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

A practical approach to boundaries in psychotherapy: making decisions, bypassing blunders, and... 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. © 2008 Wiley Periodicals, Inc. J Clin Psychol: In Session 64:1–15, 2008. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Clinical Psychology Wiley

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

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References (22)

Publisher
Wiley
Copyright
© 2008 Wiley Periodicals, Inc.
ISSN
0021-9762
eISSN
1097-4679
DOI
10.1002/jclp.20477
pmid
18386835
Publisher site
See Article on Publisher Site

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. © 2008 Wiley Periodicals, Inc. J Clin Psychol: In Session 64:1–15, 2008.

Journal

Journal of Clinical PsychologyWiley

Published: May 1, 2008

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