Boundaries and Dual Relationships: The Ethical Way
Fulfills requirement: Professional Ethics for all professions
This unique course addresses the complexities of dual relationships in a flexible, realistic, and non-dogmatic way. In contrast to the myth of the depravity of dual relationships and boundary crossing, this course illustrates that many types of boundary crossings and nonsexual dual relationships are unavoidable and ethical. They also can increase the effectiveness of treatment and can be an integral part of evidence-based treatment plans or other well-formulated treatment plans.
This intermediate-advanced level course is comprised of seven articles available in written and audio formats. Content features Dr. Zur’s pioneering work in therapeutic boundaries and dual relationships. The course clarifies that dual relationships are unavoidable in many rural and small communities, such as churches, synagogues, LGBTQIA+, military, minority, and disabled communities. It also dispels the myth that nonsexual dual relationships inevitably lead to sexual relationships and illustrates how familiarity and duality can speed up treatment, increase therapeutic effectiveness, and reduce, rather than increase, the possibility of clients being exploited by their therapists. Zur analyzes the arguments against dual relationships and their rebuttals, and he provides common-sense advice and ethical decision-making strategies.
Although not officially part of the course, information about boundaries and dual relationships specific to the State of New York is included.
Educational Objectives
This course will teach the participant to:
- Explain the types of dual relationships, including those that are mandated and/or unavoidable
- Discuss shifting attitudes toward dual relationships in light of historical influences and evolving professional ethics codes
- Identify the ethical and clinical issues involved in dual relationships
Syllabus
Part 1: Overview of Dual (Multiple) Relationships
- Defining multiple relationships
- Mandated and/or unavoidable multiple relationships
- Ethical and legal multiple relationships
- Out of office experiences
- Situations that do not constitute multiple relationships
Part 2: How Consensus Regarding Prohibition Has Been Contrived, Shifting Attitudes &
Practical Advice
- Historical influences
- Evolving professional ethics codes
- Arguments against dual relationships and their rebuttals
- How the consensus regarding the prohibition of dual relationships has been contrived
- Practical advice about dual relationships
- Prior to and during therapy
- Treatment plans
- Clinical integrity and effectiveness
- Expert versus clinical roles
Part 3: Dual Relationships and Ethical Decision-Making
- Ethical decision making about dual relationships
- Is it necessary?
- Is it exploitative?
- Who does it benefit?
- What are the risks to the patient?
- What are the risks to the therapeutic relationship?
- Has consent been documented?
