Pub. Date:
American Psychiatric Publishing, Incorporated
Keeping Boundaries: Maintaining Safety and Integrity in the Psychotherapeutic Process / Edition 1

Keeping Boundaries: Maintaining Safety and Integrity in the Psychotherapeutic Process / Edition 1

by Richard S. Epstein


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Product Details

ISBN-13: 9780880486606
Publisher: American Psychiatric Publishing, Incorporated
Publication date: 03/28/1994
Edition description: New Edition
Pages: 328
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

Robert I. Simon

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.

Jonas R. Rappeport

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.

Robert J. Ursano

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.

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