Analysts Who Commit Sexual Boundary Violations: A Lost Cause?

Celenza, Andrea; Gabbard, Glen O.

doi:10.1176/foc.5.4.foc483

Cited by 20 publications

(21 citation statements)

References 11 publications

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“…In fact, both practitioners and notifiers often suffer, experience themselves as powerless in the process, and generally find little lasting benefit from the ordeal of any trial (Freckelton, 2007). The effect on practitioners of disciplinary hearing processes is well documented and can include loss of self-confidence, isolation, shock, anger, terror, disbelief, guilt, shame, anxiety, anguish, somatic symptoms, and physical illness (Celenza & Gabbard, 2003;Freckelton, 2007;Nash, Tennant, & Walton, 2004); high incidences of depression (Montgomery, Cupit, & Wimberley, 1999); and suicide (Peterson, 2001). Even if exonerated the experience can leave lasting scars, both personally and professionally (Williams, 2000).…”

Section: Emotional and Personal Costsmentioning

confidence: 99%

The Ethics of Ethical Regulation: Protecting the Practitioner as Well as the Client

Gunther¹

2014

Psychotherapy and Politics International

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Professional regulatory bodies, including ethics committees and association boards, as well as government licensing authorities, oversee the ethical behaviour of health care professionals, and specifically monitoring their use of power. There is, however, relatively less scrutiny regarding the use of power by such regulatory bodies in the consideration of grievances against professionals. The quasi-legal nature of the administration of justice is explored and questioned, and significant limitations in the implementation of administrative law are addressed. Copyright © 2014 John Wiley & Sons, Ltd.Key words: regulatory bodies; regulation; ethics; power; due process; natural justice; administrative law PROLOGUEInterest in a topic is always generated out of a personal context. Twenty years ago I was a cofounder of a psychotherapy organisation. Initially this was a collegial project which involved breaking new ground, and finding our way through historical feuds and theoretical differences. I was pleased at how successfully we were able to do this, and our field was strengthened as a result. However, over the years, I observed -and was finally subject toa seemingly inexorable politicisation of differences and the increasing use of power to silence opposition. I saw this played out in a number of venues including the operation of ethics investigations. I found little interest in my concerns, and an odd sort of blindness which I somehow did not expect on the part of experienced therapists. This echoed my own naivety about the possibilities of cooperation, the administration of even-handed fairness, and the benefits of regulation. In the end I came to recognise that the skills and ideals of interpersonal communication which are championed by the field of psychotherapy are not enough when it comes to the exercise of power. In fact, as Nevis and Backman (2003) pointed out, the valuing of intimate skills may be accompanied by a devaluing of the place of strategic skills. Here I examine the effects of the poor use of power by regulatory bodies, identifying the ways this occurs, in the hope that it may provide the ground for change.

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Section: Emotional and Personal Costsmentioning

confidence: 99%

The Ethics of Ethical Regulation: Protecting the Practitioner as Well as the Client

Gunther¹

2014

Psychotherapy and Politics International

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“…Sexual boundary violation is no more about to disappear than incest. Indeed, as Celenza and Gabbard (2003) argued, it is an occupational hazard. Maybe we are stymied because our anxiety and shame about this act impel us to stop it-to act, not think (like the perp).…”

Section: But What About Sexual Boundary Violations?mentioning

confidence: 99%

Inside the Revolution: Power, Sex, and Technique in Freud’s “‘Wild’ Analysis”

Dimen

2014

Psychoanalytic Dialogues

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“…My family has been disgraced and shamed.’ In this response, there is no sense of the damage done to the patient, only to themselves. This response can be regarded as narcissistic mortification rather than true remorse, an important consideration in amenability to treatment and rehabilitation (Celenza & Gabbard, 2003).…”

Section: ‘The Rules Don't Apply To Me’mentioning

confidence: 99%

A Psychoanalytic Perspective on Ethics, Self‐deception and the Corrupt Physician

Gabbard

Hobday

2012

Brit J Psychotherapy

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In this paper the authors use a psychoanalytic perspective to understand observations about the modes of self-deception that operate in physicians who have been dishonest or have engaged in other transgressions of ethics guidelines. They emphasize that it is inaccurate to categorize physicians as simply honest or dishonest, ethical or unethical. Physicians who have been ethical practitioners may rationalize sexual relations with patients, stealing from professional treasuries, lying, or other transgressions while convincing themselves that they have acted in an honourable manner. The authors share their experience of evaluating these phenomena in over 300 physicians who were referred to a specialized treatment centre by licensing boards, hospitals, physician health organizations or ethics committees. They note the high prevalence of defensive compartmentalization, temporal splitting and projective disavowal as means of tolerating behaviours they would generally regard as unethical. They also examine the implications of these modes of self-deception for psychotherapy.

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Analysts Who Commit Sexual Boundary Violations: A Lost Cause?

Cited by 20 publications

References 11 publications

The Ethics of Ethical Regulation: Protecting the Practitioner as Well as the Client

The Ethics of Ethical Regulation: Protecting the Practitioner as Well as the Client

Inside the Revolution: Power, Sex, and Technique in Freud’s “‘Wild’ Analysis”

A Psychoanalytic Perspective on Ethics, Self‐deception and the Corrupt Physician

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