Thank You. Instructors 2/9/2018. Crossing The Client / Therapist Boundary with Cherie Sohnen-Moe & Ben Benjamin. World Massage Conference Presents:

Transcription

1 World Massage Conference Presents: Crossing The Client / Therapist Boundary with Cherie Sohnen-Moe & Ben Benjamin Instructors Cherie Sohnen-Moe Ben Benjamin, PhD 2 Thank You 3 1

2 Goal Improve the therapeutic relationship By increasing awareness and understanding of boundaries. 4 Understanding Boundaries 5 Boundary Clarification Exercise Draw a line from each word to the bubble that best corresponds to that concept. Emotional Barriers Interpersonal What are the different types of boundaries? Physical Limits Touch Energetic Clothing Time Intellectual Intrapersonal Lines that Separate Self-disclosure What are boundaries? Sexual Edges Borders Money Dual Relationships Power Differences How do we create, manage & change boundaries? Language Place 6 Space 2

3 Boundary Clarification Exercise Key Draw a line from each word to the bubble that best corresponds to that concept. Emotional Barriers Interpersonal What are the different types of boundaries? Physical Limits Touch Energetic Clothing Time Intellectual Intrapersonal Lines that Separate Self-disclosure What are boundaries? Sexual Edges Borders Money Dual Relationships Power Differences How do we create, manage & change boundaries? Language Place 7 Space Types of Boundaries Physical Emotional Intellectual Sexual Energetic 8 Relationship Boundaries Separate one person from another Protect Integrity Generally Unseen Ever-changing Attitudes Sensitivity 9 3

4 The Physical Boundary 10 The Emotional Boundary 11 The Intellectual Boundary 12 4

5 The Sexual Boundary 13 The Energetic Boundary 14 Boundary Models Salvador Minuchin 15 5

6 Boundary Models Fritz Perls 16 Personal Boundaries Permeable Semi-permeable Rigid 17 Personal Boundaries Permeable 18 6

7 Personal Boundaries Semi-permeable 19 Personal Boundaries Semi-permeable 20 Personal Boundaries Rigid 21 7

8 Personal Boundaries Rigid 22 Interactive Boundaries Distance from the Boundary Meeting at the Boundary Boundary Crossing or Violation 23 Interactive Boundaries Meeting at the Boundary 24 8

9 Interactive Boundaries Boundary Crossing or Violation 25 Interactive Boundaries Distance from the Boundary 26 Boundary Change Agents Location of Service Interpersonal Space Appearance Self-Disclosure Language Touch Time Money 27 9

10 Boundary Change Agents 28 Therapeutic Relationships Client Centered Fiduciary Relationship Structure Roles Power Differential Safety 29 The Power Differential 30 10

11 The Power Differential 31 The Power Differential 32 The Power Differential In Health Care 33 11

12 The Practitioner s Role 34 The Client s Role Every action the practitioner takes is in the service of the client s needs not the practitioner s needs. 35 The Client s Role Every action the practitioner takes is in the service of the client s needs not the practitioner s needs. The client has voice in the process and must agree to the course of treatment for it to proceed

13 The Client s Role Every action the practitioner takes is in the service of the client s needs not the practitioner s needs. The client has voice in the process and must agree to the course of treatment for it to proceed. The client has the right to expect that the practitioner always acts in the client s best interest. 37 Minimizing the Power Differential 38 1 Communicate Openly and Clearly 39 13

14 2 Honor Physical Boundaries 40 3 Involve Clients in Their Treatments 41 What are some other things you can do to reduce the Power Differential? 42 14

15 Boundary Crossings and Violations 43 Boundary Crossings and Violations 44 Boundary Crossings and Violations A boundary crossing is a transgression that may or may not be experienced as harmful. A boundary violation is a harmful transgression of a boundary

16 Examples of Boundary Crossings and Violations Careless or Uninvited Words Inappropriate Touch Inappropriate Self- Disclosure Sexual Misconduct 46 Examples of Boundary Crossings and Violations Careless or Uninvited Words Inappropriate Touch Inappropriate Self- Disclosure Sexual Misconduct 47 Sexual Abuse and Misconduct In a therapeutic relationship, there is a power differential between the client and the therapist. The practitioner is considered a legal caregiver. For this reason, any sexual misconduct regardless of whether the client consents or initiates sexual behavior, is considered sexual abuse. Sexual abuse is a crime

17 Common Features: Gender & Context Gender & Context Male-on-Female Abuse The cases involve a male therapist and female clients From the research, this is the majority of cases 49 Common Features: Gender & Context Gender & Context So-called Female-on-Male Abuse These cases involve a female therapist and male clients The majority of cases occur in bogus massage establishments with forced sexual slavery of women 50 Common Features: Patterns of Conduct Gender & Context Actions or comments that don t feel quite right Issues with draping Boundary crossing on one or more areas of the body Excessive sharing and requests for personal information Gradual escalation to more extreme violations Overtly sexual comments Fondling Manual penetration 51 17

18 Examples of Boundary Crossings and Violations You are asked to alter receipts A client invites you to lunch Client asks you to hire them 52 Understanding Dual Relationships 53 Understanding Dual Relationships 54 18

19 Understanding Dual Relationships 55 Understanding Dual Relationships 56 Understanding Dual Relationships 57 19

20 Understanding Dual Relationships 58 Boundary Crossing, Violation or Not? 1. Hugging all clients when they arrive. 2. Asking clients for financial advice 3. Dating a current client 4. Telling your spouse specific details about a client. 5. Telling your client about a personal problem. 6. Client asking how much money you make 7. Client arrives late and expects a full treatment 8. A client starts crying on the table and the therapist asks probing questions

21 The Ethics Of Touch Book: TheEthicsOfTouch.com sohnen-moe.com benbenjamin.com benjamininstitute.com 61 Keep Learning! 62 21