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Sexual Boundary Violations in Psychotherapy: Facing Therapist Indiscreti
Facing Therapist Indiscretions, Transgressions, and Misconduct
- Regardless of what model of psychotherapy is used, all therapists are vulnerable to boundary transgressions. This book explains why this is this case, and how to avoid such violations. Professional attitudes toward sexual boundary violations (SBVs) have evolved over the years, resulting in ethical and legal guidance to prevent such violations. Despite this guidance, SBVs still occur in treatment, and institutions and colleagues often deny or rationalize them. Therapists need a deeper understanding of how SBVs occur in order to avoid them. This book examines the events leading up to SBVs as well as what happens to clients and therapists once they are discovered. The book also considers the broader effects of such behavior on colleagues, institutions, families, and others. Numerous case illustrations are included to illustrate how therapeutic relationships are compromised, sometimes in subtle and gradual ways. Authors emphasize the importance of therapist education and consultation with mentors and peers to maintain a professional frame for the therapeutic relationship.
- Arlene (Lu) Steinberg, PsyD, is an adjunct associate professor at Ferkauf Graduate School of Psychology, where she supervises clinical psychology graduate students and teaches psychological counseling to rabbinic students, and is a practicing psychoanalyst in New York City. She is author of several articles and chapters on trauma. She recently co-edited the special issue of Psychoanalytic Psychology (2017) on sexual boundary violations with Dr. Alpert. She is past Treasurer of Division 39 (Psychoanalysis) of the American Psychological Association (APA). She is currently serving a 3-year term as Division 39 representative on the APA Council of Representatives. Judith L. Alpert, PhD, is Professor of Applied Psychology at New York University and Faculty and Clinical Consultant at the NYU Postdoctoral Program in Psychotherapy and Psychoanalysis. She has edited six books and numerous journal articles on trauma and women's issues. She co-edited the special issue of Psychoanalytic Psychology (2017) on sexual boundary violations with Dr. Steinberg and practices psychotherapy in New York City. She was the first president and a founding member of Division 56 (Trauma Psychology) of the American Psychological Association (APA). Dr. Alpert is the recipient of the Award for Scholarship from Division 39 (Psychoanalysis) of APA. Christine A. Courtois, PhD, ABPP, a board-certified counseling psychologist retired from clinical practice in Washington, D.C., has been an adjunct professor of psychology and social work at several universities and is now an independent consultant/trainer/author on topics of trauma psychology and treatment. She has authored, co-authored, and co-edited a dozen professional books on the dynamics and treatment of child sexual abuse, complex trauma, and PTSD. Dr. Courtois is past president of Division 56 (Trauma Psychology) of the American Psychological Association and founding Associate Editor of the division's journal, Psychological Trauma. She has received numerous professional awards from several organizations.
- Foreword, Kenneth S. Pope Chapter 1. Sexual Boundary Violations in the Psychotherapy Setting: An Overview, Arlene (Lu) Steinberg, Judith Alpert, and Christine A. Courtois I. Ethical and Legal Issues Chapter 2. The APA Ethics Code and Legal Statutes Regarding Sexual Boundary Violations: History and Current Status , Linda Campbell, Linda Knauss, and Lauren Meaux Chapter 3. Boundaries and Ethics of Professional Conduct , Stephen B. Levine and Christine A. Courtois II. Perspectives From Different Theoretical Orientations Chapter 4. Erotic Transferences and Countertransferences in Sexual Boundary Violations: An Interview with Andrea Celenza , Interviewers: Arlene (Lu) Steinberg and Judie Alpert , Interviewed: Andrea Celenza Chapter 5. Psychoanalytic Perspectives on the Problem of Erotic Idealization , Elizabeth Goren and Sue Grand Chapter 6. A Cognitive Behavioral Approach to Understanding Sexual Boundary Violations , Amy Wenzel Chapter 7. Going Beyond the Contact Boundary: A Gestalt Therapy Perspective , Monique N. Rodriguez Chapter 8. The Art of Helpful Sex Talk in Therapy: A Psychoanalytic Sex Therapist Speaks, Elizabeth Goren Chapter 9. Sexual Misconduct in the Feminist Therapy Realm , Laura S. Brown and Christine A. Courtois III. Unique Settings and Populations Chapter 10. Sexual Boundary Violations in Pastoral Counseling , Christine A. Courtois and Arlene (Lu) Steinberg Chapter 11. Sexual Boundary Violations in the Digital Age: New Frontiers and Emerging Challenges , Frederic G. Reamer Chapter 12. Considering Racial and Cultural Context in Sexual Boundary Violations , Pratyusha Tummala-Narra Chapter 13. Sexual Boundary Violations Outside of Cisgender/Heterosexual Dyads , Elizabeth Clark and Kori Bennett IV. Dynamics and Effects Chapter 14. Mind F*CK: The Grooming Process in "Professional Incest" , Christine A. Courtois and Judie Alpert Chapter 15. Grooming and the Dynamics of Abuse as Experienced and Viewed through the Eyes of Victims and Peer Advocates: Cases from TELL, Janet Wohlberg Chapter 16. Three Victim/Survivors Speak: Stories of Confusion, Shame, Anguish and Resilience , Christine A. Courtois, Judith Alpert, and Goldie Eder Chapter 17. When Colleagues Betray: The Harm of Sexual Boundary Violations in Psychotherapy Extends Beyond the Victim , Jennifer M. Gomez, Laura K. Noll, Alexis A. Adams-Clark, and Christine A. Courtois V. Responding to Sexual Boundary Violations in Psychotherapy Chapter 18. Treating Clients Who Have Been Sexually Abused by a Therapist , Tyson Bailey and Laura Brown Chapter 19. Supervision with Therapists Who Have Engaged in Sexual Misconduct , Gary R. Schoener Chapter 20. The Treatment of Therapists Who Sexually Offend , Philip Hemphill, Christine A. Courtois, Mark Gold, Alexis Polles, and Drew Edwards Epilogue: Prevention and Intervention , Judith Alpert, Arlene (Lu) Steinberg, and Christine A. Courtois
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