Barnett Jeffrey E
Loyola University Maryland.
J Clin Psychol. 2014 Feb;70(2):170-81. doi: 10.1002/jclp.22068. Epub 2013 Dec 21.
Sexual intimacies with clients are inappropriate behaviors under all circumstances. Yet, psychologists who adhere to rigid rules about boundaries and multiple relationships in an ill-guided effort to avoid such occurrences may find that they actually harm clients by acting in ways that are inconsistent with clients' treatment needs and goals. Boundaries and multiple relationships are discussed and strategies for negotiating them effectively are presented. A thoughtful and deliberative process is described for responding to the inevitable feelings of attraction toward clients that at times arise, and steps for addressing psychotherapists' vulnerabilities are presented. Ethics principles and standards as well as decision-making considerations are presented so that psychologists will be better prepared for addressing these important issues in psychotherapy.
在任何情况下，与来访者发生性亲密行为都是不当行为。然而，一些心理学家为了避免此类情况发生，坚持关于界限和多重关系的严格规则，但这种 misguided 的努力可能会导致他们的行为与来访者的治疗需求和目标不一致，从而实际上对来访者造成伤害。本文讨论了界限和多重关系，并提出了有效协商这些问题的策略。文中描述了一个深思熟虑的过程，用于应对有时会出现的对来访者不可避免的吸引力感受，并提出了应对心理治疗师脆弱性的步骤。还介绍了伦理原则和标准以及决策考量因素，以便心理学家能更好地准备在心理治疗中处理这些重要问题。
