Dual Relationships And Psychotherapy

ìThe opinions expressed in this publication go directly to the challenges we will collectively face as we enter the 21st century.." -- from the Foreword by Patrick H. DeLeon, PhD, JD, ABPP, Past President, American Psychological Association ìThis volume, through a series of diverse approaches and considerations, has dispelled for all time the monolithic notion that dual relationships are always harmful and should be avoided...remarkable and refreshing.î -- Nicholas A. Cummings, PhD, ScD, Former President., American Psychological Association This book, the first of its kind, covers the clinical, ethical and legal aspects of non-sexual dual relationships. It provides detailed guidelines on how to navigate the complexities of intended and unintended crossings of the boundaries of the therapeutic relationship. Contributors representing various therapeutic approaches and work settings challenge the prevailing interpretations of ethical standards as presented by the American Psychological and the American Counseling Associations' Code of Ethics. Through case examples, they demonstrate how non-sexual dual relationships may result in increased trust, familiarity, and therapeutic effectiveness. Discussions include concerns of rural, military, church, hearing impaired and other small communities; behavioral, cognitive, humanistic, and feminist views on DR; and more. This is a book for all practicing therapists. Appendices contain guidelines to nonsexual dual relationships in psychotherapy.

Are dual relationships always detrimental? Speaking the Unspeakable provides an in-depth exploration of client-practitioner dual relationships, offering critical discussion and sustained narrative on thinking about and being in dual relationships. Lynne Gabriel draws on the experiences of both practitioners and clients to provide a clear summary of the complex and multidimensional nature of dual relationships. The beneficial as well as detrimental potential of such relationships is discussed and illustrated with personal accounts. Subjects covered include: · roles and boundaries in dual and multiple role relationships · client experiences and perceptions of being in dual and multiple role relationships · developing a relational ethic for complex relationships This book offers an insightful and challenging portrayal of dual relationships that will be welcomed by therapists, trainers, trainees and supervisors.

This first-of-a-kind analysis will focus exclusively on unavoidable and mandated multiple relationships between clients and psychotherapists. The book will cover the ethics of a range of venues and situations where dual relationships are mandated, such as in the military, prisons/jails, and police departments, and settings where multiple relationships are unavoidable, such as rural communities; graduate schools and training institutions; faith, spiritual, recovery or 12-step, minority and disabled communities, total institutions, and sport psychology. The complexities of social network ethics and digital dual relationships, such as clients becoming "friends" or "fans" on their therapists’ social media pages are discussed. Finally, the book will discuss the complexities multiple roles that inevitably emerge in supervisory relationships.

This first-of-a-kind analysis will focus exclusively on unavoidable and mandated multiple relationships between clients and psychotherapists. The book will cover the ethics of a range of venues and situations where dual relationships are mandated, such as in the military, prisons/jails, and police departments, and settings where multiple relationships are unavoidable, such as rural communities; graduate schools and training institutions; faith, spiritual, recovery or 12-step, minority and disabled communities, total institutions, and sport psychology. The complexities of social network ethics and digital dual relationships, such as clients becoming "friends" or "fans" on their therapists’ social media pages are discussed. Finally, the book will discuss the complexities multiple roles that inevitably emerge in supervisory relationships.

`This thought- provoking book should be required reading for all trainers, practitioners and supervisors. It examines the complex issues that arise when the clinician enters into a relationship with the client beyond the psychotherapeutic boundaries' - Healthcare Counselling and Psychotherapy Journal A recent development in the profession is a consideration of the appropriate use of touch. This is looked at in some detail in this book with useful guidelines of the issues to be considered in deciding whether to touch a client or not. The issue of dual relationships with clients, trainees and supervisees affects most counsellors or psychotherapists at some point in their careers. Many practitioners are unclear about such boundary issues and how, when and if it is appropriate to enter into a dual relationship, whether as a friend, business partner or sexual partner. These relationships are seldom neutral and can have a powerful beneficial or detrimental impact on the person seeking help. Dual Relationships in Counselling & Psychotherapy examines the circumstances in which such relationships arise and provides guidelines on how to ethically manage, avoid or even to develop dual relationships. It also clearly defines the limits beyond which practitioners must not go. The book explores: the dangers of sexual relationships; non-sexual relationships (for example, requests for friendship, gift-giving and chance meetings outside the therapy room); and dual relationships which inevitably occur in small communities and minority groups. Exploring a subject which is often avoided and, for some, even taboo, Dual Relationships in Counselling & Psychotherapy is an invaluable source of advice for trainees and practitioners alike.

`This thought- provoking book should be required reading for all trainers, practitioners and supervisors. It examines the complex issues that arise when the clinician enters into a relationship with the client beyond the psychotherapeutic boundaries′ - Healthcare Counselling and Psychotherapy Journal A recent development in the profession is a consideration of the appropriate use of touch. This is looked at in some detail in this book with useful guidelines of the issues to be considered in deciding whether to touch a client or not. The issue of dual relationships with clients, trainees and supervisees affects most counsellors or psychotherapists at some point in their careers. Many practitioners are unclear about such boundary issues and how, when and if it is appropriate to enter into a dual relationship, whether as a friend, business partner or sexual partner. These relationships are seldom neutral and can have a powerful beneficial or detrimental impact on the person seeking help. Dual Relationships in Counselling & Psychotherapy examines the circumstances in which such relationships arise and provides guidelines on how to ethically manage, avoid or even to develop dual relationships. It also clearly defines the limits beyond which practitioners must not go. The book explores: the dangers of sexual relationships; non-sexual relationships (for example, requests for friendship, gift-giving and chance meetings outside the therapy room); and dual relationships which inevitably occur in small communities and minority groups. Exploring a subject which is often avoided and, for some, even taboo, Dual Relationships in Counselling & Psychotherapy is an invaluable source of advice for trainees and practitioners alike.

This book is for the professional who feels unsure when entering the gray areas that inevitably arise in psychotherapy practice. The author carefully differentiates between what constitutes appropriate and helpful boundary crossing rather than inappropriate boundary violation and explores the ethical and clinical complexities involved in boundary issues such as the exchange of gifts, nonsexual touch, and more.

Should a therapist disclose personal information to a client, accept a client's gift, or provide a former client with a job? Is it appropriate to exchange email or text messages with clients or correspond with them on social networking websites? Some acts, such as initiating a sexual relationship with a client, are clearly prohibited, yet what about more subtle interactions, such as hugging or accepting invitations to a social event? Is maintaining a friendship with a former client or client's relative a conflict of interest that ultimately subverts the client-practitioner relationship? Frederic G. Reamer, a certified authority on professional ethics, offers a frank analysis of a range of boundary issues and their complex formulations. He confronts the ethics of intimate and sexual relationships with clients and former clients, the healthy parameters of practitioners' self-disclosure, electronic relationships with clients, the giving and receiving of gifts and favors, the bartering of services, and the unavoidable and unanticipated circumstances of social encounters and geographical proximity. With case studies addressing challenges in the mental health field, school contexts, child welfare, addiction programs, home-healthcare, elder services, and prison, rural, and military settings, Reamer offers effective, practical risk-management models that prevent problems and help balance dual relationships.