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  • Cited by 7
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    Crossref Citations
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    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Mela, Mansfield and Ahmed, A.G. 2014. Ethics and the Treatment of Sexual Offenders. Psychiatric Clinics of North America, Vol. 37, Issue. 2, p. 239.

    Sisti, D. and Johnson, R. 2014. Reference Module in Biomedical Sciences.

    McNulty, Nick Ogden, Jane and Warren, Fiona 2013. ‘Neutralizing the Patient’: Therapists' Accounts of Sexual Boundary Violations. Clinical Psychology & Psychotherapy, Vol. 20, Issue. 3, p. 189.

    Strauß, Bernhard Linden, Michael Haupt, Marie-Luise and Kaczmarek, Sophie 2012. Unerwünschte Wirkungen, Nebenwirkungen und Fehlentwicklungen. Psychotherapeut, Vol. 57, Issue. 5, p. 385.

    Fürst, Jutta and Krall, Hannes 2012. Sexualität – ein vernachlässigtes Thema in der Psychodrama Ausbildung?. Zeitschrift für Psychodrama und Soziometrie, Vol. 11, Issue. 1, p. 25.

    Perlman, Stuart D. 2009. Falling into Sexuality: Sexual Boundary Violations in Psychotherapy. The Psychoanalytic Review, Vol. 96, Issue. 6, p. 917.

    Subotsky, Fiona 2006. Responding to the Kerr/Haslam Inquiry. Psychiatric Bulletin, Vol. 30, Issue. 06, p. 207.

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Boundary violation and sexual exploitation in psychiatry and psychotherapy: a review

  • Sameer P. Sarkar
Abstract

In psychiatric and psychotherapeutic practice, ‘boundaries' delineate the personal and the professional roles and the differences that should characterise the interpersonal encounters between the patient/client and the professional. Boundaries are essential to keep both parties safe. The author outlines the various types of boundary violation that can arise in clinical practice, their consequences (both clinical and legal), how professionals can avoid them and how health care institutions might respond, should they occur. He concentrates on sexual boundary violations, because these have been the subject of most empirical study.

