Have you ever wondered what to do when you unintentionally cross a boundary with a client or if a boundary violation occurs?
What steps need to be taken? What must we do to address this? Boundary crossings and violations are topics that could very well show up on your ASWB exam.
Do you know how the ASWB expects you to answer these questions? What is the difference between a boundary-crossing and boundary violation? While it is unlikely the test will get this nuanced, we do find it helpful to keep these differences in mind. A boundary violation occurs when a social worker engages in a dual relationship with a client or colleague that is exploitive, manipulative, deceptive, or coercive.
An example would be when a therapist engages in exploitative dual relationships with a client, such as sexual contact or exploitative business relationship that benefits the therapist.
Anxious about seeing couples when substance use is present? The webinar will also provide practical tools and specific interventions to help clinicians develop confidence to better help their clients. Attendees will be able to ask questions throughout the presentation and participate in instructor-led polls. Certificate of attendance will be provided to all participants who complete an evaluation at the end of the webinar.
No CE credits provided for this event. In addition to her work providing couples therapy in addiction treatment facilities, Diane has codeveloped and facilitated a number or training programs for families, groups, and therapists focused on identifying and treating addiction.
She also co-created for the State of Oregon a multi-family group treatment program for persons with problematic gambling. Learning objectives: After attending this webinar, participants will be able to:. Webinar interaction: This live webinar is fully interactive. Attendees may ask questions throughout the presentation and participate in instructor-led polls. Upon registration, participants will be provided a personalized link that they can use to access live from any desktop, laptop, tablet, or smart device.
Register Now. To receive a certificate of attendance participants must log in at the scheduled time, attend the entire course and complete an online webinar evaluation. For questions or comments please email aviva zurinstitute. Uncertainty, adversity, and crisis, like we are facing today, is distressing, disruptive, and the cause of much anxiety about the future.
But is it possible to grow through this crisis? This webinar addresses that very question. Introducing what is known as post-traumatic growth, we explore the ways in which crisis, trauma, and adversity can lay the foundation for prolific psychological growth.
Target audience: This webinar is geared specifically towards counselors, but is appropriate for all mental health professionals. She has worked in a variety of settings, including addiction treatment centers, private practice, and corporations. She has created 22 continuing education courses drawing on the fundamental concepts of post-traumatic growth and is also the author of Leverage: The Science of Turning Setbacks Into Springboards. Course interaction: This live webinar is fully interactive.
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Need more information? Source: Zur, O. To Cross or Not to Cross: Do boundaries in therapy protect or harm. Psychotherapy Bulletin, 39 3 , Posted by permission of Division 29 psychotherapy of APA updated Original publication in PDF-printable format. Psychologists have been inundated with unequivocal messages about the depravity of boundary crossings and dual relationships in clinical practice.
We have also been cautioned that boundary crossings are likely to lead us down the slippery slope to exploitive sexual relationships. Boundary crossings and dual relationships have often been labeled unethical and often used synonymously with exploitation and harm. This article will attempt to shed light on the complexities of boundary crossings and will clarify the relevant ethical and clinical concerns. It will distinguish between harmful boundary violations, beneficial boundary crossings and unavoidable or helpful dual relationships.
Most importantly, it will suggest ways to increase clinical effectiveness by appropriately incorporating beneficial boundary crossing interventions into our clinical practices. Boundary crossing in psychotherapy is an elusive term and refers to any deviation from traditional analytic and risk management practices, i.
Dual relationships refer to situations where two or more connections exist between a therapist and a client. The prohibition of dual relationships leads to increased isolation, which has several serious ramifications:. Isolation forces the therapist to rely on the client's report as the main source of knowledge. Therapeutic effectiveness can be diminished by excluding collateral information and by exclusive reliance on a client's subjective stories. Not all therapeutic approaches disparage dual relationships.
The most practiced and empirically based approaches, such as Behavioral, Humanistic, Cognitive, Family Systems, Group and Existential therapy, at times see dual relationships as an important and integral part of the treatment plan. Most graduate and post-graduate education not only instills fear of licensing agencies and lawsuits, but also delivers inadequate instruction in personal integrity, individual ethics, and how to navigate the complex issues of boundaries, duality, and intimacy in therapy.
Introducing dual relationships may alter the power differential between therapists and clients in a manner that can facilitate better health and healing. Develop a clear treatment plan for clinical interventions which are based on the context of therapy.
As indicated above, the context includes client, therapy, setting and therapy factors. Client's personality, culture, DX, gender, etc. Intervene with your clients according to their needs, as outlined in each of their treatment plans, and not according to any graduate school professor's or supervisor's dogma or even your own beloved theoretical orientation.
Some treatment plans may necessitate dual relationships however, in other situations dual relationships should be ruled out. Make sure you know the difference.
