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    <title>Boundaries</title>
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    <description>BLOG-Boundaries in Psychotherapy: Reflecting our attitudes towards touch, gifts, self-disclosure, dual relationships, bartering, home visit, attending a wedding, and other boundaries</description>
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      <title>Boundaries</title>
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 <title>Boundaries</title>
 <link>http://www.zurinstitute.com/blogs/index.php?blogid=7#177</link>
<description><![CDATA[Margaret Price, LCSW : Oh.  Thank SA for that posting.  I've been struggling with this issue in my practice for years.  I have felt as though I'm walking a tightrope with my colleagues when this topic comes up.  It's as if, by even suggesting that boundaries needs to be &quot;revistited&quot; with critical thinking, I'm being seen as waving a flag that shouts &quot;I have terrible boundaries and I'm in denial.&quot;  Arrgh!!!]]></description>
 <category>Boundaries</category>
<comments>http://www.zurinstitute.com/blogs/index.php?blogid=7#177</comments>
 <pubDate>Tue, 17 Aug 2010 16:48:59 -0500</pubDate>
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 <title>Boundaries</title>
 <link>http://www.zurinstitute.com/blogs/index.php?blogid=7#170</link>
<description><![CDATA[Social Worker in Exile: Dr. Zur, it is with pain that I write that I am one of those clinicians whose license was REVOKED on the basis of this issue. My SW Board undertook an investigation of me, accusing that I had committed violations: organizing a free support group for rape/sexual abuse survivors that met for dinner and discussion (they framed it as &quot;having dinner with former patients&quot;, even though two colleagues attended with me to co-facilitate), attending a sweatlodge to pray with patients, and arranging a sexual abuse web discussion group. No allegations of sexual, abusive, violent, or fraudulent conduct were alleged, and the Board could not find ONE patient who didn't have the highest praise for my character and technique; my record was spotless. But they believed that any dual (i.e., non-office appointment) interactions were inherently exploitative due to an &quot;inherent power differential.&quot; They threw every myth in the book at me, while my patients lined up to support me! The Board called roll, then launched into discussion of revocation before I'd uttered a word, answered any question, or presented any defense. They exclaimed, &quot;This stuff needs to be punished!&quot; (throwing the charges on the table). When I asked to speak, they ignored me (even physically turning away in their chairs) and then struck my words from the record. Colleagues believe it was due to my being a male working with female victims, even though my former patients praised my professionalism and conduct.]]></description>
 <category>Boundaries</category>
<comments>http://www.zurinstitute.com/blogs/index.php?blogid=7#170</comments>
 <pubDate>Mon, 28 Jun 2010 13:38:20 -0500</pubDate>
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 <title>Boundaries</title>
 <link>http://www.zurinstitute.com/blogs/index.php?blogid=7#103</link>
<description><![CDATA[Gerald W. Vest, ACSW/LISW/LMT: I commented earlier on how I/We use touch in our US Army Restortion &amp; Resilience Center with soldiers and their families injured, wounded and diagnosed with PTSD. We offer many therapeutic touch programs--Reiki, medical massage, acupuncture, 15-Minute StressOut Program--and, all of our therapists and soldiers interact with our whole being--physically, mentally, emotinally and spiritually. We are having great success, I believe, because all of us know that touch is a healing response, just as love and respect for one another. Unfortunately, our helping professions have let the insurance and legal industries determine our practices. Do read Dr. Zur's article on this subject at <a href="http://www.zurinstitute.com/touchintherapy.html" rel="nofollow">http://www.zurinstitute.com...</a> so that we can change this hostile, negative and fearful stance on our relationships with our clients and patients. Some of us believe that withholding touch from our clients can be unethical--and, please read our Code of Ethics at <a href="http://www.zurinstitute.com/ethicsoftouch.html" rel="nofollow">http://www.zurinstitute.com...</a> that supports this reasoning.]]></description>
 <category>Boundaries</category>
<comments>http://www.zurinstitute.com/blogs/index.php?blogid=7#103</comments>
 <pubDate>Sun, 18 Oct 2009 07:25:33 -0500</pubDate>
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 <title>Boundaries</title>
 <link>http://www.zurinstitute.com/blogs/index.php?blogid=7#91</link>
<description><![CDATA[Lee Myerhoff, Ph.D.: Hi Don Eisner. Your question brings up the basic issue of boundary crossing. The clinician must be skilled enough to relate the crossing to the needs of the patient's therapy. If the crossing does not advance the patient's therapy then I would question it. The clinician must know the client and the situation to assess possible negative consequences to the patient as well as the possible benefit to the client. Until the clinician is able to do this, he should be conservative about any crossing.]]></description>
 <category>Boundaries</category>
<comments>http://www.zurinstitute.com/blogs/index.php?blogid=7#91</comments>
 <pubDate>Mon, 21 Sep 2009 19:22:35 -0500</pubDate>
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 <title>Boundaries</title>
 <link>http://www.zurinstitute.com/blogs/index.php?blogid=7#85</link>
<description><![CDATA[Donald A. Eisner, Ph.D. J.D.: Another technological advance may lead to new problems for therapists: namely texting via cell phones. Some therapists give out their cell phone numbers. What happens if a patient persists in excessive texting during and especially after the course of therapy . Will therapists be forced to continually get new cell phone numbers?<br />
