Boundary violations: A culture-bound syndrome

Authors
Citation
J. Kroll, Boundary violations: A culture-bound syndrome, J AM A PSYC, 29(3), 2001, pp. 274-283
Citations number
36
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Psychiatry
Journal title
JOURNAL OF THE AMERICAN ACADEMY OF PSYCHIATRY AND THE LAW
ISSN journal
1093-6793 → ACNP
Volume
29
Issue
3
Year of publication
2001
Pages
274 - 283
Database
ISI
SICI code
1093-6793(2001)29:3<274:BVACS>2.0.ZU;2-J
Abstract
A backlash against the self-actualizing psychotherapy movements of the 1960 s and 1970s in concert with recent concerns about professional sexual misco nduct has led some forensic psychiatrists to redefine many routine componen ts of therapy as boundary behaviors. This concern has been followed by the development of conservative guidelines for how therapists should conduct th emselves at the newly-defined boundary crossings so as to avoid "violations ." The slippery-slope argument that seemingly innocuous boundary crossings may lead inexorably to professional sexual misconduct has lent an urgency a nd legitimacy to the guideline enterprise, obscuring the perspective that t he newly postulated boundaries do not represent the consensus of practition ers in the field. Otherwise highly controversial claims about what is ethic al and proper behavior in psychotherapy gain a mantle of incontrovertibilit y when linked to predictions that ignoring published boundary guidelines wi ll result in damage to patient and litigation against therapist. In this ar ticle, three widely advanced boundary guidelines are examined (therapist ne utrality, therapist anonymity, and stable fee policy) for coherence and rel evance to the richly diverse practice of psychotherapy.