Keeping Boundaries: Maintaining Safety and Integrity in the Psychotherapeutic Process

Forsideomslag
American Psychiatric Pub, 1994 - 318 sider
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Keeping Boundaries is an across-the-board review of the subject of boundary maintenance in psychotherapy. Using a comprehensive approach, this book examines the problem of therapeutic boundaries and boundary violations from multiple viewpoints, including historical antecedents, sociological mechanisms, object relations theory, psychodynamic theory, practical technique, and the mental health and training of psychotherapists. It covers a variety of boundary issues, including dual relationships, informed consent, fees, gifts from patients, maintaining confidentiality, avoiding abuse of power, and helping therapists to protect themselves against exploitive patients.

Written in a clear and jargon-free style, this book provides the therapist with practical clinical advice supported by extensive references and clinical vingnettes.

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Indhold

Introduction
General Aspects of Therapeutic Boundaries and Boundary Violations
11
The Nature and Function of Therapeutic Boundaries
13
Ego Boundary Development and Its Relationship to the Therapeutic Frame
33
Factors Common to All Boundary Violations
87
Specific Boundary Issues
109
Introduction to Section II
111
Stability Creating an Atmosphere of Trust and Reliability
117
Confidentiality
177
Maintaining Anonymity
193
Abstinence and the Management of Erotic Feelings in Psychotherapy
201
Treating the Patient Who Tries to Exploit the Therapist
219
Issues Concerning the Mental Health and Training of Psychotherapists
233
Psychological Characteristics of Therapists Who Commit Serious Boundary Violations
235
Education and SelfAssessment How Can Therapists Learn to Improve Their Boundary Skills?
251
The Exploitation Index
273

Whom Should a Psychotherapist Treat? Problems of Patient Selection When a Dual Relationship Exists
125
Respecting the Patients Autonomy Maintaining a Position of Neutrality
143
Monetary Compensation in Psychotherapy Balancing the Therapists Financial Needs Against Those of the Patient
157
References
277
Index
299
Copyright

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Om forfatteren (1994)

Richard S. Epstein, M.D., is a psychiatrist in private practice in Bethesda, Maryland. He is President-Elect of the Washington Psychiatric Society, Clinical Professor in the Department of Psychiatry at Georgetown University School of Medicine, Washington, DC, and Clinical Associate Professor in the Department of Psychiatry at the Uniformed Services University of the Health Sciences, F. Edward Hebert School of Medicine, Bethesda, Maryland.

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