How certain boundaries and ethics diminish therapeutic effectiveness

Ethics Behav. 1994;4(3):255-61. doi: 10.1207/s15327019eb0403_10.

Abstract

When taken too far, certain well-intentioned ethical guidelines can become transformed into artificial boundaries that serve as destructive prohibitions and thereby undermine clinical effectiveness. Rigid roles and strict codified rules of conduct between therapist and client can obstruct a clinician's artistry. Those anxious conformists who go entirely by the book, and who live in constant fear of malpractice suits, are unlikely to prove significantly helpful to a broad array of clients. It is my contention that one of the worst professional/ethical violations is to permit current risk-management principles to take precedence over humane interventions.

MeSH terms

  • Confidentiality
  • Ethics, Professional*
  • Friends
  • Guidelines as Topic
  • Health Personnel*
  • Humans
  • Interpersonal Relations*
  • Liability, Legal
  • Motivation
  • Professional Misconduct
  • Professional-Patient Relations*
  • Psychology
  • Psychotherapy*
  • Risk Assessment*
  • Risk*
  • Social Control, Informal
  • Treatment Outcome