Intimate attractions and sexual misconduct in the therapeutic relationship: Implications for socially just practice

Capawana, Michael R.

doi:10.1080/23311908.2016.1194176

Cited by 9 publications

(3 citation statements)

References 40 publications

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“…It has been suggested that a culture of narcissism may have a role to play in male ego-centricity in academia (Lemaitre, 2017;Teixeira da Silva, 2020), or male-dominant science 1 , even extending itself broadly to research misconduct (Tijdink et al, 2016). Others yet have suggested, at least within psychological practice, that clients with a disenfranchised background may be victims of power differentials (Capawana, 2016).…”

Section: The Culture Of Misogyny In Sciencementioning

confidence: 99%

Talking points related to misogyny, sexual misconduct and harassment in academia

Silva¹

2023

Preprint

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There is an increasing discussion in academic research and publishing about sexual misconduct and sexual harassment, with awareness and action having gained traction and momentum in recent years, such as the Twitter-based #MeToo movement, a pivotal 2018 report by the US National Academies of Sciences, Engineering, and Medicine, and the emergence of multiple high-profile cases on blogs and in some academic publishing outlets. It is not unreasonable to expect an unknown number of silent – or silenced – voices of victims of harassment. The voices of those who claim to have been victimized and suppressed must be heard while the rights of defense of those who are accused must be weighed. Victims of sexual misconduct require a safe platform in academic and research institutes that is supported by robust policy and institutional structure. Sexual harassment is academic misconduct and harsh penalties are needed, and those who infringe upon the rights of others should be punished and reeducated. International students, post-docs or early career researchers may be affected by cultural differences, and in fear or shame, may remain silent. The academic community needs to debate this issue openly within a culture of open science, to fortify current policy.

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Section: The Culture Of Misogyny In Sciencementioning

confidence: 99%

Talking points related to misogyny, sexual misconduct and harassment in academia

Silva¹

2023

Preprint

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“…Very often in the health and social care context, there are interactive situations that threaten the role of the professional, including falling in love and physical attraction between client and nurses or mental health professionals (Bachmann et al, 2000; Cooper & Jenkins, 2008; Hankins et al, 1994; Leggett, 1994). Even when this does not result in illicit behaviour—being attracted to the nurse or to the professionals is in fact not an ethical violation (Capawana, 2016)—it can create difficulties for both parties and be an obstacle in pursuing therapeutic goals (Capawana, 2016; Thys et al, 2019). Research data seem to show that continued experience in the role is not sufficient to adequately equip nurses with respect to such situations.…”

Section: Introductionmentioning

confidence: 99%

Is falling in love within the mental health system a problem? How to turn it into a chance for the care relationship

Faccio

Aquili

Bombieri³

et al. 2022

Psychiatric Ment Health Nurs

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Accessible Summary What is known about the subject? In the context of health and social care, situations at the limit or beyond the role of the professional, such as falling in love and physical attraction between a client and a nurse, are very common events. In residential contexts, the construction of the professional relationship is made more complex than in other care contexts since sharing daily life, routine, constant contact and isolation contribute to making relationships more intense from an emotional point of view. Moreover, the same elements that promote the therapeutic process (interpersonal closeness, self‐disclosure, trust) are also sources of role ambivalence and possible emotional misunderstandings. What does the paper add to existing knowledge? In contrast to what is usually proposed in the literature for the management of similar situations, such as supervision by experts external to the team, this paper proposes a strategy of supervision between peers (called in literature “intervision”) and of taking charge of the situation by the entire team and the group of service users. What are the implications for mental health nursing? The story here presented offers a key example that may be of interest not only to residential centres for substance users but also to all residential mental health communities. It shows not only that one can fall in love, but that this event can generate new opportunities for the therapeutic pathway. The risks associated with not addressing these situations are discussed. These include the restriction of the feeling of falling in love within the canons of error; the attribution of what happened to personal characteristics and the assumption of guilt for such occurrences. Abstract Introduction The care pathway within a mental health service can create situations of strong emotional impact, including physical attraction and falling in love. This may evolve in moments of impasse for the staff and sometimes compromise the success of therapeutic treatment. Aim/Question This article offers some evidence about how intervene in a situation such as a client falling in love with a nurse, avoiding transforming it into a problem. The fear of the nurse, maybe already inclined to blame themselves for what has happened, when he/she asks for supervision, is to feel judged also by the supervisor. This story teaches that to refer to figures from outside the team, as would usually be the case with supervision, may be replaced by enhancing the role composition already available in the residential community as a resource. Method The story was listened and enhanced thankyou to an exchange between M. and the community manager. From the analysis of the narratives co‐produced by M., the former substance user, and the community manager, the elements that made it possible to transform a feeling of falling in love into an interaction of extended trust emerged. Results and Discussion The non‐judgmental and confidential context, but above all the training in interpersonal exchange, facilit...

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“…Soon, however, I was confronting another nightmare: a highly regarded Park Avenue psychologist who carefully groomed me for sexual exploitation. There had been several high-profile legal cases against psychologists having sexual contact with their clients: Morra v. State Board of Examiners, 1973; Cooper v. Board of Medical Examiners, 1975; and Roy v. Hartogs, 1975 (Capawana, 2016). But as odd as it seems now, sexual contact with clients was not yet universally condemned or prohibited by law (Glasgow, 1992).…”

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confidence: 99%

When bipolar was still called manic depression: Getting sick in the era of the DSM–II.

Shahar¹

2022

Psychological Services

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This article is a first-person account of what it was like to be bipolar in the late 1970s, in the final days of the DSM-II. The field was on the verge of transitioning from psychodynamic psychiatry to biological psychiatry. During this period, nosology and etiology were confounded, and there was little diagnostic agreement across practitioners. Psychiatric admissions often lasted 6 months or more. Available treatments and conditions were sometimes harsh and iatrogenic: being housed with lobotomized people, rodent-infested municipal hospitals, prolonged periods in restraints and solitary confinement, cold wet sheets, high doses of neuroleptics or the withholding of medication, inadequate access to medication upon discharge, and even sexual misconduct by clinicians. This is also an account of resilience, the life-saving benefit of good treatment. It stresses the need to treat the persons trapped within the disease and to help clients become an active agent in their own recovery.

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Intimate attractions and sexual misconduct in the therapeutic relationship: Implications for socially just practice

Cited by 9 publications

References 40 publications

Talking points related to misogyny, sexual misconduct and harassment in academia

Talking points related to misogyny, sexual misconduct and harassment in academia

Is falling in love within the mental health system a problem? How to turn it into a chance for the care relationship

When bipolar was still called manic depression: Getting sick in the era of the DSM–II.

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