It Happens

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