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‘Neutralizing the Patient’: Therapists' Accounts of Sexual Boundary Violations

Overview of attention for article published in Clinical Psychology & Psychotherapy, December 2011
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Article details
Title
‘Neutralizing the Patient’: Therapists' Accounts of Sexual Boundary Violations
Published in
Clinical Psychology & Psychotherapy, December 2011
DOI 10.1002/cpp.799
Pubmed ID
Authors

Nick McNulty, Jane Ogden, Fiona Warren

Abstract

Sexual contact between psychological therapists and their clients is regarded as highly damaging, both to the clients and to the professions, and regulatory bodies impose increasingly severe sanctions upon those practitioners who are disciplined. The present study captured therapists' accounts of sexual boundary violations through interpretative phenomenological analysis of interviews with three disciplined practitioners about their relationships with clients and former clients. The results highlighted two key themes relating to (i) therapists' efforts to neutralize the power imbalances between themselves and the clients by minimizing the clients' mental health problems, stressing the conventionality of the relationships and not testing the appropriateness of the relationship with their supervisors, and (ii) a shifting identity of the therapist between hero, victim, perpetrator, which permeated their accounts as the relationship moved from success to failure. In order for a sexual boundary violation to occur, the therapist needed to generate a sense of equivalent status between themselves and the client. As the relationships failed, the therapists' accounts of the clients shifted and the inequality of the relationship re-emerged. The results are discussed in terms of implicit theories and the implications for both training and supervision in the prevention of sexual boundary violations.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 75 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Geographical breakdown
Country Count As %
New Zealand 1 1%
Bangladesh 1 1%
Unknown 73 97%

Demographic breakdown

Readers by professional status
Readers by professional status Count As %
Student > Master 17 23%
Student > Ph. D. Student 15 20%
Student > Bachelor 7 9%
Student > Doctoral Student 6 8%
Student > Postgraduate 4 5%
Other 11 15%
Unknown 15 20%
Readers by discipline
Readers by discipline Count As %
Psychology 44 59%
Social Sciences 4 5%
Nursing and Health Professions 3 4%
Agricultural and Biological Sciences 2 3%
Medicine and Dentistry 2 3%
Other 3 4%
Unknown 17 23%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 28 December 2011.
All research outputs
#22,268,446
of 24,851,605 outputs
Outputs from Clinical Psychology & Psychotherapy
#813
of 876 outputs
Outputs of similar age
#231,990
of 254,677 outputs
Outputs of similar age from Clinical Psychology & Psychotherapy
#13
of 15 outputs
Altmetric has tracked 24,851,605 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 876 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.9. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 254,677 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 15 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.