Gutheil T G
Program in Psychiatry and the Law, Massachusetts Mental Health Center, Boston 02115.
Am J Psychiatry. 1989 May;146(5):597-602. doi: 10.1176/ajp.146.5.597.
The author addresses the issue of sexual relations between therapist and patient and the related boundary violations that are involved in such relations. He points out that patients with borderline personality disorder are particularly likely to evoke boundary violations, including sexual acting out. These patients apparently constitute the majority of patients who falsely accuse therapists of sexual involvement. Therapists who are aware of patterns of errors in therapy and countertransference--through education, anticipation, and forewarning--can avert the serious outcomes that result from these errors.
作者探讨了治疗师与患者之间的性关系问题以及此类关系中涉及的相关边界侵犯问题。他指出，边缘型人格障碍患者特别容易引发边界侵犯，包括性冲动行为。这些患者显然构成了错误指控治疗师有性涉入行为的患者的大多数。通过教育、预判和预先警示而意识到治疗和反移情中错误模式的治疗师，可以避免这些错误所导致的严重后果。
