Three Brief Scenarios and Boundaries

In today’s psychology profession, a therapist and even the client can cross many boundaries if immediate boundaries are not put into place during the initial visit. Some boundaries that are crossed are not a problem at first and then the problem progresses. Leonard L. Glass called these, “the gray areas of boundary crossing and violation” (429). However, there is further description, “Boundary issues mostly refer to the therapist's self-disclosure, touch, an exchange of gifts, bartering and fees, length and location of sessions and contact outside the office” (Guthiel & Gabbard). This statement by Thomas G. Gutheil, M.D. & Glen O. Gabbard, M.D explains the meaning of boundary

Allowing for our ethical codes of conduct, if the client is someone we feel we can proceed with, then as always, the first stage would be to develop a good rapport and gain the clients trust to develop an honest and open relationship with them. The client centred approach as always is the best method for this – to put the client at ease in a non-judgemental space where they can express their emotions and explore what it is they want to achieve with therapy. In giving the therapist an

Hi, Vendelyn! I believe a good and safe healthy boundary is something that should be first thing you set for yourself as a case manager. This will allow you to know just how far you should go when handling your client without interfering strongly with their beliefs. Being judgmental defiantly is not a good thing to me when working with any client. This is why I believe being a case manager take great patience and good communication skills in order to listen and also apply what you have learned to get good results. Great Post!

Dual relationships and the ethical behavior that revolves around boundaries with clients present a multitude of very complicated situations to counselors where a clearly defined course of action is not always evident. Aside from no accord amongst mental health professionals and boundary issues being unavoidable at times, recognition and prediction of potential benefits or pitfalls correlated with dual relationships can prove to be troublesome as well (Remley & Herlihy, 2010). For most cases, it is best if an outline is used to discern when it is appropriate for a counselor to breach the client-counselor boundary.

Lying on the Couch by Irvin D. Yalom has been both entertaining and interesting from a counseling standpoint in that it provides a scandalous and as was in most of the cases, a look at what could go wrong if ethics in a clinical counseling setting go awry. Following the characters of Seymour Trotter, Earnest Lash, and Marshal Streider in working with their clients and with each other the ethical lessons to be learned become obviously apparent, if not emotionally painful. Although, numerous issues arise throughout the book, there were at least three that will be covered within the context of this writing. In consideration of each of these ethical breaches there will be dialog on the nature of the ethical issue or violation, where the ACA ethical code applies, ramifications of the ethical issue or violation on both parties, and application of Kitchener?s five primary ethical principles that were involved or violated. In addition, the justification offered by the characters in the book for their actions or considered actions, application to the situation in the setting of Clinical Mental Health counseling, and indication of personal response to the situation presented. Understanding that the use of these ethical principles and considerations as they apply in counseling are unequivocally valuable tools in helping a practitioner in working with clients to make comprehensive decisions that will not create conflict within their ethical parameters and are aligned with the laws

Not all patients (or staff) are comfortable with using touch but I soon realised the boundaries with each individual patient.

Finding a good balance of closeness between the patient and the therapist is somewhat of a struggle between the two parties and it is important to find that perfect

Heidt (1981) found TT of benefit to cardiovascular patient. Heidt studied therapeutic touch (TT) using 30 patients as the subjects in three groups. Group A received TT, group B casual TT and group C none. Results showed a significant reduction in anxiety in group

Counseling takes many different roads in the direction of improving a client’s mental health. These roads all lead to a common goal, but the therapist must be diligent in the direction chosen. A code of ethics provides the parameters for proper and effective treatment and boundaries protect the process of healing. Understanding how these two critical components interweave into this process aids in the conceptual framework of therapy. It may become necessary to expand upon and even cross the theoretical aspect of a boundary in order to stimulate the process of helping the client, but by no means shall these boundaries be violated. The Royal College of Psychologists (2013) compare professional boundaries to that of guardrails at the Grand Canyon, providing the visitor a safe area to enjoy the view with minimal risk of harm. Though the therapist’s boundaries can be much more flexible than a guardrail as it involves the process of therapy, some aspects such as sexual contact as an example are just as unyielding. Utilization of ethical treatment keeps the counselor on the path with clear direction and out of harm’s way for both the client and the therapist. The substance abuse therapist must become intimately familiar with the definition and application appearance of boundary crossing versus boundary violation and how a code of ethics model successful treatment for the substance user.

Throughout this essay I will illustrate the similarities and differences between the three core theories by looking at the theory behind each concept, the nature of the client/counsellor relationship and the techniques used. The three core theories to be considered here are Humanistic,

The psychological neglect of a child or the client basically occurs through constant non-responsiveness and physical or psychological unavailability that denies the person of support, gentleness, and psychological stimulation. On the contrary, the abuse of an individual is considered as the acts of commission in which definite abusive behaviors are directed towards the person. The abusive behaviors can be physical, psychological, and/or sexual with long-term indistinct thinking patterns, interpersonal difficulties, emotional disturbance, and post-traumatic

This essay is an evaluation of two counselling models applied to a situation where a client has experienced loss and how a counsellor can create a therapeutic relationship with the client using each counselling model. It will also contain other skills a counsellor could use to obtain/maintain a good therapeutic relationship with the client.

The nature of therapist-client relationship and understanding the therapist’s role is vital in making sure that the client’s rights are not jeopardized. The client must be willing to trust the therapist. The therapist can earn the trust of the client will confidentiality guidelines that are established by requiring informed consent. The therapist-client relationship is based on counseling approach as well as relationship with the client. The therapist’s role is to understand the client’s needs, help them get their needs met mentally, and to develop the proper plan that fits the client’s needs. The therapist must fully

Recognizing hazards in the workplace and setting clear boundaries initially and maintaining them throughout therapy will go a long ways in a therapist “keeping their sanity” intact. It is better to be proactive than reactive in this respect and dismiss the notion that “Boundary issues or countertransference issues won’t affect me.” “Those who understand the etiology and impact of these liabilities are most effective in minimizing their negative consequences, and thus more successfully “leave it at the office” at the end of a long workday” (Norcross & Guy, 2007, p. 36). I believe that all counselors will carry pieces of their clients with them at all times, but remaining aware of the risks and dangers associated with our specific occupation will allow counselors not to be affected as

Boundaries are extremely important in a counseling session. Setting boundaries and limits in therapy sessions represents an ethical decision that is set by each counselor, when entering a therapeutic relationship. In this presentation, I will discuss pertinent boundary issues that the staff has encountered, since working at this agency. Finally, I will describe how these boundaries are addressed and resolved at this site.