Borderline personality disorder, boundary violations, and patient- therapist sex: medicolegal pitfalls
1989; American Psychiatric Association; Volume: 146; Issue: 5 Linguagem: Inglês
10.1176/ajp.146.5.597
ISSN1535-7228
Autores Tópico(s)Psychotherapy Techniques and Applications
ResumoBack to table of contents Previous article Next article No AccessBorderline personality disorder, boundary violations, and patient- therapist sex: medicolegal pitfallsPublished Online:1 Apr 2006https://doi.org/10.1176/ajp.146.5.597AboutSectionsView articleAbstractPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail View articleAbstractThe author addresses the issue of sexual relations between therapist and patient and the related boundary violations that are involved in such relations. He points out that patients with borderline personality disorder are particularly likely to evoke boundary violations, including sexual acting out. These patients apparently constitute the majority of patients who falsely accuse therapists of sexual involvement. Therapists who are aware of patterns of errors in therapy and countertransference--through education, anticipation, and forewarning--can avert the serious outcomes that result from these errors. Access content To read the fulltext, please use one of the options below to sign in or purchase access. Personal login Institutional Login Sign in via OpenAthens Purchase Save for later Item saved, go to cart PPV Articles - American Journal of Psychiatry $35.00 Add to cart PPV Articles - American Journal of Psychiatry Checkout Please login/register if you wish to pair your device and check access availability. Not a subscriber? Subscribe Now / Learn More PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development. Need more help? 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FiguresReferencesCited byDetailsCited bySexual MisconductObstetrics & Gynecology, Vol. 135, No. 1Augmenting Psychiatric Risk Management: Practical Applications of Transference- Focused Psychotherapy (TFP) PrinciplesPsychodynamic Psychiatry, Vol. 47, No. 4Issues in Mental Health Nursing, Vol. 39, No. 6Personality and Mental Health, Vol. 10, No. 3Psychotherapy and Politics International, Vol. 14, No. 3Transference-Focused Psychotherapy (TFP) Principles in Psychiatry Residency Training4 February 2017Ethics and medical practice: Why psychiatry is uniqueIndian Journal of Psychiatry, Vol. 58, No. 6References28 March 2011The doctor and sexual boundariesForensic Psychology, Forensic Psychiatry, and Criminal Profiling: The Mental Health Professional's Contribution to Criminal ProfilingEpilepsy & Behavior, Vol. 11, No. 4Journal of the American Academy of Physician Assistants, Vol. 20, No. 4Intimacy Boundaries: Between Mental Health Nurses & Psychiatric PatientsJournal of Psychosocial Nursing and Mental Health Services, Vol. 43, No. 5American Journal of Obstetrics and Gynecology, Vol. 190, No. 6Medical Journal of Australia, Vol. 181, No. 7This Couldn't Happen to Me: Boundary Problems and Sexual Misconduct in the Psychotherapy RelationshipDonna M. Norris, M.D., Thomas G. Gutheil, M.D., and Larry H. Strasburger, M.D.1 April 2003 | Psychiatric Services, Vol. 54, No. 4Psychiatric Clinics of North America, Vol. 25, No. 3Journal of Forensic Sciences, Vol. 45, No. 6Psychiatric Clinics of North America, Vol. 22, No. 1Misuses and Misunderstandings of Boundary Theory in Clinical and Regulatory SettingsThomas G. Gutheil, M.D., and Glen O. Gabbard, M.D.1 March 1998 | American Journal of Psychiatry, Vol. 155, No. 3Sleeping with the Past: The Ethics of Post-Termination Patient-Therapist Sexual Contact26 June 2016 | Australian & New Zealand Journal of Psychiatry, Vol. 30, No. 2The Credible Forensic Psychiatric Evaluation in Sexual Harassment LitigationPsychiatric Annals, Vol. 26, No. 3Journal of Social Work Education, Vol. 32, No. 3Origins and Development of the Injunction Prohibiting Sexual Relationships with Patients26 June 2016 | Australian & New Zealand Journal of Psychiatry, Vol. 29, No. 4Transference in Therapist-Patient Sex: The Illusion of Patient Improvement and Consent, Part 1Psychiatric Annals, Vol. 24, No. 10A Survey of Australian Psychiatrist's Attitudes and Practices