Boundaries and Boundary Violations in Psychoanalysis / Edition 1

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Introduced in 1995, Boundaries and Boundary Violations in Psychoanalysis was lauded by the psychoanalytic community for its balanced, clear perspective professional boundary issues. It has since become the definitive text on the subject, and it is used in psychoanalytic seminars and courses all over the world.

In this acclaimed volume, authors Glen O. Gabbard, M.D., and Eva P. Lester, M.D., shed light on the many controversies surrounding boundary issues and equip readers with strategies for recognizing and dealing with boundary problems on the part of both clinicians and patients. Using history, theory, case examples, and practical approaches, Drs. Gabbard and Lester help clinicians: • Understand the history of boundary violations in psychoanalysis -- and see how transgressions spark and evolve within the vulnerable framework of psychoanalysis. • Gain a psychoanalytic understanding of sexual and nonsexual boundary violations by both clients and their doctors, with many detailed case examples that illuminate the dynamics of these transgressions.• Develop knowledge and awareness of posttermination boundaries and the role of boundaries in psychoanalytic supervision.• Learn practical institutional responses to serious violations, including preventive techniques, assessment and rehabilitation approaches, and transference/countertransference management approaches.

With information geared toward both clinicians and institutions, Boundaries and Boundary Violations in Psychoanalysis is an invaluable resource for understanding and treating those who have transgressed professional boundaries. More broadly, it will help all clinicians develop an awareness of emerging problems in the psychoanalytic relationship in time to take steps to avoid serious transgressions.

American Psychiatric Publishing

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Editorial Reviews

Psychoanalytic Dialogues Stephen A. Mitchell Ph.D.

An important book for clinicians at all levels of experience.

From The Critics
Reviewer: John Claro Onate, BS, MD (Rush University Medical Center)
Description: This book is about the meaning of boundaries in psychoanalysis and the clinical assessment of events of crossing and violating inner and interpersonal boundaries.
Purpose: The purpose is to describe and define the meaning of boundaries and understand how violations of those boundaries take place in the psychoanalytic setting. This is a significant issue for all mental healthcare practitioners, but this is a very specialized view of boundary violations. This book did meet the authors' goal in a concise and, even for nonanalysts, clear manner.
Audience: Psychoanalysts, therapists, psychiatrists, and residents in psychiatry and psychology are the intended audience. The book is written with psychoanalysts in mind and those familiar with that terminology and philosophy. However, the ideas can be easily translated to many different kinds of patient-doctor or patient-health provider roles. Some background in psychoanalysis is needed. The authors have contributed to the literature on this subject.
Features: The book begins with a review of the history and the different views of boundaries in psychoanalysis and characterize how boundaries vary. The next part describes how boundaries fit in to the different aspects of psychoanalysis. The heart of the book starts with the history of boundary violations and goes on to describe abstracted cases and illustrate different types of violations and different types of violators. The next section looks at what happens when therapy ends. The book ends with a discussion of the role of supervisors and how institutions react to these violations by their staff and trainees. The strength of the book is in the middle part in which the authors go into detail about the personality styles of practitioners who take advantage or commit boundary violations. The use of cases abstracted from treatment records is very helpful in bringing the terminology to life. The book is well written and has helped my understanding of psychoanalysis in general. The book could have been expanded to look at other specialties, but, overall, it was better for the authors to stay in their realm of expertise.
Assessment: This is a great book for psychiatrists or therapists in training. It helps take some of the mystery out of transference and counter-transference issues in therapy. It points out character traits in mental health professionals which would make them more prone to commit boundary violations. This is an appropriate book for those starting or about to start practicing therapy. I was impressed by how much information was contained in such a concise book.

3 Stars from Doody
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Product Details

  • ISBN-13: 9781585620982
  • Publisher: American Psychiatric Publishing, Incorporated
  • Publication date: 11/28/2002
  • Edition description: Reprint
  • Edition number: 1
  • Pages: 240
  • Sales rank: 1,500,076
  • Product dimensions: 6.00 (w) x 9.00 (h) x 0.75 (d)

Meet the Author

Glen O. Gabbard, M.D., is Professor and Director of the Baylor Psychiatry Clinic at the Baylor College of Medicine and Training and Supervising Analyst at the Houston-Galveston Psychoanalytic Institute in Houston, Texas. He was previously Director of the Menninger Hospital in Topeka, Kansas. Dr. Gabbard is the author or editor of sixteen books and currently is joint Editor-in-Chief and Editor for North America of the International Journal of Psychoanalysis. His numerous awards include the 2000 Mary Sigourney Award for outstanding contributions to psychoanalysis.

Eva P. Lester, M.D., is Professor of Psychiatry in the Faculty of Medicine at McGill University and Training and Supervising Analyst at the Canadian Institute of Psychoanalysis. She is former Editor-in-Chief of the Canadian Journal of Psychoanalysis/Revue Canadienne de Psychoanalyse.

American Psychiatric Publishing

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Table of Contents

Foreword. Introduction. The concept of boundaries in psychoanalysis. Boundaries and the psychoanalytic process. The analytic frame, analytic boundaries, and the analytic object. Boundaries and gender. The early history of boundary violations in psychoanalysis. Sexual boundary violations. Nonsexual boundary violations. The fate of the transference posttermination boundaries. Boundaries in psychoanalytic supervision. Institutional responses. References. Index.

American Psychiatric Publishing

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