RT Journal Article
SR Electronic
T1 Boundaries, Blackmail, and Double Binds: A Pattern Observed in Malpractice Consultation
JF Journal of the American Academy of Psychiatry and the Law Online
JO J Am Acad Psychiatry Law
FD American Academy of Psychiatry and the Law
SP 476
OP 481
VO 33
IS 4
A1 Thomas G. Gutheil
YR 2005
UL http://jaapl.org/content/33/4/476.abstract
AB A scenario common to several boundary violation/sexual misconduct cases is reviewed and discussed. Common features include an articulate patient whose high functionality concealed more primitive dynamics that arose in the therapy; boundary problems, often on an “attempted rescue” basis; and eventual litigation in some form. The patient's high functioning appeared to cause the therapists to underestimate the severity of the patients' disturbances. Drawing on forensic experience, the author analyses the cases and suggests risk management approaches.