The boundaries of the therapeutic relationship are a crucial part of effective therapy. But understanding them, and the effects of power and responsibility, can be intimidating to trainee or newly-qualified therapists. This book will take step by step through everything they need to know to work ethically and safeguard the wellbeing of both themselves and their clients. It tackles: • Contracting and the importance of negotiating and clarifying boundaries with clients • The implications and limits of maintaining confidentiality • Keeping clear sexual boundaries, and how to work around issues safely and appropriately • What happens when circumstances change, and everyday or serious disruptions occur to therapy • The nature of the therapist’s power, and how to employ it responsibly to a client’s benefit P acked with case studies, ethical dilemmas and points for reflection and discussion, this is an essential read for trainee practitioners and qualified therapists looking to ensure safe and ethical practice.
Chapter 4: Holding Confidentiality
Along with safe, ethical practice and appropriate use of skills, confidentiality is a cornerstone of therapeutic practice. Issues surrounding confidentiality are plentiful and managing the accompanying pressures can be daunting. Potential conflicts involving confidentiality can arise in any routine practice when working alone, within teams or in assessing client risk. In this chapter we will consider the concept of professional discretion and reflect on how the limits of confidentiality can vary within different settings and some of the implications this can have for our therapeutic practice. We will also focus on legal issues relating to data protection and our rights and responsibilities with respect to requests from police and courts for counsellors’ notes. In addition to considering the impact boundaries of ...