Issues & Ethics–Chapter 7: Managing Boundaries and Multiple Relationships

Danny had been working with his therapist, Bonnie, for three years when he invited her to attend his graduation from college. Working towards achieving this goal had been a major focus of Danny’s therapy. By accepting his invitation and attending the ceremony, Bonnie’s decision was:
ethical under the circumstances
A reason for discouraging the practice of accepting friends as clients, or becoming socially involved with clients, is that counselors:
may have a need to be liked, which could lead them to be less challenging lest the relationship be jeopardized
Which of the following would NOT be an appropriate response from a therapist who is struggling with a powerful attraction to a client?
Repress feelings of attraction to protect oneself from becoming sexually involved with the client
Which of the following statements is FALSE in regards to sexual contact between therapist and client?
The majority of sexual boundary violations occur between female therapists and male clients
Robert’s client is a mother who is grieving the death of her child. Robert feels compassionate as he gently touches her arm to show her that he cares. His client seems comforted by the action, yet he has failed to ask permission to touch. In this case, Robert:
expressed empathy for the client that would not be considered unethical by most practitioners
The term ________ encompasses both dual relationships and nonprofessional relationships.
multiple relationships
Robert, who was attracted to his client Helen, decided it would be appropriate to meet her for a “lunch session” at a nearby restaurant since Helen had a hectic schedule one particular week. Helen subsequently asked Robert if they could hold their sessions over lunch more often. If Robert agreed to Helen’s request, he would be at risk of experiencing:
the slippery slope phenomenon
Although codes can provide some general guidelines, ________ is a critical dimension of an ethical practitioner.
(all of the above)
– good judgment
– the willingness to reflect on one’s practices
– being aware of one’s motivations
It is generally a good idea to avoid multiple roles unless there is ________ for doing so.
sound clinical justification
Which of the following statements is FALSE regarding the use of therapist self-disclosure?
Factors such as the client’s culture, history, and presenting problem are relatively unimportant in determining how much a therapist should self-disclose in sessions
Practitioners in small communities can minimize risks by:
(all of the above)
– obtaining informed consent
– documenting thoroughly
– setting clear boundaries and expectations, both for themselves and with their clients
– getting involved in ongoing consultation
In an African context, therapy:
might include conversation, playful activities, laughter, shared meals and cooking experiences, travel, rituals and ceremony, singing or drumming, and storytelling
When a client behaves in a seductive way and a sexual relationship between the client and therapist develops:
it is clearly the professional’s responsibility to establish and maintain appropriate boundaries
When sex is involved in a therapeutic relationship, the client may experience:
(all of the above)
– posttraumatic stress disorder
– stronger distrust and fear
– feelings of shame and guilt
– suicidal tendencies
Counselor educators serve as instructors; however, they sometimes act as therapeutic agents for their students’ personal development. This combining of roles and responsibilities is an example of:
role blending
Boundary crossings and boundary violations are synonymous terms.
Cultural considerations are important in weighing the benefits of accepting a gift against the risk of jeopardizing the therapeutic relationship by refusing the gift.
If bartering is used for psychological services, it is better to exchange goods rather than services.
Most mental health professionals would agree that accepting a very expensive gift is problematic and potentially unethical.
Rigid adherence to boundaries may be just as harmful to clients and the therapeutic relationship as a boundary violation.

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