Ethical Issues in Psychotherapy of Other Therapists: Description, Considerations, and Ways of Coping
What are the specific ethical aspects of psychotherapy with patients who are themselves therapists (patient-therapists)? This chapter argues that the main difference between psychotherapy with patient-therapists and non-therapist patients is that in the former, the therapist is both the patient’s therapist and colleague. Potential multiple relationships may arise in such cases since the therapist and the patient are both members of the same professional community. In addition, therapists are faced with the challenges of maintaining boundaries between the therapeutic and other professional roles. The most complex dilemma in this situation concerns the therapist’s duty to report patient-therapists’ professional impairment, incompetency, ethical violations, or suspected illegal behavior. The authors suggest that the therapist’s primary ethical duty in this case is to the patient and that reporting should only be as a last resort. The chapter concludes with a call to professional organizations and other regulating bodies for establishing guidelines for managing such dilemmas.