Boundaries in Psychotherapy Ethical and Clinical Explorations

ISBN-10: 1591477379
ISBN-13: 9781591477372
Edition: 2007
List price: $49.95
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Book details

List price: $49.95
Copyright year: 2007
Publisher: American Psychological Association
Publication date: 2/15/2007
Binding: Hardcover
Pages: 267
Size: 6.25" wide x 9.00" long x 1.00" tall
Weight: 1.144

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

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