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A client wishes to pay for therapy services by bartering his original artwork. A therapist accepts a client's hug. A client asks his or her therapist if they can be friends after therapy ends. A prospective client requests therapy from a therapist who is also her neighbor. A client inquires about a therapist's spiritual orientation. What is the best course of action in these difficult situations?

This book is for the professional who feels unsure when entering the gray areas that inevitably arise in psychotherapy practice. The author carefully differentiates between what constitutes appropriate and helpful boundary crossing rather than inappropriate boundary violation and explores the ethical and clinical complexities involved in boundary issues such as the exchange of gifts, nonsexual touch, therapists' self-disclosure, dual relationships, bartering, home visits, home office practice, and telehealth.

This book does not offer simple answers but, rather, examines the nature of boundaries in psychotherapy and helps readers view boundaries through both an ethical and a clinical lens. Readers will learn a decision-making process to help them think through when to cross and when not to cross a boundary. Examples of real-world situations are provided to aid therapists as they think critically about what is most appropriate and most helpful to their clients' well-being. Clinicians, trainers, supervisors, instructors, students, ethicists, licensing boards, administrators, and attorneys will appreciate this thoughtful orientation to the many different boundaries that surround and protect psychotherapists and their clients.

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Introduced in 1995, Boundaries and Boundary Violations in Psychoanalysis was lauded by the psychoanalytic community for its balanced, clear perspective professional boundary issues. It has since become the definitive text on the subject, and it is used in psychoanalytic seminars and courses all over the world. In this acclaimed volume, authors Glen O. Gabbard, M.D., and Eva P. Lester, M.D., shed light on the many controversies surrounding boundary issues and equip readers with strategies for recognizing and dealing with boundary problems on the part of both clinicians and patients. Using history, theory, case examples, and practical approaches, Drs. Gabbard and Lester help clinicians: -Understand the history of boundary violations in psychoanalysisAand see how transgressions spark and evolve within the vulnerable framework of psychoanalysis. -Gain a psychoanalytic understanding of sexual and nonsexual boundary violations by both clients and their doctors, with many detailed case examples that illuminate the dynamics of these transgressions. -Develop knowledge and awareness of posttermination boundaries and the role of boundaries in psychoanalytic supervision. -Learn practical institutional responses to serious violations, including preventive techniques, assessment and rehabilitation approaches, and transference/countertransference management approaches. With information geared toward both clinicians and institutions, Boundaries and Boundary Violations in Psychoanalysis is an invaluable resource for understanding and treating those who have transgressed professional boundaries. More broadly, it will help all clinicians develop an awareness of emerging problems in the psychoanalytic relationship in time to take steps to avoid serious transgressions.