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Three Brief Scenarios and Boundaries

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Three Brief Scenarios and Boundaries
List three brief scenarios that will illustrate examples of the types of boundary issues or multiple relationships you may encounter in the work you will be doing as a counselor. Be specific in describing the client, the counseling setting, and the situation that has raised these issues. Discuss specifically what makes these scenarios ethical challenges.

Boundaries make it possible for the relationship between therapist and client to be professional and safe for the client and set the parameters of the services provided.
The primary concern in establishing and managing boundaries with each individual client is to the best interest of the client. While it is difficult for clients to negotiate boundaries or recognize the need for boundaries, or be able to defend themselves about boundaries violations may initiate behavior that could constitute a boundary violation. Here are three areas of boundary issues that can present difficulty in maintaining boundaries. These are:
1) Dual and overlapping relationships, 2) giving or receiving gifts, and 3) physical contact.
1) Dual and overlapping relationships:

In this scenario, the client is a 25 yr. Old lady who is having difficulty with her husband. It is going to the fourth session with her when you see its’ going on to 11:30 and you are hungry. You suggest that you finish talking while grabbing a bite to eat in the restaurant just around the corner and bring it back to the office to eat. All goes well, and the next time you see this client she brings in sandwiches for you and her to eat during the counseling session. If I asked her not to bring in the lunch, the client may ask why we broke the rule of stepping over a boundary that was set earlier.

What can we do in this scenario?
In Corey, Corey & Callanan (2011) p.273. “Youngren and Gottleib recommend that practitioners address these question to make sound decisions about multiple relationships.(pp.256-257).
• Is entering into a relationship in addition



References: American Association for Marriage and Family Therapist. (2001). AAMFT code of ethics, DC, Alexandria, VA: Author. American Counseling Association, (2005). Code of ethics and standards of practice. Alexandria, VA: Author. American Psychological Association (APA) Aposhyan, S. (2004). Body-Mind Psychotherapy: Principles, Techniques, and Practical Applications. New York: W.W. Norton. Brodsky, A.M.(1983) Browne, J. (2004). Early relationship environments: physiology of skin-to-skin contact for parents and their preterm infants. Clinics In Perinatology, 31(2): 287-98 Corey, G., Corey, M.S., & Callahan, P Denison, B. (2004). Touch the pain away: new research on therapeutic touch and persons with fibromyalgia syndrome. Holistic Nursing Practice, 18(3): 142-51. Fosshage, J.L., (2000). The meanings of touch in psychoanalysis: A time for reassessment. Psychoanalytic Inquiry, 20/1. Herlihy, B., & Corey, G Hunter, M., & Struve, J. (1998). The ethical use of touch in psychotherapy. Thousand Oaks, CA: Sage. Kitchener, K Knapp,S., & VanderCreek,L. (2006). Practical ethics for psychologists: A Positive approach. Washington, DC: American Psychological Association. LaPierre, A Lazarus, A.A., & Zur, O. (Eds). (2002). Dual relationships and psychotherapy. New York: Springer. Moleski, S Older, J. (1982). Touching is healing. New York: Stein & Day Pope, K.S., & Vasquez, M.J.T Pope K.S., Sonne, J.L., & Holroyd, J. (1993). Sexual feelings in psychotherapy: Explorations for therapists and therapists-in-training. Washington, DC: American Psychological Association. Schore, A Shank J.A., & Skovholt, T.M. (2006). Ethical practice in small communities: Challenges and rewards for psychologists. Washington, DC: American Psychological Association. Smith, E., Clance, P.R Toronto, E.L.K.(2001). The human touch?: An exploration of the role and meaning of physical touch in psychoanalysis. Psychoanalytic Psychology, 18, 36-54. Totton, N Weze, C., et al. (2005). Evaluation of healing by gentle touch. Public Health, 119(1): 3-10. Young, C.(2005).About the ethics of professional touch Younggren, J.N., & Gottlieb, M.C. (2004). Managing risk when contemplating multiple relationships. Professional Psychology: Research and Practice, 39(5), 255-260. Wood, D., Craven, R., & Whitney, J. (2005). The effect of therapeutic touch on behavioral symptoms of persons with dementia. Alternative Therapies In Health And Medicine, 11(1): 66-74. Zur, O. (2007). Boundaries in psychotherapy: Ethical and clinical explorations. Washington, DC: American Psychological Association

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