Savin Daniel, Martinez Richard
University of Colorado Health Sciences Center, CO 80220, USA.
Transcult Psychiatry. 2006 Jun;43(2):243-58. doi: 10.1177/1363461506064853.
Behavioral health professionals are constantly faced with the dilemma of how to define boundaries in their relationships with clients. When working with groups from diverse cultures, defining boundaries becomes even more complex. This article urges a flexible approach, using the graded-risk model (Martinez, 2000) and a list of cultural factors for clinicians to consider. Possible benefits of reaching out to clients in concrete ways, as well as risks, are emphasized. Clients' notions of appropriate boundaries must be considered in the decision-making process. Case examples from a refugee mental health clinic are used to elucidate a flexible approach to boundary decisions.
行为健康专业人员一直面临着如何界定与客户关系界限的困境。在与来自不同文化背景的群体合作时，界定界限变得更加复杂。本文倡导一种灵活的方法，运用分级风险模型（马丁内斯，2000年）以及一系列供临床医生考虑的文化因素。文中强调了以具体方式与客户接触可能带来的益处以及风险。在决策过程中必须考虑客户对于适当界限的观念。文中使用了一家难民心理健康诊所的案例来阐明一种灵活的界限决策方法。
