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| Preface | |
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| Acknowledgments | |
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| Introduction | |
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| Boundaries in Context | |
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| Dual Relationships | |
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| Rural and Isolated Communities | |
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| Close-Knit Communities | |
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| College and University Campuses | |
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| Professional Training Institutes | |
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| Mandated Dual Relationships in Military and Prison Settings | |
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| Financial Dual Relationships | |
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| Referrals | |
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| Coauthors' or Collaborators' Dual Relationships | |
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| Ethics of Dual Relationships | |
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| Dual Relationships in the Context of Therapy | |
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| Informed Consent | |
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| To Dual or Not to Dual: How to Decide About Dual Relationships | |
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| Reflections on Power, Exploitation, and | |
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| Transference in Therapy | |
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| Power and Boundaries | |
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| Slippery Slope and Boundaries | |
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| Transference and Boundaries | |
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| Contexts of Therapy | |
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| Client Factors | |
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| Therapeutic Setting | |
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| Therapy Factors | |
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| Therapist Factors | |
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| A Decision-Making Process for Boundary Crossing and Dual Relationships | |
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| Ethical Decision Making | |
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| Ethical Decision Making Regarding Boundary Crossings and Dual Relationships | |
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| Risk-Benefit Analysis of Action and Inaction | |
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| A Decision-Making Process | |
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| Boundaries Around the Therapeutic Encounter | |
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| Time and Money: Managing Time, Fees, Billing, and Bartering | |
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| Time | |
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| Fees, Billing, and Other Money Concerns | |
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| Bartering | |
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| Case Study: Cursed by Money | |
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| Space for Therapy | |
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| Home Visits | |
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| Outdoor or Adventure Therapy | |
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| Clinical Interventions Not Possible in the Office | |
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| Ceremonies, Rituals, and Life Transitions | |
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| Giving or Getting a Ride | |
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| Incidental Encounters | |
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| Contexts of Therapy | |
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| Confidentiality and Other Considerations in Alternative Therapy Settings | |
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| Ethics, Standard of Care, Current Procedural Terminology, and Risk Management Considerations | |
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| Case Study: Hospitality With Strings Attached | |
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| The Home Office Practice | |
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| Therapist's Self-Disclosure | |
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| Managing Time, Places, and People | |
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| Safety, Privacy, and Confidentiality | |
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| Client Factors | |
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| Screening and Informed Consent | |
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| Ethical Considerations | |
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| Home Office and Context of Therapy | |
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| Case Study: A Challenging Setting | |
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| Telehealth and the Technology for Delivering Care | |
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| Telehealth and Therapeutic Boundaries | |
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| Ways That Telehealth Works | |
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| Clinical, Ethical, and Legal Considerations | |
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| Guidelines for Using Technology in Psychotherapy | |
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| Case Study: The Medium Is Not the Message | |
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| Boundaries Within the Therapeutic Encounter | |
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| Self-Disclosure | |
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| Self-Disclosure as an Ethical and Boundary Issue | |
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| Therapist's Choices in Self-Disclosure | |
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| The Evolution of Societal and Therapeutic Attitudes Toward Self-Disclosure | |
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| What the Therapy Setting Discloses | |
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| Client Considerations | |
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| Theoretical Orientations | |
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| Self-Disclosure and Therapeutic Alliance | |
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| Case Study: Too Much Information | |
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| Touch in Therapy | |
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| Touch as an Ethical and Boundary Issue | |
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| Ethics and Standard of Care Considerations | |
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| Types of Touch in Therapy | |
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| Scientific and Cultural Views on Touch | |
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| Touch in Context | |
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| Case Study: A Touchy Subject | |
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| Gifts | |
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| The Meaning of Clients' Gifts | |
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| How Setting Affects the Meaning of Gifts | |
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| Gifts by a Third Party and Medication Samples | |
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| Timing and Therapeutic Orientation | |
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| Therapists' Gifts | |
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| Ethics and Keeping Records of Gift-Giving | |
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| Therapists' Responses to Clients' Gifts | |
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| Case Study: A Blessing in Disguise | |
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| Personal Space, Language, Silence, Clothing, Food, Lending, and Other Boundary Considerations | |
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| Space Between Therapists and Clients | |
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| Spoken Language | |
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| Silence | |
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| Clothing | |
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| Sharing Food With Clients | |
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| Lending and Borrowing | |
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| Greeting and Sympathy Cards | |
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| Case Study: From Cupcake to Sculpture-Many Ways to Communicate | |
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| Final Thoughts | |
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| Toward a Better Understanding of Boundaries in Therapy | |
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| Examples of Boundary Crossings and Boundary Violations in Psychotherapy | |
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| Ethics Codes on Boundaries and Dual Relationships in Psychotherapy and Counseling | |
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| References | |
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| Index | |
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| About the Author | |