Keeping Boundaries: Maintaining Safety and Integrity in the Psychotherapeutic Process / Edition 1 available in Hardcover
- Pub. Date:
- American Psychiatric Publishing, Incorporated
Keeping Boundaries is an across-the-board review of the subject of boundary maintenance in psychotherapy. Using a comprehensive approach, this book examines the problem of therapeutic boundaries and boundary violations from multiple viewpoints, including historical antecedents, sociological mechanisms, object relations theory, psychodynamic theory, practical technique, and the mental health and training of psychotherapists. It covers a variety of boundary issues, including dual relationships, informed consent, fees, gifts from patients, maintaining confidentiality, avoiding abuse of power, and helping therapists to protect themselves against exploitive patients.
Written in a clear and jargon-free style, this book provides the therapist with practical clinical advice supported by extensive references and clinical vingnettes.
|Publisher:||American Psychiatric Publishing, Incorporated|
|Edition description:||New Edition|
|Product dimensions:||6.00(w) x 9.00(h) x 1.00(d)|
|Age Range:||18 Years|
About the Author
Richard S. Epstein, M.D., is a psychiatrist in private practice in Bethesda, Maryland. He is President-Elect of the Washington Psychiatric Society, Clinical Professor in the Department of Psychiatry at Georgetown University School of Medicine, Washington, DC, and Clinical Associate Professor in the Department of Psychiatry at the Uniformed Services University of the Health Sciences, F. Edward Hebert School of Medicine, Bethesda, Maryland.
Table of Contents
General Aspects of Therapeutic Boundaries and Boundary Violations. The nature and function of therapeutic boundaries. Ego boundary development and its relationship to the therapeutic frame. Factors common to all boundary violations. Specific Boundary Issues. Introduction to section II. Stability: Creating an atmosphere of trust and reliability. Whom should a psychotherapist treat? Problems of patient selection when a dual relationship exists. Respecting the patient's autonomy: maintaining a position of neutrality. Balancing the therapist's financial needs against those of the patient: monetary compensation in psychotherapy. Confidentiality. Maintaining anonymity. Abstinence and the management of erotic feelings in psychotherapy. Treating the patient who tries to exploit the therapist. Issues Concerning the Mental Health and Training of Psychotherapists. Psychological characteristics of therapists who commit serious boundary violations. Education and self-assessment: how can therapists learn to improve their boundary skills? Appendix. References. Index.
What People are Saying About This
In this marvelous book on boundary maintenance in psychotherapy, Dr. Richard Epstein covers it all. No longer does the therapist need to search through assorted works to find usually brief discussions about maintaining treatment boundaries. The psychotherapist who reads this book will be empowered to keep the sound treatment boundaries that are so essential to the good care of patients.
This book is the most thorough and complete treatment of the subject of therapeutic boundaries that I have read. [It] should be read by all psychiatrists, regardless of whether they actively practices psychotherapy or pharmacotherapy.
Keeping Boundaries: Maintaining Safety and Integrity in the Psychotherapeutic Process by Richard Epstein, MD, is a thoughtful, thorough, and clinically sophisticated contribution to a complex aspect of psychotherapy. It provides scholarly and practical advice in an area often filled with more heat than light. It is an excellent addition to both the new and the experienced clinician's library.