| Maintaining treatment boundaries in small communities and rural areas. | |
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MedLine Citation:
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PMID: 10543853 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Psychiatrists and other mental health professionals practicing in small communities and rural areas encounter unique situations and customs that may complicate the task of maintaining treatment boundaries. Boundary adjustments are frequently required that do not disturb the psychiatrist-patient relationship. The authors discuss specific boundary problems that arise in maintaining the psychiatrist's neutrality; fostering the psychological separateness of the patient; protecting confidentiality; ensuring that the psychiatrist has no previous, current, or future personal relationship with the patient; preserving anonymity of the psychiatrist; and establishing a stable fee policy. Four vignettes illustrate boundary issues that may be encountered in psychiatric practice in small communities. The authors suggest that applying the rule of abstinence, which states that the therapist must abstain from obtaining personal gratification at the expense of the patient, can help therapists distinguish between boundary issues, crossings, and violations. |
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Authors:
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R I Simon; I C Williams |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Psychiatric services (Washington, D.C.) Volume: 50 ISSN: 1075-2730 ISO Abbreviation: Psychiatr Serv Publication Date: 1999 Nov |
Date Detail:
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Created Date: 1999-12-01 Completed Date: 1999-12-01 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9502838 Medline TA: Psychiatr Serv Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1440-6 Citation Subset: E; IM |
Affiliation:
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Psychiatry, Georgetown University School of Medicine in Washington, DC, USA. risimon@ix.netcom.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Confidentiality Ethics, Medical* Female Humans Male Physician-Patient Relations* Practice Guidelines as Topic Professional Practice Location Psychotherapy* Rural Population* Social Environment* |
| Comments/Corrections | |
Comment In:
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Psychiatr Serv. 2000 Feb;51(2):253-4
[PMID:
10655015
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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