A practical approach to boundaries in psychotherapy: making decisions, bypassing blunders, and mending fences.

Full Abstract

Nonsexual boundary crossings can enrich psychotherapy, serve the treatment plan, and strengthen the therapist-client working relationship. They also can undermine the therapy, disrupt the therapist-patient alliance, and cause harm to clients. Building on T. G. Gutheil and G. O. Gabbard's (1993) conceptualization of boundary crossings and boundary violations, this article discusses and illustrates grounding boundary decisions in a sound approach to ethics. We provides nine useful steps in deciding whether to cross a boundary, describe common cognitive errors in boundary decision making, and offer nine helpful steps to take when a boundary crossing has negative effects.

Author information

Author/s: Pope, Kenneth S (KS); Keith-Spiegel, Patricia (P);

Affiliation: ken(-atsign-)kenpope.com

Journal and publication information

Publication Type: Journal Article

Journal: Journal of clinical psychology (J Clin Psychol), published in United States. (Language: eng)

Reference: 2008-May; vol 64 (issue 5) : pp 638-52

Dates: Created 2008/04/21; Completed 2008/06/11;

PMID: 18386835, status: MEDLINE (last retrieval date: 2/18/2009, IMS Date: )

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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