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Managing Boundaries. Complete survey on page 283 Divide into Groups - Discuss the following: If a client could no longer afford to pay you for services, would you be willing to enter into a bartering agreement? What other alternatives would you utilize?

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managing boundaries
Managing Boundaries

Complete survey on page 283

Divide into Groups - Discuss the following:

  • If a client could no longer afford to pay you for services, would you be willing to enter into a bartering agreement? What other alternatives would you utilize?
  • What dual or multiple relationships do you think would be problematic and why? Can you think of any kind of multiple relationships you might be willing to engage in with a counseling client?
  • How might you deal with an unavoidable dual relationship with one of your clients?
dual multiple relationships
Dual / Multiple Relationships

Dual Relationship - Helper assumes two or more roles simultaneously or sequentially with client.

Sexual dual relationships with a current client is unethical!!

Most professions extend the prohibition of sexual relationships with former clients to 2 - 5 years beyond termination of sessions.

Nonprofessional relationships with clients is generally discouraged - HOWEVER, it is sometimes unavoidable.

dual multiple cont d
Dual / Multiple Cont’d

3 Criteria for Nonprofessional Relationships:

1. Will you exploit your client?

2. Will you lose you objectivity?

3. Will is harm the professional relationship?

Sometimes boundary crossing is necessary - even theraputic.

Guidelines for setting boundaries:

State your policy on social or business relationships in your informed consent document.

Consult a colleague when considering a multiple relationship.

Document any discussions about dual relationships with a client.

dual multiple cont d1
Dual / Multiple Cont’d

Socializing with former clients

Not unethical, but may be unwise.

Bartering

Not prohibited by ethics or law.

Helper must demonstrate:

It is in best interests of the client.

It is reasonable and equitable.

Does not prevent you from providing quality service.

Small groups - discuss bartering case study on page 294.

dual multiple cont d2
Dual / Multiple Cont’d

Accepting gifts from clients

Could create some ethical issues.

Accepting expensive gifts is unethical.

Accepting any gift without lengthy discussion is unwise. Ask yourself:

What is the client’s motivation?

What are the clinical implications?

At what phase of the helping process is the gift being offered?

What are your own motivations for accepting or rejecting a gift?

Are there cultural implications?

Small group discussion on page 296

dual multiple cont d3
Dual / Multiple Cont’d

Dealing with sexual attractions to clients

Most helpers will experience sexual attraction to a client.

Important to recognize it and deal with it!!

Guidelines:

Seek out a supervisor or colleague to discuss issue.

Accept responsibility and attend to your own therapeutic needs before your sexual feelings interfere.

Maintain appropriate boundaries.

Refer if needed.

Discuss case studies on page 298.

dual multiple cont d4
Dual / Multiple Cont’d

Sexual misconduct with a current client is a major cause of malpractice actions.

Consequences could be:

Felony conviction

License revocation

Professional association expulsion

If Helper has had a previous sexual relationship with potential client, it is unethical to accept them.