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Ethics: Boundary Problems and Sexual Misconduct

Credit Value: 1

Exam Questions: 10

Passing Grade: 8 correct

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Course Description :
This course is based on a publication of Psychiatric Services: A Journal of the American Psychiatric Association. The article discusses the problematic issue of boundary violations and sexual misconduct between therapists and their clients. The discussion includes risk factors and preventive measures. The course is targeted for beginner, intermediate and advanced practitioners..

Learning Objectives:
This course will provide a professional with a review of boundary issues faced by mental health professionals as well as ways to avoid them. Specifically, a professional will…

  • Identify therapist risk factors associated with boundary violations.
  • Recognize factors that exacerbate patient vulnerability to boundary violations
  • Select appropriate approaches to dealing with boundary problems.
  • Citation: Norris, D.M., Gutheil, T.G. & Strasburger, L.H. (2003). This couldn’t happen to me: Boundary problems and sexual misconduct n the psychotherapy relationship. PsychiatryOnlineServices, Vol. 54, N 4 pp 517-522.

    Credits: 1 Take Exam Exam Fee: $20.00 Get Course Materials Format: Adobe .pdf

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      Exam Questions for Ethics: Boundary Problems and Sexual Misconduct
    1.  Boundary problems and sexual misconduct rank __________ as causes of malpractice actions against mental health practitioners.
    highest
    second only to suicide
    second only to dual relationships
    third

    2.  The authors of this article cite __________ as playing a significant role in the persistence of the problem of boundary problems.
    denial
    dual relationships
    marital discord
    clinical burnout

    3.  According to the article, boundary crossings can be defined as . . . .
    initial first steps in boundary violations
    potentially harmful deviations from traditional clinical behavior
    harmless deviations from traditional clinical practice, behavior or demeanor
    culturally based divergences from traditional practice

    4.  This article indicates that one of the reasons that maintenance of boundaries is always the responsibility of the clinician, is because . . . .
    patients do not understand the complexities of the therapeutic process
    patients are easy to manipulate
    patients are vulnerable
    patients are not governed by a professional code of ethics

    5.  According to the article, boundary problems arise
    only for a few “bad apple” therapists
    almost always early on in one’s career
    for all clinicians irrespective of the number of years of experience
    for all clinicians experiencing a life crisis

    6.  Transitions are discussed as a risk factor for clinicians. Financial reversals, working with managed care, stock market declines and other factors may lead to increase a clinicians’ susceptibility to . . .
    financial exploitation
    sexual exploitation
    all types of boundary issues
    depression

    7.  Erotic feelings towards a patient are __________ and may be highly threatening and anxiety producing for a clinician.
    universal
    common
    rare
    atypical

    8.  Seasoned practitioners may believe that, given their level of experience, they may be inclined to
    view boundary violations differently
    seek consultation right away when they need it
    believe that the usual rules do not apply to them
    brush aside the need to seek consultation

    9.  Factors associated with increased vulnerability of patients include . . .
    enmeshment
    autonomy
    depression
    divorce

    10.  All of the following were described as approaches to dealing effectively with boundary problems EXCEPT . . .
    education
    supervision
    consultation
    regulation

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