Uncertain borders: Boundary issues in Psychotherapy II: Sexual boundary violations

2000 ◽  
1997 ◽  
Vol 31 (3) ◽  
pp. 321-327 ◽  
Author(s):  
Glen O. Gabbard

Objective: This paper illustrates certain recurrent themes occurring in the evaluation of sexual boundary violations that provide valuable lessons for all psychotherapists. Method: By reviewing patterns found in nearly 80 cases of sexual misconduct by psychotherapists, I have been able to delineate common errors of clinical judgement that lead to serious boundary violations. Results: Several issues deserve attention by all therapists: (i) the therapist's conscious and unconscious intent may be at odds with one another; (ii) feelings of love for a patient may defend against hostility and aggression; (iii) supportive psychotherapy requires careful attention to boundary issues; and (iv) therapists who withhold secrets from supervisors or consultants are at high risk for enacting boundary violations. Conclusions: There is a confluence of clinical error and ethical misconduct in the development of sexual boundary violations during psychotherapy. The study of such cases reveals a number of important lessons to be learned by all psychotherapists. These lessons, as well as their implications for prevention in terms of training and supervision, are discussed.


Author(s):  
Daniel R Cruikshanks ◽  
Stephanie T Burns

Professional boundaries represent the sets of behaviors and interactions that are considered appropriate and ethical between people in professional relationships. These can be defined by considering the roles of the people involved, the scheduled times for these interactions, and the designated places for them. Boundary violations happen when interactions deviate markedly from the social conventions of professional relationships. Sexual boundary violations happen when sexual behavior is introduced into the training relationship. Because of the inherent power differential, sex in trainer-trainee relationships is considered unethical and harmful. This chapter will discuss sexual boundary violations in counselor training including incidence rates, perceptions of trainers and trainees, ethical and legal implications, how sexual boundary violations begin, solutions and recommendations, and suggestions for future research.


1991 ◽  
Vol 21 (11) ◽  
pp. 649-650 ◽  
Author(s):  
Glen O Gabbard ◽  
W Walter Menninger

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