Assessment of Professionals Who Have Engaged in Boundary Violations

Schoener, Gary R.

doi:10.3928/0048-5713-19950201-08

Cited by 25 publications

(19 citation statements)

References 10 publications

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“…Female therapists may also be more likely to have childhood histories of abuse and exploitation, which can be enacted in unconsciously aggressive ways in their relationship with patients. Gabbard (1994) and Schoener (1995) have proposed classification systems for abusive doctors. These include categories based on many of the mechanisms mentioned above and also categories of mental illness such as bipolar disorder and psychosis.…”

Section: Sarkarmentioning

confidence: 99%

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

Sarkar¹

2004

Adv. psychiatr. treat

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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.Sameer P. Sarkar is a consultant in forensic psychiatry at Broadmoor Hospital (Crowthorne, Berkshire RG45 7EG, UK. E-mail: Sameer.Sarkar@wlmht.nhs.uk) and an associate in the hospital's psychotherapy department. He has studied law at the University of Northumbria at Newcastle and at Harvard Law School and has written on the law and ethics in forensic psychiatry. He teaches ethics of forensic psychiatry to psychiatrists and mental health professionals at two London medical schools. The opinions expressed are those of the author and do not reflect the opinions of West London Mental Health Trust, of Broadmoor Hospital or of the Ethics and the Law sub-committees of the Royal College of Psychiatrists, of both of which the author is a member.

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Section: Sarkarmentioning

confidence: 99%

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

Sarkar¹

2004

Adv. psychiatr. treat

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“…However, despite the complexities of each individual case, it is possible through careful assessment to distinguish those offenders who are likely candidates for rehabilitation and possible return to practice from those who are not (Nugent, 1996a). Schoener and Gonsiorek (1988), Schoener (1995), Gabbard (1995), and have developed classi® cations of sexually exploitative professionals. Even in similar professional± client situations, however, there may be a wide range of offender characteristics (Gabbard, 1995).…”

Section: Determining An Offender's Potential For Rehabilitationmentioning

confidence: 99%

“…Based on his extensive experience in the area, Schoener (1995) has suggested that an assessment for rehabilitation be undertaken only if the following conditions are met: (a) the practitioner admits wrongdoing and understands that there was harm to a client; (b) the practitioner believes that he or she has a problem that requires rehabilitation; and (c) the practitioner is willing to agree to the assessment and realizes that its outcome may not be favorable.…”

Section: Determining An Offender's Potential For Rehabilitationmentioning

confidence: 99%

Sexual misconduct by health professionals: rehabilitation of offenders

Plaut¹

2001

Sexual Relationship Ther.

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“…For example, many codes of ethics have absolute rules regarding sexual intimacies between persons helping and persons being helped. There are well-documented reasons for this rule (Gabbard, 1994;Pope, Tabachnick, & Keith-Spiegel, 1987;Downloaded by [York University Libraries] at 08:59 17 November 2014 Schoener, 1995), which generally speak to the potential exploitive nature of the intimacy and the emotional harm suffered by the helpee.…”

Section: Please Scroll Down For Articlementioning

confidence: 99%

Exploring the Edges: Boundaries and Breaks

Sommers-Flanagan¹,

Elliott²,

Sommers‐Flanagan³

1998

Ethics & Behavior

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In this article, we examine conceptual and practical issues pertaining to relationship boundaries within the helping profession. Although our focus is primarily on relationships between mental health professionals and clients, there are considerable implications for a new approach to ethically structuring and understanding the construct of "required distance" in many human-interactive professions, such as teaching, religious leadership, public administration, and others. We define the concept of boundary as applied to human relationships, provide examples of boundary breaks, and raise questions regarding how to evaluate the significance and morality issues raised by specific boundary breaks. Questions and dilemmas are presented regarding boundary setting and accidental or deliberate boundary breaking. Representative dangers present in boundary breaks are identified, and examples are provided. Possible beneficial outcomes are also discussed. Finally, a suggested protocol for assessing a proposed boundary break is provided, much of which is drawn from the work and thinking of Laura Brown, applied more generally in this article, with additions from our perspectives.

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Assessment of Professionals Who Have Engaged in Boundary Violations

Cited by 25 publications

References 10 publications

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

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

Sexual misconduct by health professionals: rehabilitation of offenders

Exploring the Edges: Boundaries and Breaks

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