Original publication in PDF-printable format Psychologists have been inundated with unequivocal messages about the depravity of boundary crossings and dual relationships in clinical practice. We have also been cautioned that boundary crossings are likely to lead us down the slippery slope to exploitive sexual relationships. Boundary crossings and dual relationships have often been labeled unethical and often used synonymously with exploitation and harm. This article will attempt to shed light on the complexities of boundary crossings and will clarify the relevant ethical and clinical concerns.
LinkedIn 0 Boundaries are a crucial aspect of any effective client-counsellor relationship. They set the structure for the relationship and provide a consistent framework for the counselling process. Some boundary lines are clear.
Most counsellors would acknowledge that it is ethically problematic, for example, to counsel your ex-partner because the pre-existing relationship impairs objectivity and serves to undermine the professional relationship.
Whilst situations such as these are clearly problematic, outside of such elementary confines are numerous situations where the delineation of boundaries is less clear. These situations fall outside of the formal code of ethics and lie instead in an ambiguous grey area.
Corey briefly outlines five principles in which therapeutic boundaries are based upon: The counsellor must avoid at all times, even inadvertently Boundaries in counselling activities or situations with the client that could cause a conflict of interest.
To be an effective counsellor, one cannot disengage from the client to the extent that the counsellor cannot empathise with the client. That is not the purpose of counselling and is counterproductive to the therapeutic relationship. However, the counsellor does not want to empathise with the client to the extent that they hug the client upon meeting them or rant and rave with their client in a mutual expression of anger.
This is the behaviour of a friend, not a counsellor. Hence, boundary violation has occurred. Ambiguous boundaries often arise in counselling, but strict responsibilities do apply to the counsellor in relation to their duty to inform clients of the limitations on client confidentiality.
Such information forms a large part of informed consent and informed consent is a fundamental client right. A Short Case Study Jenny had been seeing her counsellor, David, for two years when she was rushed to hospital for emergency surgery. As she was extremely stressed and upset on the phone, David visited her at the hospital the following day.
Jenny was in horrific pain, and David sat in a chair beside her bed and took her hand when she held it out to him. David offered some words of comfort, and after ensuring that the family would be visiting Jenny soon, he left the hospital.
Jenny was aware that this was an exception to her usual counselling sessions with David and it would not be repeated.
At the first counselling session with Jenny after her discharge from hospital, David took the first few minutes of the session to discuss his visit to the hospital to ensure that Jenny understood fully its place in the context of the therapeutic relationship. The professional manner in which David conducted himself during the hospital visit and later at the first counselling session allowed David to move the boundaries in all good conscience.Dual Relationships, Multiple Relations and Boundaries: clear and accurate facts, information and guidelines about dual relationships and boundaries in psychotherapy and counseling, including issues of undue influence.
How to Set Boundaries “Yes.” It’s one simple word, but it’s a word that holds amazing power in our lives.
Yes to picking up the extra project at work even if it leads you closer to burnout. Boundaries •Establishing boundaries is an important competency •Boundaries delineate personal and professional roles •Boundaries are essential to patient and therapist safety •Professional relationships with patients exist for their benefit •Whose needs are being .
Ambiguous boundaries often arise in counselling, but strict responsibilities do apply to the counsellor in relation to their duty to inform clients of the limitations on client confidentiality.
Such information forms a large part of informed consent and informed consent is a fundamental client right. Setting boundaries with clients doesn't come naturally to therapy practitioners. Empathy and wanting to help people is what brought you to this work, and for us it's hard to be cruel to be kind.
Third Edition Boundary Issues in Counseling Multiple Roles and Responsibilities AMERICAN COUNSELING ASSOCIATION.
|Boundaries - Counselling Directory||Testimonials Boundaries in counselling With the recent report of two therapists being abused by another counsellor in a counselling relationship, I can imagine it has made people wonder if they are safe with their present therapist.|
|The Need for Boundaries||Nonsexual boundary crossings can enrich psychotherapy, serve the treatment plan, and strengthen the therapist-client working relationship. They can also undermine the therapy, disrupt the therapist-patient alliance, and cause harm to clients.|
|Drawing Boundaries | Psychology Today||His partner is a psychotherapist and so many of her approaches to people seemed to be influenced by what he thought was a ridiculous over concern with boundaries. He had forgotten that I worked in the same world.|
|Boundaries in counselling - Counselling in your Community||It was clear in this case that the boundaries in counselling were broken.|
Transcending Boundaries in Psychotherapy Arnold A. Lazarus 27 counseling Latino, African American, and Muslim clients. Our guest.