Therapist dating former patient


Whether or not Ferenczi had sexual relations with the daughter is unclear, but he certainly professed his love for her and was physically affectionate with her (Dupont, 1995).

Psychiatrists, primary care physicians, neurologists, nurse practitioners, psychiatric nurses and other mental health care professionals.

Continuing medical education credit is available for most specialties.

To determine if this article meets the CE requirements for your specialty, please contact your state licensing board. Gabbard is Brown Foundation Chair of Psychoanalysis and professor in the Menninger department of psychiatry at the Baylor College of Medicine. Professional boundaries are components that constitute the therapeutic frame.

He is also training and supervising analyst at Houston-Galveston Psychoanalytic Institute. They can be considered to represent an "edge" or limit of the appropriate behavior by the psychoanalytic psychotherapist in the clinical setting (Gutheil and Gabbard, 1993).

Even when therapists assert adherence to relational or intersubjective theoretical models that stress mutuality, the fact that they are paid for their service establishes a fiduciary relationship.

Much of the recent attention to professional boundary violations has stemmed from a growing awareness of the instances of sexual relations between therapists and patients and the damage related to those transgressions (Epstein, 1994; Gabbard, 1994b; Gabbard and Lester, 2003; Gartrell et al., 1986; Schoener et al., 1989).


Just as incest was hidden from view for many decades until women became courageous enough to speak up, sexual boundary violations have surfaced only in recent years as women have felt empowered to make complaints to licensing boards and ethics committees.

Other significant boundaries that do not involve physical contact are such things as the time and place of an appointment, the length of the appointment, confidentiality, the avoidance of social or financial relationships with a patient that might interfere with the therapist-patient relationship, excessive self-disclosure by the therapist, and the declining of lavish gifts from patients.


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