Can We Talk?


Let's End the Conspiracy of Silence About Ethical Dilemas

March/April 2002


It is the end of innocence--the day we enter the land beyond the rulebook. A client wants to give us diamonds. Another invites us to dinner. Another notices that we've stopped wearing a wedding ring, and we wonder how much to tell her. A client moves forward as if to hug us, and then gives us a open-mouthed kiss. Simple dicta no longer seem sufficient.

One way or another, all therapists face similar questions about therapeutic boundaries: Should we accept the gift? How much do we self-disclose? What do we do when a dual relationship can't be avoided? How do we safely negotiate the currents of sexuality? Moved by our best instincts, our weaknesses or simply by the sheer ambiguity of the situation, we can often find ourselvs striking out on our own and coloring outside the lines.

Once upon a time, when psychoanalysis was king, our ethical guidelines were as strict and sacred as the rituals for entering and leaving the Catholic confessional. We spoke the language of transference and countertransference. Both client and therapist knew what to expect: therapy was sacred work, done in a sacred time and space. Within the artificially private walls of the consulting room, human beings felt safe to tell a (usually male) therapist what they dared tell nobody else--relatively confident that they would not later encounter him at daycare or the grocery store. Back then, the dos and don'ts were unambiguous: take no gifts; don't self-disclose; avoid dual relationships; treat…

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Topic: Ethics



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