‘Not a neutral event’: Clinical psychologists' experiences of gifts in therapeutic relationships

Willingham, Bethanne; Boyle, Mary

doi:10.1348/147608310x514523

Cited by 4 publications

(1 citation statement)

References 23 publications

(37 reference statements)

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“…To follow Bailey and Burch’s lead would be to suggest extending 1.06(d) whereby we cannot converse about nonservice topics, such as the weather or how one is feeling that day, unless that conversation has immediate relevance to the client’s success. However, we would rather see the field pursue commonsense practices in accepting and giving gifts, but this will require us to first undertake an operational definition of gifts, 5 as it remains unclear what might constitute a gift (see Willingham & Boyle, 2011).…”

Section: Discussionmentioning

confidence: 99%

Behavior analysts accept gifts during practice: So now what?

Witts¹,

Brodhead²,

Adlington³

et al. 2020

Behavior Analysis: Research and Practice

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No data exist on whether behavior analysts accept gifts during their practice, an act considered to be an ethical violation. Sixty behavior analysts from around the globe provided answers to a survey regarding their gift-related practices and views. Results show that many behavior analysts do accept gifts as part of their practice, some of whom justify the act. A call to empirically investigate the practice of accepting gifts, particularly in relation to ethical standards and the therapeutic relationship, is made.

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Section: Discussionmentioning

confidence: 99%

Behavior analysts accept gifts during practice: So now what?

Witts¹,

Brodhead²,

Adlington³

et al. 2020

Behavior Analysis: Research and Practice

View full text Add to dashboard Cite

show abstract

When clients want to pay more for psychotherapy: ethical issues and implications

Cummings

2019

Ethics & Behavior

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Very first patient gift in a general practitioner’s career and the impact of this event on physician-patient relationship

Kos

2018

Medicinski Glasnik

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Aim To describe experiences, feelings and reactions of general practitioners (GPs) to the very first patient gift in the career, considering the impact on physician-patient relation (PPR). Methods A representative sample of the Croatian GPs (N=265) filled in a supervised paper-based, researcher-led questionnaire. The response rate was 95.7%. Three independent analysts coded and analysed respondents' descriptions. The results were analysed using the descriptive statistics, &chi;&sup2;-test, and &phi;-coefficient of correlation. Results The GPs received the very first patient's gift (FG) already as students (2.6%), during internship (41.5%), and at the latest after being a doctor for one year. After 2-42 years of practice, 95.1% of GPs described their FGs. Typical gifts were coffee and/or sweets (66%). Dominant feeling of GPs on receiving the FG was discomfort (33%); only 22% felt good; just 26% reacted with composure. The outcome regarding the physician-patient relationship (PPR) ranged from the debacle (9%), through mutual discomfort (13%) or a routine reaction (38%), to smiles and mutual pleasure (40%). In 18% they tried to behave properly, considering the patient's best interest, despite their own discomfort. In 29% of cases, the patient took the role of teacher, supporting the young physician. The PPR was not improved in 3/5 of cases where the FG was described. Conclusion Receiving the FG is an impressive and deeply touching event, remembered many years afterwards. Without prior instructions, Croatian GPs mostly reacted in a confused manner. The missed opportunity of improving PPR in 60%, and patients' help instead of teachers' suggest the need for education.

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‘Not a neutral event’: Clinical psychologists' experiences of gifts in therapeutic relationships

Cited by 4 publications

References 23 publications

Behavior analysts accept gifts during practice: So now what?

Behavior analysts accept gifts during practice: So now what?

When clients want to pay more for psychotherapy: ethical issues and implications

Very first patient gift in a general practitioner’s career and the impact of this event on physician-patient relationship

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