The work of a COPE study group on boundary violations is summarized, with particular focus on the impact on institutes and societies of sexual misconduct by training analysts. Difficulties in evaluating such situations are discussed, and the dynamics of institutional avoidance explicated. In addition, psychodynamic themes that are commonly observed in analysts who engage in sexual boundary violations with their patients are elaborated. Finally, suggestions are made for managing, through existing mechanisms, instances of boundary violations by training analysts.
Get full access to this article
View all access options for this article.
References
1.
Celenza, A. (1991). The misuse of countertransference love in sexual intimacies between therapists and patients. Psychoanalytic Psychology8:501—509.
2.
——— (1998). Precursors to therapist sexual misconduct: Preliminary findings. Psychoanalytic Psychology15:378—397.
3.
——— & Hilsenroth, M. (1997). Personality characteristics of mental health professionals who have engaged in sexualized dual relationships: A Rorschach investigation. Bulletin of the Menninger Clinic61:90—107.
4.
Gabbard, G.O. (1994a). Psychotherapists who transgress sexual boundaries with patients. Bulletin of the Menninger Clinic58:124—135.
5.
——— (1994b). Reconsidering the American Psychological Association's policy on sex after termination: Is it justifiable?Professional Psychology42:91—114.
6.
——— (1995). The early history of boundary violations. Journal of the American Psychoanalytic Association43:1115—1136.
7.
——— (1999). Boundary violations and the psychoanalytic training system. Journal of Applied Psychoanalytic Studies1:207—221.
8.
——— & Lester, E.P. (1995). Boundaries and Boundary Violations in Psychoanalysis . New York: Basic Books.
9.
Goldberg, A. (1995). The Problem of Perversion: The View of Self Psychology . New Haven: Yale University Press .
10.
Gutheil, T.G., & Gabbard, G.O. (1993). The concept of boundaries in clinical practice: Theoretical and risk management dimensions. American Journal of Psychiatry150:188—196.
11.
——— (1998). Misuses and misunderstandings of boundary theory in clinical and regulatory settings. American Journal of Psychiatry155:409—414.
12.
Margolis, M. (1997). Analyst—patient sexual involvement: Clinical experiences and institutional responses. Psychoanalytic Inquiry17:349—370.
13.
Mcguire, W., ED. (1974). The Freud/Jung Letters: The Correspondence between Sigmund Freud and C.G. Jung . Princeton: Princeton University Press.
14.
Shapiro v. Butterfield, 921 S.W.2d 649, 1996 Mo App.