regarding Physical Contact with Patients26 June 2016 | Australian & New Zealand Journal of Psychiatry, Vol. 28, No. 3Educating the Paraprofessional Staff on the Psychiatric Unit: A Neglected TopicJournal of Psychosocial Nursing and Mental Health Services, Vol. 32, No. 6Psychiatric Clinics of North America, Vol. 17, No. 4Sexual Misconduct: Is Censure Enough?26 June 2016 | Australian & New Zealand Journal of Psychiatry, Vol. 27, No. 2Psychiatrist-Patient Sexual Relationships: The Ethical Dilemmas26 June 2016 | Australian & New Zealand Journal of Psychiatry, Vol. 27, No. 1The concept of boundaries in clinical practice: theoretical and risk- management dimensions1 April 2006 | American Journal of Psychiatry, Vol. 150, No. 2Expert Psychiatric Evidence in Sexual Misconduct Cases Before State Medical Boards24 February 2021 | American Journal of Law & Medicine, Vol. 18, No. 3Psychodynamics of Sexual Boundary ViolationsPsychiatric Annals, Vol. 21, No. 11Characteristics of Therapists who Become Involved in Sexual Boundary ViolationsPsychiatric Annals, Vol. 21, No. 11Patients Involved in Sexual Misconduct With Therapists: Is a Victim Profile Possible?Psychiatric Annals, Vol. 21, No. 11Undue Familiarity or Undue Damages?Psychiatric Annals, Vol. 21, No. 10Psychological Injury Caused by Boundary Violation Precursors to Therapist-Patient SexPsychiatric Annals, Vol. 21, No. 10Criminalization of psychotherapist-patient sex1 April 2006 | American Journal of Psychiatry, Vol. 148, No. 7Utilization of partial hospitalization programs1 April 2006 | American Journal of Psychiatry, Vol. 147, No. 10Drs. Knoll and Parker ReplyJAMES L. KNOLLIII, and SUSANNA PARKER1 April 2006 | American Journal of Psychiatry, Vol. 147, No. 10A Patient's View of Doctor-Patient BoundariesANN A PATIENT1 April 2006 | American Journal of Psychiatry, Vol. 147, No. 10Dr. Gutheil RepliesTHOMAS G. GUTHEIL1 April 2006 | American Journal of Psychiatry, Vol. 147, No. 10A patient's view of doctor-patient boundaries23 January 2015 | American Journal of Psychiatry, Vol. 147, No. 10Psychotherapy Training for ResidentsDOUGLAS H. FINESTONE, JAMES L. MATHIS, DIANA JO ANTONACCI, JASCHA W. DANOFF, JOHN M. DIAMOND, LOUIS J. DOLINAR, JERRY G. GREGORY, J. FRANK JAMES, LESLY T. MEGA, STANLEY P. OAKLEYJR., PAMELA A. PAPPAS, EVERETTE C. SIMMONS, PHILIP J. SMERASKI, and W. R. WALKER1 April 2006 | American Journal of Psychiatry, Vol. 147, No. 9Further Views on Patient-Therapist SexPATRICIA ILLINGWORTH1 April 2006 | American Journal of Psychiatry, Vol. 147, No. 9Dr. Gutheil RepliesTHOMAS G. GUTHEIL1 April 2006 | American Journal of Psychiatry, Vol. 147, No. 9Differential Diagnosis of Multiple Personality DisorderKENNETH A. NAKDIMEN1 April 2006 | American Journal of Psychiatry, Vol. 147, No. 9Further views on patient-therapist sex23 January 2015 | American Journal of Psychiatry, Vol. 147, No. 9Differential diagnosis of multiple personality disorder23 January 2015 | American Journal of Psychiatry, Vol. 147, No. 9Object Relations TheorySTEVEN A. ORNISH1 April 2006 | American Journal of Psychiatry, Vol. 147, No. 7Patient-therapist sex1 April 2006 | American Journal of Psychiatry, Vol. 147, No. 7Stressing the issue of homelessness in residency training1 April 2006 | American Journal of Psychiatry, Vol. 147, No. 7Criticism of mnemonic device1 April 2006 | American Journal of Psychiatry, Vol. 147, No. 7Janet and psychological trauma23 January 2015 | American Journal of Psychiatry, Vol. 147, No. 7Patient--therapist sex1 April 2006 | American Journal of Psychiatry, Vol. 146, No. 11Dr. Gutheil RepliesTHOMAS G. GUTHEIL1 April 2006 | American Journal of Psychiatry, Vol. 146, No. 11The Psychiatric Trainee as an Executive in TrainingNORMAN E. ALESSI1 April 2006 | American Journal of Psychiatry, Vol. 146, No. 11Drs. Silver and Marcos ReplyMICHAEL A. SILVER, and LUIS R. MARCOS1 April 2006 | American Journal of Psychiatry, Vol. 146, No. 11The psychiatric trainee as an executive in training23 January 2015 | American Journal of Psychiatry, Vol. 146, No. 11 Volume 146Issue 5 May 1989Pages 597-602 Metrics PDF download History Published online 1 April 2006 Published in print 1 May 1989
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