managing boundaries and multiple relationship
boundary crossing and multiple relationship
potential for therapist to misuse their power to influence and exploit clients for their own benefit and to the clients detriment
viewpoints
some focus on the problems inherent in multiple relationships. others view them as common inevitable, unavoidable, normal and a healthy part of communal life in many settings
boundary crossing vs boundary violation
boundary crossing is a commonly accepted practice that could potentially benefits clients
boundary violation is a serious breach that could potentially harm a client and therefore it is unethical
minimizing the risk
set healthy boundary
secure informed consent
discuss both potential risk and benefits
consult with other professionals
seek supervision when needed
document in clinical case notes
examine your own motives
refer when necessary
managing multiple relationships in small community
blend several professional roles and function
have to become integral part of the community to be accepted as a credible mental health resource
effectiveness in the setting where they work is reduce if practitioner isolate themselves from the surounding
prior to establishing a bartering relationship
evaluate whether it puts you at risk
determine the value of goods or services
determine the appropriate length of time for arrangement
document and consult colleagues or supervisors
Bartering
minimize unique financial arrangement
better to be goods then services
written agreement
problems should be dealt with by a moderator
accepting gifts
what is the monetary value of the gifts
what are the clinical implication of accepting or rejecting a gift
when in the therapy process
what are my motivation
what are the cultural implication
disadvantages of socializing with clients
therapist may not challenge clients they know
lost of objective
clients are exploited
former clients may need you more as a therapist at some future time than as a friend
sexual attractions in therapy
therapist feel anxious guilty and confused
prevalent experience
there is a difference between finding a client sexually attractive and being preoccupied with this attraction
neglecting to attend to family of origin issue can lead to blind spots such as being attracted to clients
dealing with sexual attractions
recognize and learn how to deal with it constructively and therapeutically
seek professional support
examine and monitor feelings and behaviors toward clients continually
know the difference between having sexual attraction and acting towards it
learn about the possible consequences
mantain clear boundaries
termination
acknowledge caring and warmth within the therapeutic relationshop