Boundaries, blackmail, and double binds: a pattern observed in malpractice consultation.
نویسنده
چکیده
A scenario common to several boundary violation/sexual misconduct cases is reviewed and discussed. Common features include an articulate patient whose high functionality concealed more primitive dynamics that arose in the therapy; boundary problems, often on an "attempted rescue" basis; and eventual litigation in some form. The patient's high functioning appeared to cause the therapists to underestimate the severity of the patients' disturbances. Drawing on forensic experience, the author analyses the cases and suggests risk management approaches.
منابع مشابه
Commentary: two sides to every story--the need for objectivity and evidence.
Dr. Thomas Gutheil, in his article, "Boundaries, Blackmail, and Double Binds: A Pattern Observed in Malpractice Consultation," provides readers with some important and useful recommendations regarding the avoidance of real or perceived boundary violations and how to avoid the pitfalls of difficult therapy. However, in doing so, he moved away from the usual even-handedness and objectivity that c...
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عنوان ژورنال:
- The journal of the American Academy of Psychiatry and the Law
دوره 33 4 شماره
صفحات -
تاریخ انتشار 2005