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By Rich Simon As therapists, many of us practice in two different worlds. In the first, we see polite, well-behaved, articulate clients with solid values. They engage fully in therapy, talk cogently about their problems, listen attentively to our responses, make reasonably good-faith efforts to follow our suggestions, and sooner or later get better. No wonder we genuinely like these people!
By Rich Simon A thousand years ago, during the palmy days of generous insurance reimbursement, therapists could maintain the illusion that, since therapy was paid for by an unseen hidden hand, clinical practice was somehow untouched by the tacky subject of money. Even the style of therapy reflected this disjunction:
Mary Jo Barrett, M.S.W
CE Credits: 4
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Add 4 CE Credit Hours: $39
The ethical guidelines for therapists were once governed by simple, direct, utterly unambiguous rules. But in today's far more informal therapeutic climate, with greater latitude afforded the therapist, the old rules don't seem so clear anymore. This course will openly explore the ethical dilemmas we face around boundaries involving such issues as self-disclosure, sexuality, gifts, and dual relationships. We'll examine how to respond to a range of challenging clinical situations including handling personal questions from clients, practicing therapy in your home, meeting clients outside of the therapy office, and dealing with sexual attraction. You'll come away with clearer ideas for establishing boundary guidelines at the beginning of treatment and reestablishing them if and when boundary violations seem imminent. Note: This course fulfills many state board requirements for training in ethics and risk management.
Mary Jo Barrett, M.S.W., is director of the Center for Contextual Change in Skokie, Illinois, and teaches at the University of Chicago. She's the author of Systemic Treatment of Incest and Treating Incest: A Multiple Systems Perspective.
Session 1: Historical Perspective of Ethical Boundaries in Practice • Reviewing the past with respect to professional and personal life style and practice style, and how these change impact our practice
Session 2: Compassion Fatigue • Defining and understanding the theoretical and practical impact of Compassion Fatigue in maintaining healthy personal and professional boundaries
Session 3: In-Session Boundaries • Exploring the challenges of self-disclosure, gift-giving, sexual boundaries, and safety for both client and therapist in the office and during session
Session 4: Out of Session Boundaries • Exploring the challenges of small-town practice, "client sightings" outside of the office, invitations to celebratory events, and dual-relationship struggles • Each session will include discussion and consultation in order for participants to resolve boundary dilemmas and apply material immediately to their practice
1. Discuss the history and context of the creation and possible violation of ethical boundaries.
2. Identify professional vulnerabilities with respect to boundary violation.
3. Create a workable model for maintaining healthy boundaries through consultation and self- care.
4. Describe the role of compassion fatigue with respect to healthy boundaries.
5. Receive and provide consultation on cases.
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