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Copyright
COPYRIGHT: © The Royal College of Psychiatrists 2003 
References
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American Medical Association (2002) Code of Medical Ethics: Current Opinions with Annotations (2002–2003 edn). Chicago, IL: AMA.
American Psychiatric Association (1972) The Principles of Medical Ethics. With Annotations Especially Applicable to Psychiatry. Washington, DC: APA.
American Psychiatric Association (2001) The Principles of Medical Ethics. With Annotations Especially Applicable to Psychiatry. Washington, DC: APA. http://www.psych.org/public_info/patient_&_fam.cfm
Borys, D. S. & Pope, K. S. (1989) Dual relationship between therapist and the client: a national study of psychologists, psychiatrists and social workers. Professional Psychology: Research and Practice, 20, 283–293.
Canadian Psychiatric Association (1988) Sexual Exploitation of Patients: The Position of the Canadian Psychiatric Association. http://www.cpa-apc.org/Publications/PositionPapers/Sexual.asp
Canadian Psychiatric Association (2002) The 1996 CMA Code of Ethics Annotated for Psychiatrists. http://www.cpa-apc.org/Publications/PositionPapers/annotatedCodeOfEthics/codeOfEthics.html
College of Physicians and Surgeons of Ontario (1991) The Final Report of the Task Force on Sexual Abuse of Patients. Toronto: College of Physicians and Surgeons of Ontario.
Disch, E. & Avery, N. (2001) Sex in the consulting room, the examining room, and the sacristy: survivors of sexual abuse by professionals. American Journal of Orthopsychiatry, 71, 204–217.
Gabbard, G. O. (1994) Psychotherapists who transgress sexual boundaries with patients. Bulletin of the Menninger Clinic, 58, 124–135.
Gabbard, G. O. & Peltz, M. L. (2001) Speaking the unspeakable: institutional reactions to boundary violations by training analysts. Journal of the American Psychoanalytic Association, 49, 659–673.
Garrett, T. (2002) Inappropriate therapist-patient relationships. In Inappropriate Relationships (eds Goodwin, R. & Cramer, D.) pp. 147–170. Mahwah, NJ: Lawrence Erlbaum.
Garrett, T. & Davis, J. (1998) The prevalence of sexual contact between British clinical psychologists and their patients. Clinical Psychology and Psychotherapy, 5, 253–256.
Gartrell, N., Herman, J., Olarte, S. et al (1986) Psychiatrist-patient sexual contact: results of a national survey. I: Prevalence. American Journal of Psychiatry, 143, 1126–1131.
General Medical Council (1994) Duties of a Doctor. London: GMC.
General Medical Council (2001) Good Medical Practice. London: GMC.
Gorovitz, S. (1982) Doctors' Dilemmas: Moral Conflict and Medical Care. Oxford & New York: Oxford University Press.
Gutheil, T. G. & Gabbard, G. O. (1993) The concept of boundaries in clinical practice: theoretical and risk-management dimensions. American Journal of Psychiatry, 150, 188–196.
Henderson, S. (1974) Care-eliciting behaviour in man. Journal of Nervous Disease, 159, 172–181.
Kardener, S. H. (1974) Sex and the physician-patient relationship. American Journal of Psychiatry, 131, 1134–1136.
Kluft, R. P. (1990) Incest and subsequent re-victimization: the case of therapist-patient sexual exploitation with a description of ‘sitting-duck’ syndrome. In Incest-Related Syndromes of Adult Psychopathology (ed. Kluft, R. P.) Washington, DC: American Psychiatric Press.
Lazarus, J. A. (1995) Ethical issues in doctor-patient sexual relationships. Psychiatric Clinics of North America, 18, 55–70.
Perr, I. N. (1989) Medico-legal aspects of professional sexual exploitation. In Sexual Exploitation in Professional Relationships (ed. Gabbard, G. O.) pp. 211–228. Washington, DC: American Psychiatric Press.
Pope, K. S., Levenson, H. & Schover, L. R. (1979) Sexual intimacy in psychology training: results and implications on a national survey. American Psychologist, 34, 682–689.
Pope, K. S. (1991) Rehabilitation plans and expert testimony for therapists who have been sexually involved with a patient. Independent Practitioner, 22 (3), 31–39.
Quadrio, C. (1996) Sexual abuse in therapy: gender issues. Australian and New Zealand Journal of Psychiatry, 30, 125–133.
Royal College of Psychiatrists (2000) Good Psychiatric Practice 2000 (Council Report CR83). London: Royal College of Psychiatrists.
Royal College of Psychiatrists (2002) Vulnerable Patients, Vulnerable Doctors: Good Practice in Our Clinical Relationships (Council Report CR101). London: Royal College of Psychiatrists.
Schoener, G. R. (1995) Assessment of professionals who have engaged in boundary violations. Psychiatric Annals, 25, 95–99.
Simon, R. I. (1995) The natural history of therapist sexual misconduct: identification and prevention. Psychiatric Annals, 25, 90–94.
Vamos, M. (2001) The concept of appropriate professional boundaries in psychiatric practice: a pilot training course. Australian and New Zealand Journal of Psychiatry, 35, 613–618.
Yalom, I. (1989) Love's Executioner and Other Tales of Psychotherapy. London: Bloomsbury.
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  • Cited by 7
  • Cited by
    Crossref Citations
    Crossref logo
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Mela, Mansfield and Ahmed, A.G. 2014. Ethics and the Treatment of Sexual Offenders. Psychiatric Clinics of North America, Vol. 37, Issue. 2, p. 239.

    Sisti, D. and Johnson, R. 2014. Reference Module in Biomedical Sciences.

    McNulty, Nick Ogden, Jane and Warren, Fiona 2013. ‘Neutralizing the Patient’: Therapists' Accounts of Sexual Boundary Violations. Clinical Psychology & Psychotherapy, Vol. 20, Issue. 3, p. 189.

    Strauß, Bernhard Linden, Michael Haupt, Marie-Luise and Kaczmarek, Sophie 2012. Unerwünschte Wirkungen, Nebenwirkungen und Fehlentwicklungen. Psychotherapeut, Vol. 57, Issue. 5, p. 385.

    Fürst, Jutta and Krall, Hannes 2012. Sexualität – ein vernachlässigtes Thema in der Psychodrama Ausbildung?. Zeitschrift für Psychodrama und Soziometrie, Vol. 11, Issue. 1, p. 25.

    Perlman, Stuart D. 2009. Falling into Sexuality: Sexual Boundary Violations in Psychotherapy. The Psychoanalytic Review, Vol. 96, Issue. 6, p. 917.

    Subotsky, Fiona 2006. Responding to the Kerr/Haslam Inquiry. Psychiatric Bulletin, Vol. 30, Issue. 06, p. 207.

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Boundary violation and sexual exploitation in psychiatry and psychotherapy: a review

  • Sameer P. Sarkar
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