Gabbard G O
Menninger Clinic, Topeka, KS 66601-0829.
Bull Menninger Clin. 1994 Winter;58(1):124-35.
The causes of therapist-patient sex are complex and multidetermined. Efforts to understand why psychotherapists transgress sexual boundaries are hampered by the lure of reductionism and oversimplification. Most of those who examine this issue would prefer to categorize all such therapists as "bad" and "corrupt" as a way of distancing themselves and disavowing any similarities between these therapists and themselves. The pathology of therapists who commit sexual boundary violations generally falls into four broad categories: (1) psychotic disorders, (2) predatory psychopathy and paraphilias, (3) lovesickness, and (4) masochistic surrender. Although a variety of individual psychodynamic factors are involved within each group, this classification is highly useful for informed treatment planning.
治疗师与患者发生性行为的原因复杂且由多种因素共同决定。试图理解心理治疗师为何跨越性界限的努力，因还原论和过度简化的诱惑而受阻。大多数研究此问题的人倾向于将所有此类治疗师归类为“坏”和“腐败”，以此来与他们保持距离，并否认这些治疗师与自己有任何相似之处。违反性界限的治疗师的病理情况通常可大致分为四大类：（1）精神障碍，（2）掠夺性心理opathy和性偏好障碍，（3）相思病，以及（4）受虐性屈服。尽管每组中都涉及多种个体心理动力学因素，但这种分类对于制定明智的治疗计划非常有用。
