Baylor College of Medicine, Department of Psychiatry, One Baylor Plaza, Houston, TX 77459, USA.
Acad Psychiatry. 2010 Sep-Oct;34(5):369-72. doi: 10.1176/appi.ap.34.5.369.
The authors demonstrate that the teaching of professional boundaries in psychiatry is an essential component of training to prevent harm to patients and to the profession.
The authors illustrate overarching principles that apply to didactic teaching in seminars and to psychotherapy supervision.
The teaching of boundaries must be based in sound clinical theory and technique so that transference, countertransference, and frame theory are seen as interwoven with the concept of boundaries and must use case-based learning so that a "one-size-fits-all" approach is avoided.
The emphasis in teaching should be on both the clinician's temptations and the management of the patient's wish to transgress therapeutic boundaries.
作者证明，在精神病学培训中教授专业界限是防止伤害患者和职业的重要组成部分。
作者举例说明了适用于研讨会教学和心理治疗监督的总体原则。
边界的教学必须基于健全的临床理论和技术，以便将转移、反转移和框架理论视为与边界概念交织在一起，并必须使用基于案例的学习，以避免“一刀切”的方法。
教学的重点应该是临床医生的诱惑和管理患者侵犯治疗界限的愿望。
