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Overview
Keeping Boundaries is an across-the-board review of the subject of boundary maintenance in psychotherapy. Using a comprehensive approach, this book examines the problem of therapeutic boundaries and boundary violations from multiple viewpoints, including historical antecedents, sociological mechanisms, object relations theory, psychodynamic theory, practical technique, and the mental health and training of psychotherapists. It covers a variety of boundary issues, including dual relationships, informed consent, fees, gifts from patients, maintaining confidentiality, avoiding abuse of power, and helping therapists to protect themselves against exploitive patients.
Written in a clear and jargon-free style, this book provides the therapist with practical clinical advice supported by extensive references and clinical vingnettes.
American Psychiatric Publishing
This book contains black-and-white illustrations.
Editorials
The Journal of Nervous and Mental Disease
This worthy and interesting book deserves careful attention in its own right, aside from its place in the psychiatric enterprise.... Well placed case vignettes remind us of the temptations that beset psychotherapists, the traps that some fall into, and the exacting responsibilities of the profession.
American Journal of Psychiatry
Keeping Boundaries provides a through overview of the function of boundaries in psychiatric treatment and the hazards, from potentiality to severe, of their transgression. Experienced therapists will find much of value in this book, and it should be among the basic readings for residents and beginning therapists.
Bulletin of the American Academy of Psychiatry and the Law
Boundaries are an important topic for both the general and forensic psychiatrist. While Dr. Epstein's book is geared toward a study of sexual contact between doctor and patient, he covers all the other borders that the clinicians approach. This book should be read by all psychiatric trainees and clinicians. It is a comprehensive and practical integration of theory and practice.
Straight Forward
Keeping Boundaries provides valuable material not only for all mental health residents and other trainees, but also for every medical practitioner. Making a self-assessment by using the Exploitation Index every few years certainly will assist a physician to prevent boundary violations. An ounce of prevention is worth a pound of cure or a million-dollar lawsuit or charges from the Board of Physician Quality Assurance.