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1. What is one rationalization some have about abuse of the personal contact boundary? 2. What are some biases against the validity of the topic of Sexual abuse of Power between the client and therapists? 3. What is one key factor that adds to the power imbalance between client and therapists? 4. What are two hurdles that remain after the client leaves the abusive relationship? 5. What are four characteristics of a boundary violation? 6. What are four warning signs that a client may be vulnerable to an abusive balance of power?
Answers:
A. Seeking and finding support from friends and seeking professional help B. The Bad Apple bias; Victim Blaming; Sexism; the Eunuch idea; and Codes of Ethics C. Indulgence of professional privilege, role reversal, secrecy, and a double bind. D. Idealization of the professional; wishes for a rescuer; intense feelings bound up in the relationship; and traumatic transfer E. Sexual abuse of clients mainly happened in the 90’s and before. Today therapists are too law suit conscious for this to be an issue. F. Faith placed in the therapists as having special status
Questions
7. What are primary hallmarks of boundary failures in the borderline client? 8. What are two definitions of manipulation? 9. The AAMFT, NBCC, and APA prohibit sexual relationship with former client’s for a period of two years. However, what does the NASW Code state? 10. What are potential clients warned about concerning boundaries and the power dynamic in consumer information? 11. What is Otto Fenichel’s definition of transference? 12. What are some interventions to counteract the power dynamic with clients who exhibit exaggerated silence?
Answers
A. Acting out behavior, chaotic relationships, and inability to control affect B. Misunderstanding the present in terms of the past C. The relationship feels uncomfortable, ambiguous, or confusing to the patient D. “The act of changing others by unfair means to serve one’s own purpose” and “the act of improving one’s life situation through the skillful management of another person or system without consent from the effected party” E. Relabel behavior, schedule a silent session, prescribe the silence, provide structure, provide freedom, create a game, and use nonverbal sources F. The professional should not engage in sexual activities or sexual contact with former clients
