Working for Children: Ethical Issues Beyond Professional Guidelines

Haslett, Nancy

doi:10.1097/00004583-197922000-00018

Cited by 5 publications

(2 citation statements)

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“…Literature on boundary theory provides guidelines which are intended on supporting healthcare professionals, establishing public trust and reducing potential risk of harm to clients (Blatt, 2001; Cowles & Griggs, 2019; Gutheil & Gabbard, 1993, 1998). Put simply, ‘boundaries’ have been described as an edge or limit of appropriate behaviour within a clinician–client relationship; they encapsulate a rough consensus of norms which define the limits, obligations and parameters of professionals (Gabbard, 1999; Langs, 1982; Shors & Kroll, 2022; Spruiell, 1983).…”

Section: Introductionmentioning

confidence: 99%

Refugees and asylum seekers who have experienced trauma: Thematic synthesis of therapeutic boundary considerations

Davoren,

McEleney,

Corcoran

et al. 2023

Clin Psychology and Psychoth

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ObjectiveTherapeutic boundaries are limits to appropriate behaviours within a therapist–client relationship (e.g. related to accepting gifts, self‐disclosures, therapist neutrality and advocacy). Therapeutic boundary considerations are fundamental in the care of refugees and asylum seekers. Research on the experiences of therapists navigating such boundaries is sparse and warrants further exploration. The aim of this qualitative systematic review was to thematically synthesise literature regarding therapists' (psychologists, psychotherapists, counsellors) experiences of implementing flexible therapeutic boundaries with refugee and asylum seeker clients and determine how such applications have been helpful for therapeutic interventions.MethodSix databases were searched. Following full‐text screening, 21 papers were included in the analysis. Boundary theory underpinned the analysis.ResultsThree major themes were developed: (i) Changes to Therapeutic Practice & Therapeutic Intervention, (ii) Re‐Conceptualisation of Therapy as ‘Clinical Political’ and Re‐Conceptualisation of Therapist Identity and (iii) Careful Monitoring of Personal Boundaries—Not becoming ‘Hardened’ or ‘Haunted’. Papers described how, when used in a reflective, considerate way, flexible therapeutic boundaries can strengthen the therapist–client alliance and positively impact therapeutic interventions. Many therapists acknowledged making conscious efforts to re‐conceptualise therapeutic work with refugee and asylum seeker clients from advocacy standpoints. However, systemic constraints, and lack of guidance, made this difficult to navigate and contributed to therapist burn‐out.ConclusionsBoundary considerations manifested as interpersonal, structural and cultural changes to practice. These have implications for clinical practice and developing guidelines on boundary practices with refugees and asylum seekers. Future research should explore promoting therapist well‐being and training needs for therapists supporting this population.

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Section: Introductionmentioning

confidence: 99%

Refugees and asylum seekers who have experienced trauma: Thematic synthesis of therapeutic boundary considerations

Davoren,

McEleney,

Corcoran

et al. 2023

Clin Psychology and Psychoth

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“…Literature from the fields of psychotherapy and psychiatry bring rich material on boundary crossing and violation, with different perspectives and extensive arguments included (Blatt, 2001;Gabbard, 2001;Kroll, 2001;Simon, 2001). Gutheil and Gabbard (1993) identify critical areas regarding potentially harmful boundary issues.…”

Section: Introductionmentioning

confidence: 99%

Reflections upon boundary complexities in the clinical practice of Croatian and Polish music therapists

Katušić,

Konieczna-Nowak

2020

AIJMT

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Boundaries separate and limit the territories of individuals’ needs, feelings, behaviours and thoughts. In the context of therapy, boundaries might be considered a framework for the whole therapeutic process. The focus of this study was to determine how professional boundaries are understood by Polish and Croatian music therapists, and to identify whether there are any differences between these two groups. Twenty music therapists (ten Polish and ten Croatian) participated in the study. Data was gathered using a modified version of a questionnaire by Miller, Commons and Gutheil (2006), with open questions added. The results show differences between the two groups in the perception of behaviours that are regarded as both harmful and beneficial, such as using private spaces, sharing meals, offering gifts, using social media and specific language. Possible reasons regarding these results are discussed.

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Problems in making organizational systems work for children.

Julius¹,

Lipton²,

Pettifor³

et al. 1980

Canadian Psychology / Psychologie canadienne

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Complex organizational systems create ethical dilemmas for professionals in providing quality clinical services to children. Some of these issues were discussed and a schematic model was presented defining parameters underlying strategies for effective action. Limitations of the model were noted and recommendations were made to initiate collective effort to develop effective approaches. A call was made for professional associations to provide greater support for clinicians facing dilemmas through workshops and conferences, and for graduate programs to implement training in systems negotiations. A challenge was issued to psychologists to share their experiences and suggestions. J. N., aged 16, was in detention after being apprehended by the police for breaking and entering. His behaviour was totally out of control with physically violent tendencies. He had along history of difficulties at home, school and within the community. Social service agencies had been involved with J. N. and his family since he was seven years old. Because of family resistance, bureaucratic red tape, inadequate program facilities, and poor service coordination, nothing was ever accomplished for J. N. and his behavioural symptoms grew more severe until he became socially dangerous. All professionals most recently involved were at a loss as to what to do for him.

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Working for Children: Ethical Issues Beyond Professional Guidelines

Cited by 5 publications

References 0 publications

Refugees and asylum seekers who have experienced trauma: Thematic synthesis of therapeutic boundary considerations

Refugees and asylum seekers who have experienced trauma: Thematic synthesis of therapeutic boundary considerations

Reflections upon boundary complexities in the clinical practice of Croatian and Polish music therapists

Problems in making organizational systems work for children.

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