Authors: Ofer Zur, American Psychological Association
ISBN-13: 9781591477372, ISBN-10: 1591477379
Format: Hardcover
Publisher: American Psychological Association
Date Published: February 2007
Edition: 1st Edition
Author Biography: Ofer Zur
Book Synopsis
Table of Contents
Preface xi
Acknowledgments xv
Introduction 3
Boundaries in Context 19
Dual Relationships 21
Rural and Isolated Communities 23
Close-Knit Communities 24
College and University Campuses 25
Professional Training Institutes 27
Mandated Dual Relationships in Military and Prison Settings 29
Financial Dual Relationships 31
Referrals 32
Coauthors' or Collaborators' Dual Relationships 36
Ethics of Dual Relationships 36
Dual Relationships in the Context of Therapy 38
Informed Consent 41
To Dual or Not to Dual: How to Decide About Dual Relationships 42
Reflections on Power, Exploitation, and
Transference in Therapy 47
Power and Boundaries 47
Slippery Slope and Boundaries 51
Transference and Boundaries 54
Contexts of Therapy 59
Client Factors 60
Therapeutic Setting 61
Therapy Factors 63
Therapist Factors 66
A Decision-Making Process for Boundary Crossing and DualRelationships 69
Ethical Decision Making 69
Ethical Decision Making Regarding Boundary Crossings and Dual Relationships 70
Risk-Benefit Analysis of Action and Inaction 72
A Decision-Making Process 75
Boundaries Around the Therapeutic Encounter 81
Time and Money: Managing Time, Fees, Billing, and Bartering 83
Time 83
Fees, Billing, and Other Money Concerns 86
Bartering 90
Case Study: Cursed by Money 97
Space for Therapy 99
Home Visits 100
Outdoor or Adventure Therapy 104
Clinical Interventions Not Possible in the Office 105
Ceremonies, Rituals, and Life Transitions 108
Giving or Getting a Ride 109
Incidental Encounters 109
Contexts of Therapy 111
Confidentiality and Other Considerations in Alternative Therapy Settings 113
Ethics, Standard of Care, Current Procedural Terminology, and Risk Management Considerations 115
Case Study: Hospitality With Strings Attached 116
The Home Office Practice 119
Therapist's Self-Disclosure 121
Managing Time, Places, and People 123
Safety, Privacy, and Confidentiality 126
Client Factors 127
Screening and Informed Consent 128
Ethical Considerations 130
Home Office and Context of Therapy 130
Case Study: A Challenging Setting 131
Telehealth and the Technology for Delivering Care 133
Telehealth and Therapeutic Boundaries 136
Ways That Telehealth Works 138
Clinical, Ethical, and Legal Considerations 139
Guidelines for Using Technology in Psychotherapy 144
Case Study: The Medium Is Not the Message 145
Boundaries Within the Therapeutic Encounter 147
Self-Disclosure 149
Self-Disclosure as an Ethical and Boundary Issue 151
Therapist's Choices in Self-Disclosure 153
The Evolution of Societal and Therapeutic Attitudes Toward Self-Disclosure 154
What the Therapy Setting Discloses 156
Client Considerations 157
Theoretical Orientations 159
Self-Disclosure and Therapeutic Alliance 163
Case Study: Too Much Information 164
Touch in Therapy 167
Touch as an Ethical and Boundary Issue 168
Ethics and Standard of Care Considerations 171
Types of Touch in Therapy 172
Scientific and Cultural Views on Touch 175
Touch in Context 178
Case Study: A Touchy Subject 183
Gifts 187
The Meaning of Clients' Gifts 189
How Setting Affects the Meaning of Gifts 191
Gifts by a Third Party and Medication Samples 193
Timing and Therapeutic Orientation 195
Therapists' Gifts 196
Ethics and Keeping Records of Gift-Giving 197
Therapists' Responses to Clients' Gifts 198
Case Study: A Blessing in Disguise 200
Personal Space, Language, Silence, Clothing, Food, Lending, and Other Boundary Considerations 203
Space Between Therapists and Clients 203
Spoken Language 205
Silence 207
Clothing 207
Sharing Food With Clients 208
Lending and Borrowing 210
Greeting and Sympathy Cards 211
Case Study: From Cupcake to Sculpture-Many Ways to Communicate 212
Final Thoughts 215
Toward a Better Understanding of Boundaries in Therapy 217
Examples of Boundary Crossings and Boundary Violations in Psychotherapy 221
Ethics Codes on Boundaries and Dual Relationships in Psychotherapy and Counseling 227
References 235
Index 255
About the Author 267
Subjects