Download Boundaries in Psychotherapy: Ethical and Clinical by Ofer Zur PDF

By Ofer Zur

A shopper needs to pay for treatment companies by means of bartering his unique artw ork. A therapist accepts a client's hug yet later concerns no matter if doingso can have despatched the incorrect message. a consumer asks the therapist to turn into pals after remedy ends. A potential patron requests remedy from a clinician who's additionally her neighbor. a consumer inquires in regards to the therapist spiritu al orientation. what's the top plan of action in those occasions? Zur's newest publication is for the pro who feels uncertain coming into these g ray components that necessarily come up in psychotherapy perform. It offers cautious attention to what constitutes a boundary violation, and explores the moral and scientific complexities concerned with boundary matters equivalent to trade of presents, non-sexual contact, therapist's self-disclosure, twin relationships, bartering, domestic visits, domestic workplace perform, and telehealth. This e-book doesn't supply basic solutions, yet quite examines the character of barriers in psychotherapy and is helping view limitations via moral and medical lenses.

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Along these lines, clients are likely to deliberately and systematically seek therapists who share their cultural heritage, spiritual or religious orientation, language, history, values, disability, or sexual orientation. Christian fellowship members may choose their pastors or other church leaders as their psychotherapists because they have heard DUAL RELATIONSHIPS 25 their Sunday sermons; know their spiritual, communal, and familial values; have witnessed them leading prayer groups; and have watched them interact with members of the congregation (Geyer, 1994; Llewellyn, 2002; Montgomery & DeBell, 1997).

In this distant, confined, and highly regimented environment, therapists sleep, eat, play, conduct drills, undergo medical exams and drug testing, and entertain with, next to, or close to their past, current, and future clients (Johnson, Ralph, & Johnson, 2005). Gonzalez, a naval officer and psychologist, describes his experience right after September 11, 2001: When our unit was mobilized a short time later, my patients and I became shipmates: the office was replaced with a ship and the couch with bunks.

Avoiding risk-benefit analyses and exclusively focusing on potential harm and risk management considerations would result in ignoring the potential 44 BOUNDARIES IN PSYCHOTHERAPY benefits and advantages of dual relationships. Even mandatory dual relationships should be carefully assessed for their potential impact on the clinical work. , client factors, setting, therapy and therapist factors), as detailed in chapter 3 of this volume. The fifth set of questions involves the use of consultations: Does the complexity of the proposed dual relationship necessitate the use of a clinical, ethical, or legal consultation?

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