Counseling Techniques
Boundaries
Boundary Crossings and Violations in Clinical Settings
V. K. Aravind, V. D. Krishnaram, and Z. Thasneem. Indian Journal of Psychological Medicine, Volume 34; January-March 2012.
Principles of beneficence, autonomy, and nonmaleficence, compassion along with fiduciary partnership are the core concepts in the doctor-patient relationship in therapeutic settings. There are varieties of reasons for boundary problems. Physicians ignorance, exploitative character, emotional vulnerability moral weakness and similar factors may pave the way for boundary issues resulting in nonsexual or sexual boundary crossings and violations.
Transference – Counter-transference
TIP 36: Substance Abuse Treatment for Persons with Child Abuse and Neglect Issues. Substance Abuse and Mental Health Services Administration. Rockville, MD; 2000.
This chapter reviews some of the challenges posed by transference and countertransference issues with this treatment population and discusses possible secondary traumatization in counselors. The Consensus Panel recommends that counselors establish and maintain clear boundaries from the outset, as well as establishing a “treatment frame.”
by Deborah Lott, Psychology Today. May 1999
This article draws on the subtle intimacies that often cross boundaries and identifies how these slight transgressions can have a negative effect on the patient’s treatment.
Self-disclosure
Self-Disclosure & Transparency in Psychotherapy and Counseling
Ofer Zur, PhD. Zur Institute. Published 2016
Inappropriate self-disclosures, such as self-disclosure that is done for the benefit of the therapist, clinically counter-indicated, burdens the client with unnecessary information or creates a role reversal where a client, inappropriately, takes care of the therapist, are considered a boundary violation.
Physical boundaries
A Touchy Subject: the Ethics of Touching
National Association for Alcoholism and Drug Abuse Counseling (NAADAC) Webinar
To touch or not to touch? This has been a topic of discussion and debate among counseling professions for many years. It continues to be confusing for many who work with clients in counseling settings. This webinar will address this topic for those working in addictions and how if effects their work. Through this didactic webinar, suggestions and guidelines will be explored along with ideas for making an ethical decision when faced with this issue.