If planning on entering a dual relationship you must take into consideration the welfare of the client, effectiveness of treatment, avoidance of harm and exploitation, conflict of interest, and the impairment of clinical judgment. These are the paramount and appropriate concerns. Do not let fear of lawsuits, licensing boards or attorneys determine your treatment plans or clinical interventions.
Do not let dogmatic thinking affect your critical thinking. Act with competence and integrity while minimizing risk by following these guidelines. Incorporate dual relationships into your treatment plans only when they are not likely to impair your clinical judgment, or create a conflict of interest.
Do not enter into sexual relations with a client because it is likely to impair your judgment and nullify your clinical effectiveness.
Remember that treatment planning is an essential and irreplaceable part of your clinical records and your first line of defense. Consult with clinical, ethical or legal experts in very complex cases and document the consultations well. Study the clinical, ethical, legal and spiritual complexities and potential ramifications of entering into dual relationships.
Attend to and be aware of your own needs through personal therapy, consultations with colleagues, supervision or self-analysis. Awareness of your own conscious and unconscious needs and biases helps avoid cluttering the dual relationship. Before entering into complex dual relationships, consult with well-informed and non-dogmatic peers, consultants, and supervisors. When you consult with attorneys, ethics experts and other non-clinical consultants make sure that you use the information to educate and inform yourself rather than as clinical guidelines.
Separate knowledge of law and ethics from care, integrity, decency and above all effectiveness. Remember you are paid to help and heal, not to protect yourself. Discuss with your clients the complexity, richness, potential benefits, drawbacks and likely risks that may arise due to dual relationships.
Make sure that your office policies include the risks and benefits of dual relationships and that they are fully explained, read and signed by your clients before you implement them. Make sure your clinical records document clearly all consultations, substantiations of your conclusion, potential risks and benefits of intervention, theoretical and empirical support of your conclusion, when available, and the discussion of these issues with your client. Remember you are setting an example.
Model civility, integrity, emotionality, humanity, courage, and, when appropriate, duality. As a role model, telling your own stories can be an important part of therapy. Make sure that the stories are told in order to help the client and not to satisfy your own needs. Remember that you are being paid to provide help. At the heart of all ethical guidelines is the mandate that you act on your clients' behalf and avoid harm.
That means you must do what is helpful, including dual relationships when appropriate. Answer clients' basic and legitimate questions about your values and beliefs, including your thoughts on dual relationships. Continue to keep excellent written records throughout treatment. Keep records of all your clinical interventions, including dual relationships, additional consultations and your own and your clients' assessment of treatment and its progress.
Evaluate and update your approach, attitudes, treatment plans and above all effectiveness regularly. If you find yourself in a dual relationship which either is not benefiting the client or is causing distress and harm, or has unexpectedly brought about conflict of interest, consult and, if necessary, stop or ease out of the dual relationship in a way that preserves the client's welfare in the best possible way. Sign up for our Clinical Updates email and receive free resources.
Email Sign Up. Skip to content New Customer? Search for:. CE Courses by Subject. Required Courses. View by CE Credit Hours. Author Name. July 4th SALE! Live Case Consultation Group with Dr. Free Webinar! Free CE Webinar! Learning objectives After attending this course, participants will be able to Describe the benefits of an autism diagnosis at any age.
Identify features of autism in adolescent, adult, and aged adult clients. Discuss red flags for autism spectrum disorder. Identify therapeutic interventions for autistic clients to promote best outcomes.
Learning objectives: After attending this webinar, participants will be able to: Describe the framework of addiction and how it impacts the couple system. Design interventions that meet the goal of increasing empathy and decreasing shame. Apply specific techniques to shift the couple system and facilitate change. It constitutes exploitation of the patient. What are examples of healthy boundaries? What are the 7 principles of social work? The seven casework principles namely individualization, acceptance, self-determination, controlled emotional involvement, confidentiality, non-judgmental attitude and purposeful expression of feelings proposed by Felix Biestek is taken up to indigenize with Thirukural.
What are some examples of professional boundaries? Harmful and unethical boundary violations include:. What does Small World ethical thinking involve? Small world ethical thinking refers to a psychologist's heightened awareness that his or her environment will likely produce ethical dilemmas surrounding boundary violations related to online realities such as greater transparency, increased self-disclosure and unavoidable multiple relationships.
What is an example of a dual relationship? Dual relationships or Multiple Relationships in psychotherapy refers to any situation where multiple roles exist between a therapist and a client.
Examples of dual relationships are when the client is also a student, friend, family member, employee or business associate of the therapist. Can you be friends with former therapist? There aren't official guidelines about this for therapists. You might be wondering if your former therapist would even be allowed to be your friend, given how ethically rigorous the mental health field is. The answer is technically yes, but it's generally inadvisable.
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