Citation

Gutheil TG. J. Am. Acad. Psychiatry Law 2005; 33(4): 476-481.

Copyright

(Copyright © 2005, American Academy of Psychiatry and the Law, Publisher American Academy of Psychiatry and the Law)

DOI

unavailable

PMID

16394223

Abstract

A scenario common to several boundary violation/sexual misconduct cases is reviewed and discussed. Common features include an articulate patient whose high functionality concealed more primitive dynamics that arose in the therapy; boundary problems, often on an "attempted rescue" basis; and eventual litigation in some form. The patient's high functioning appeared to cause the therapists to underestimate the severity of the patients' disturbances. Drawing on forensic experience, the author analyses the cases and suggests risk management approaches.

Language: en

Keywords

Adult; Borderline Personality Disorder; Fantasy; Female; Humans; Machiavellianism; Malpractice; Mental Health Therapies; Professional Patient Relationship; Professional-Patient Relations; Psychiatry; Psychotherapeutic Processes; Psychotherapy; Suicide, Attempted; Transference, Psychology