Chapter 3
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Chapter 3 . Personal and Professional Relationships and Communication. Questions related to boundaries. Is this in my client’s best interest? Whose needs are being served? Will this have an impact on the service I am delivering?.

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Chapter 3

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Chapter 3

Chapter 3

Personal and Professional

Relationships and Communication


Questions related to boundaries

Questions related to boundaries

  • Is this in my client’s best interest?

  • Whose needs are being served?

  • Will this have an impact on the service I am delivering?


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  • Should I make a note of my concerns or consult with a colleague?

  • How would this be viewed by the client’s family or significant other?

  • How would I feel telling a colleague about this?


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  • Am I treating this client differently (e.g., appointment length, time of appointments,

    extent of personal disclosures)?

  • Does this client mean something special to me?

  • Am I taking advantage of the client?


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  • Does this action benefit me rather than the client?

  • Am I comfortable in documenting this decision/behavior in the client file?

  • Does this contravene regulations, written Standards of Professional Conduct, or the Code of Ethics for the certifying group I belong to, etc.?


Types of disclosure

Types of Disclosure

  • Deliberate

  • Unavoidable

  • Accidental

  • As a result of client action


Classification of disclosure

Classification of Disclosure

  • Meta-disclosure

  • Irresponsible disclosure

  • Manipulative disclosure

  • Competitive disclosure


Key steps to establishing empathy

Key steps to establishing empathy

  • Identify strong feeling in the clinical encounter

  • Pausing to imagine how the patient feels

  • Stating to the patient what the perception is of the feeling state in an effort to validate the feeling

  • Communicate interest in working with the patient regarding the issue shared in the encounter


Compassion fatigue also known as

Compassion Fatigue also known as:

  • Secondary Traumatic Stress

  • Vicarious Traumatization

  • Secondary Traumatization


Symptom clusters for compassion fatigue fall into three categories

Symptom clusters for compassion fatigue fall into three categories:

  • Avoidance

  • Arousal

  • Intrusion


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