Rubin Simon Shimshon, Dror Omer
Ethics Behav. 1996;6(3):213-38. doi: 10.1207/s15327019eb0603_4.
Clinical psychologists' and nonpsychiatric physicians' attitudes and behaviors in sexual and confidentiality boundary violations were examined. The 171 participants' responses were analyzed by profession, sex, and status (student, resident, professional) on semantic differential, boundary violation vignettes, and a version of Pope, Tabachnick, and Keith-Spiegel's (1987) ethical scale. Psychologists rated sexual boundary violation as more unethical than did physicians (p less than .001). Rationale (p less than .01) and timing (p less than .0001) influenced ratings. Psychologists reported fewer sexualized behaviors than physicians (p less than .05). Professional experience (p less than .01) and sex (p less than .05) were associated with confidence-violating behavior. Overall, 78% of the sample reported attitudes or behaviors associated with boundary violations. The behavior violations were correlated (r = .49). Actual violators rated vignette violators more leniently than did nonviolators (p less than .01).
研究考察了临床心理学家和非精神科医生在性及保密界限侵犯方面的态度和行为。通过职业、性别和身份（学生、住院医生、专业人员），对171名参与者在语义差异、界限侵犯 vignettes以及Pope、Tabachnick和Keith-Spiegel（1987年）道德量表版本上的回答进行了分析。心理学家认为性界限侵犯比医生认为的更不道德（p小于.001）。理由（p小于.01）和时机（p小于.0001）影响评分。心理学家报告的性化行为比医生少（p小于.05）。专业经验（p小于.01）和性别（p小于.05）与违反保密行为有关。总体而言，78%的样本报告了与界限侵犯相关的态度或行为。行为侵犯之间存在相关性（r =.49）。实际侵犯者对 vignette侵犯者的评价比未侵犯者更宽容（p小于.01）。