Donald A. Eisner, Ph.D. J.D.<br />
<a href="http://www.eisnerpsychlaw.com" rel="nofollow">http://www.eisnerpsychlaw.com</a>]]></description>
 <category>Boundaries</category>
<comments>http://www.zurinstitute.com/blogs/index.php?blogid=7#85</comments>
 <pubDate>Tue, 8 Sep 2009 18:54:54 -0500</pubDate>
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 <title>Boundaries</title>
 <link>http://www.zurinstitute.com/blogs/index.php?blogid=7#84</link>
<description><![CDATA[amira: The technology issue is very interesting. It was a 16 years old patient who taught me the enormous value of e-mailing and texting as supplementary to ftf (face-to-face) sessions . After months of absolute silence during sessions we succeeded to enjoy good and fruitful theraputic relations. At first I was very sceptic.Since than I have the feeling that answering texts and e-mails can enrich the treatment and help the process.]]></description>
 <category>Boundaries</category>
<comments>http://www.zurinstitute.com/blogs/index.php?blogid=7#84</comments>
 <pubDate>Tue, 8 Sep 2009 13:21:35 -0500</pubDate>
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 <title>Boundaries</title>
 <link>http://www.zurinstitute.com/blogs/index.php?blogid=7#78</link>
<description><![CDATA[Donald A. Eisner, Ph.D. J.D.: With the advent of rapidly changing technology new issues and challenges emerge in the context of boundary crossings versus violations. A psychotherapist posted some information about her  college reunion on Facebook.  When a former patient got onto the site, the therapist immediately stopped using Facebook. Has anyone faced any issues with Social Networking?<br />
<br />
What about giving out your (office) cell phone, number, but therapy is now over? Are patients not allowed to call, and how would you stop the calls? Or what if there is ongoing texting, during and after therapy?  What are your thoughts?<br />
<br />
Donald A. Eisner,Ph.D., J.D.<br />
<a href="http://www.eisnerpsychlaw.com" rel="nofollow">http://www.eisnerpsychlaw.com</a>]]></description>
 <category>Boundaries</category>
<comments>http://www.zurinstitute.com/blogs/index.php?blogid=7#78</comments>
 <pubDate>Sun, 30 Aug 2009 08:47:41 -0500</pubDate>
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 <title>Boundaries</title>
 <link>http://www.zurinstitute.com/blogs/index.php?blogid=7#70</link>
<description><![CDATA[Anthony Bober, M.S.,MFT, MBA: Ms. Carr writes, &quot;I wonder sometimes where the boundary is when it comes to when am I a therapist and when am I a friend, and when am I a person.&quot; <br />
<br />
This is a question each and every therapist has to answer for him / her self. After 30 plus years, the answer for me is relatively simple. I am first and foremost a person with many needs, interests and friendships that are not expressed/acted on in the consultation room. I am aware of them and set them aside to maintain the necessary therapeutic neutrality beneficial for my patients. I take care of them outside the consulting room. Yes, I know for some this is blasphemous. After all I even believe my patients are in fact patients. I do not want my friends as patients and definitely do want to minister to my friends in a psychotherapeutic manner. My friends are friends. Glad to refer them to a colleague.  Will our friendships be mutually beneficial? I hope so. However with patients I expect nothing beyond payment and respect. <br />
<br />
As for boundaries, these are therapeutic, ethical and legal in nature. No matter how one might wish to view these in a therapeutic context, step outside the realm of what your codes of ethics and the remotest perception on the part of the patient as stepping over the line, e.g. think borderline and dependent PD and watch your licensing board in action.]]></description>
 <category>Boundaries</category>
<comments>http://www.zurinstitute.com/blogs/index.php?blogid=7#70</comments>
 <pubDate>Thu, 27 Aug 2009 16:15:21 -0500</pubDate>
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 <title>Boundaries</title>
 <link>http://www.zurinstitute.com/blogs/index.php?blogid=7#76</link>
<description><![CDATA[Jane: My therapist held me and sat next to me on the couch for several sessions. She gave me her personal cell phone number when I was suicidal. She said I was dissociating, but I disagree. She seduced me. I wanted her touch more and more. Then she terminated our relationship because she said I called her too much.  <br />
[Comment by moderator:  Therapists must be careful when they are engaged in levels, frequency and intensity of connection that cannot be sustained or are counter-clinical or unethical.  Corrections and shifts may necessary and must be made with full consideration of the client, therapists and the context of therapy.]<br />
<br />
After 7 years she called out of the blue and said she missed my voice. Is this ethical?  <br />
[Comment by moderator: The question here is whether it is clinically appropriate and ethical to follow up with clients after termination.  The obvious answer is that it depends on the client, timing, the relationship, the type of therapy, etc.]]]></description>
 <category>Boundaries</category>
<comments>http://www.zurinstitute.com/blogs/index.php?blogid=7#76</comments>
 <pubDate>Wed, 26 Aug 2009 20:52:40 -0500</pubDate>
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 <title>Boundaries</title>
 <link>http://www.zurinstitute.com/blogs/index.php?blogid=7#63</link>
<description><![CDATA[Sandra Carr LMFT: I currently work in the HIV-AIDS program at the Health Department.  I always offer to hug the clients by asking them if they would like a hug.  I feel it is especially important to them since a lot of people are still afraid to touch a person with HIV/AIDS.]]></description>
 <category>Boundaries</category>
<comments>http://www.zurinstitute.com/blogs/index.php?blogid=7#63</comments>
 <pubDate>Thu, 20 Aug 2009 14:53:25 -0500</pubDate>
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