Sexual Boundary Violations in Psychotherapy Facing Therapist Indiscretions, Transgressions, and Misconductby Steinberg, Arlene Lu; Alpert, Judith L.; Courtois, Christine
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Professional attitudes toward sexual boundary violations (SBVs) have evolved over the years, resulting in ethical and legal guidance to prevent such violations. Despite this guidance, SBVs still occur in treatment, and institutions and colleagues often deny or rationalize them. Therapists need a deeper understanding of how SBVs occur in order to avoid them.
This volume examines the events leading up to SBVs, as well as what happens to clients and therapists once SBVs are discovered. The book also considers the broader effects of such behavior on colleagues, institutions, families, and others. Numerous case illustrations are included to illustrate how therapeutic relationships are compromised, sometimes in subtle and gradual ways. Authors emphasize the importance of therapist education and consultation with mentors and peers to maintain a professional frame for the therapeutic relationship.
Judith L. Alpert, PhD, is Professor of Applied Psychology at New York University and Faculty and Clinical Consultant at the NYU Postdoctoral Program in Psychotherapy and Psychoanalysis. She has edited six books and numerous journal articles on trauma and women’s issues. She co-edited the special issue of Psychoanalytic Psychology (2017) on sexual boundary violations with Dr. Steinberg and practices psychotherapy in New York City. She was the first president and a founding member of Division 56 (Trauma Psychology) of the American Psychological Association (APA). Dr. Alpert is the recipient of the Award for Scholarship from Division 39 (Psychoanalysis) of APA.
Christine A. Courtois, PhD, ABPP, a board-certified counseling psychologist retired from clinical practice in Washington, D.C., has been an adjunct professor of psychology and social work at several universities and is now an independent consultant/trainer/author on topics of trauma psychology and treatment. She has authored, co-authored, and co-edited a dozen professional books on the dynamics and treatment of child sexual abuse, complex trauma, and PTSD. Dr. Courtois is past president of Division 56 (Trauma Psychology) of the American Psychological Association and founding Associate Editor of the division’s journal, Psychological Trauma. She has received numerous professional awards from several organizations.
Table of Contents
Kenneth S. Pope
Chapter 1. Sexual Boundary Violations in the Psychotherapy Setting: An Overview
Arlene (Lu) Steinberg, Judith L. Alpert, and Christine A. Courtois
I. Ethical and Legal Issues
Chapter 2. The American Psychological Association Ethics Code and Legal Statutes Regarding Sexual Boundary Violations: History and Current Status
Linda Campbell, Linda Knauss, and Lauren Meaux
Chapter 3. Boundaries and Ethics of Professional Conduct
Stephen B. Levine and Christine A. Courtois
II. Perspectives From Different Theoretical Orientations
Chapter 4. Erotic Transferences and Countertransferences in Sexual Boundary Violations: An Interview with Andrea Celenza
Interviewers: Arlene (Lu) Steinberg and Judith L. Alpert
Interviewed: Andrea Celenza
Chapter 5. Psychoanalytic Perspectives on the Problem of Erotic Idealization
Elizabeth Goren and Sue Grand
Chapter 6. A Cognitive Behavioral Approach to Understanding Sexual Boundary Violations
Chapter 7. Going Beyond the Contact Boundary: A Gestalt Therapy Perspective
Monique N. Rodriguez
Chapter 8. The Art of Helpful Sex Talk in Therapy: A Psychoanalytic Sex Therapist Speaks
Chapter 9. Sexual Misconduct in the Feminist Therapy Realm
Laura S. Brown and Christine A. Courtois
III. Unique Settings and Populations
Chapter 10. Sexual Boundary Violations in Pastoral Counseling
Christine A. Courtois and Arlene (Lu) Steinberg
Chapter 11. Sexual Boundary Violations in the Digital Age: New Frontiers and Emerging Challenges
Frederic G. Reamer
Chapter 12. Considering Racial and Cultural Context in Sexual Boundary Violations
Chapter 13. Sexual Boundary Violations Outside of Cisgender–Heterosexual Dyads
Elizabeth Clark and Kori Bennett
IV. Dynamics and Effects
Chapter 14. Mind F*ck: The Grooming Process in “Professional Incest”
Christine A. Courtois and Judith L. Alpert
Chapter 15. Grooming and the Dynamics of Abuse as Experienced and Viewed Through the Eyes of Victims and Peer Advocates: Cases from TELL
Chapter 16. Three Survivors Speak: Stories of Confusion, Shame, Anguish, and Resilience
Christine A. Courtois, Judith L. Alpert, and Goldie Eder
Chapter 17. When Colleagues Betray: The Harm of Sexual Boundary Violations in Psychotherapy Extends Beyond the Victim
Jennifer M. Gomez, Laura K. Noll, Alexis A. Adams-Clark, and Christine A. Courtois
V. Responding to Sexual Boundary Violations in Psychotherapy
Chapter 18. Treating Clients Who Have Been Sexually Abused by a Therapist
Tyson D. Bailey and Laura S. Brown
Chapter 19. Supervision and Consultation With Therapists Who Have Engaged in Sexual Misconduct
Gary R. Schoener
Chapter 20. The Treatment of Therapists Who Sexually Offend
Philip Hemphill, Christine A. Courtois, Mark S. Gold, Alexis Polles, and Drew Edwards
Epilogue: Prevention and Intervention
Judith L. Alpert, Arlene (Lu) Steinberg, and Christine A. Courtois
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