Should a therapist disclose personal information to a client,
accept a client's gift, or provide a former client with a job? Is
it appropriate to exchange email or text messages with clients or
correspond with them on social networking websites? Some acts, such
as initiating a sexual relationship with a client, are clearly
prohibited, yet what about more subtle interactions, such as
hugging or accepting invitations to a social event? Is maintaining
a friendship with a former client or client's relative a conflict
of interest that ultimately subverts the client-practitioner
relationship?
Frederic G. Reamer, a certified authority on professional
ethics, offers a frank analysis of a range of boundary issues and
their complex formulations. He confronts the ethics of intimate and
sexual relationships with clients and former clients, the healthy
parameters of practitioners' self-disclosure, electronic
relationships with clients, the giving and receiving of gifts and
favors, the bartering of services, and the unavoidable and
unanticipated circumstances of social encounters and geographical
proximity. With case studies addressing challenges in the mental
health field, school contexts, child welfare, addiction programs,
home-healthcare, elder services, and prison, rural, and military
settings, Reamer offers effective, practical risk-management models
that prevent problems and help balance dual relationships.
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