involved. The article defines dual relationships as boundary violations Key Words: clients; dual relationships; ethics; legal liability; .. Collected papers. (Vol. Running Head: ETHICAL DECISION-MAKING DEBATE Dual Relationships and Boundaries Paper Team A: Andrea Obajobi, Beethoven Felix, Bianka Graham. DUAL-RELATIONSHIPS AND BOUNDARIES PAPER 3 The unethical actions that can be taken would be that the psychologist could treat her close friend's.
However, in all such situations, the psychologist is responsible for making an honest appraisal of the benefits and risks involved in the context of the specific situation, including determining the feasibility of alternatives in light of those risks and benefits, deciding whether to enter into or continue the relationship, establishing relationship boundaries appropriate to the work being done e.
If containment of the therapeutic situation becomes insufficient, the therapist terminates the therapy. Further procedure as above. Generally the therapist does not enter into private or other types of professional relationships, e. Be acutely aware of the problematic nature of dual relationships for example, with trainees, business associates, employees or clientsand recognize that it is not always possible to avoid them e. Where it is possible, practitioners shall avoid such relationships; where it is not, they shall take appropriate steps to safeguard the interests of those involved.
Code of Ethics Excerpt: Code of Professional Ethics Excerpt: Where it is possible, psychologists shall avoid such relationships; where it is not, they take active steps to safeguard the students', employees' or clients' interests.
Dual Relationships and Boundaries Paper | Parviz Scott - balamut.info
In fact, the placement, management, flexibility, and negotiation of therapeutic boundaries constitute a cultural enterprise.
The cultural context provides the structure from which to consider the therapeutic relationship and its boundaries. In Session,vol. They can also undermine the therapy, severe the therapist-patient alliance, and cause immediate or long-term harm to the client. Choices about whether to cross a boundary confront us daily, are often subtle and complex, and can sometimes influence whether therapy progresses, stalls, or ends. We put ourselves in the best position to make sound decisions when we develop an approach to boundary crossings that is grounded in our general approach to ethics; stay abreast of the evolving legislation and case law, ethical standards, research, theory, and practice guidelines; take into account the relevant contexts for each client; engage in critical thinking that avoids the common cognitive errors to step away from our clinical responsibilities, avoid personal responsibility for our decisions, and rationalize our choices and behavior; and, when we make a mistake or suspect that our boundary decisions have led to trouble, use all available resources to figure out the best course of action to respond to the problem.
The results are interpreted taking into account cultural aspects which means a gift, as well as local constructions of what constitutes ethical behavior. Interpersonal and Biological Processes, While such excesses are often proffered as indicia of patient protection, the perversion of boundary theory may place professionals at risk for undeserved sanctions and may potentially harm patients themselves by frightening the professionals into rigidity in therapeutic interactions.
This extreme position is captured by a cartoon that shows a male patient putting forth his hand for a handshake with his female therapist: Boards themselves vary to a striking degree in their rigor, flexibility, and, regrettably, punitive attitudes toward the clinicians they license. The conduct of psychotherapy is an impossible task because there are no perfect therapists and no perfect therapies.
- Dual Relationships and Boundary crossing. A Critical Issues in Clinical Psychology Practice
Knowing one's boundaries, however, makes the impossible task easier. A clinician leaves the office at the very end of the weekday and notes that a heavy snowfall with deep drifts has occurred during the day. Driving home, he sees the last patient of the day struggling on foot, and offers the patient a potentially life-saving lift home or to local transport in his car. The clinician 1 behaves professionally during the ride, deferring clinical issues to the next meeting; 2 carefully records the situation and context when next in the office; and 3 explores or debriefs the patient on the experience at the next session, also recording that.
The three general principles noted may constitute the critical distinguishing factors in subsequent challenges between a crossing and a violation.
All revolve around a basic question: What elements of our private world will we express to the outer world?
Dual Relationships, Multiple Relationships, & Boundary Decisions
Most often, disclosures involve negotiating an appropriate balance between the helpfulness of sharing a part of ourselves with another and the inappropriateness of even danger of overdoing it, of perhaps sharing too much too soon. Psychotherapy, a place of nearly total confidentiality, provides a rich and unique settings in which to examine this quintessentially human conflict. In doing so, in studying the nature and consequences of disclosure, we can enrich our understanding of interpersonal relations in general and of something fundamental about the psychotherapeutic process.Psy 545 Dual Relationships and Boundaries balamut.info
Fantasy and Reality" in Professional Psychology: Research and Practice, August,p. A pilot comparison study of two disciplines" in American Journal of Family Therapy,vol. We again acknowledge the impossibility of setting firm boundaries appropriate for every consumer under every circumstance. We are concerned, however, that inappropriate crossings are often rationalized as benevolent or therapeutic. As Brown states, 'In the many cases in which I have testified as an expert witness regarding abuses in psychotherapy and the standards of care, it is a very common experience for me to hear the accused therapist pleading the cause of greater humanity, and even love, as the rationale for having had sex with, breast fed, slow-danced with, gone into business with, move in with, and so on with the complaining client'p.
You may have heard in workshops or read in books or journals that hugging a client, giving a gift to a client, or meeting a client outside of the office constitutes a multiple relationship and is prohibited by our ethics code or by the standard of care sustained by professional licensing boards.
You may also have heard or read that telling a client something personal about yourself or unexpectedly encountering a client at a social event are examples of unprofessional multiple relationships. The inaccuracies, or errors, in our thinking about nonsexual multiple relationships, mire us in confusion and controversy. The errors cripple our movement towards a comprehensive and practical model of ethical decision-making regarding multiple relationships with clients.
This study also showed that male therapists are more likely to engage in nonsexual dual relationships with clients of the opposite sex than their female counterparts. A Practical Guide, 4th EditionWiley, Clarity in thinking through boundary issues for each client is essential. Another action that the psychologist could ethically take is to attempt to avoid the dual relationship by referring the friend and her daughter to another psychologist Ringstad, In this way, the psychologist is still able to provide the friend with a level of help while at the same time not jeopardizing anything for the psychologist with her relationship with the friend or professionally in her job.
There can be numerous different types of relationships from family members to sexual partners.
However, although it could be unethical it is strongly not endorsed. These types of relationships can be harmful when confidential information is discussed and could possibly harm all settings if disclosed to any of the parties. By not displaying professional courtesy while working with certain relationships can cause multiple issues. Psychologist are constantly reminded that the primary reasoning to avoid all dual relationships argument is for misuse of power, influence and the possibility of exploiting clients for their own benefit and to their disadvantage Ebert The misuse of power is certain a valid concern.
In consideration, the affect and responsibility can only be compared to the belief in the domino effect theory of dual relationships; one thing that is unavoidably could lead others.
Dual Relationships, Multiple Relationships, & Boundaries
Something as that can be initially an innocent hug will predictably progress to sexual intercourse and furthermore a gift could predictably lead to a business relationship. In most cases, therapist are advised to communicate with their clients when the possibility of a relationship arises or could arise, that they are advised to take action on avoiding dual relationships as see fits.
The ethics of dual relationships: