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Professional boundaries and potential ethical issues

Dr. Kim is an experienced therapist with more than 15 years of practice. He is a quiet and reserved man. A new client, Susan, asked Dr. Kim for a hug at the end of a session. Though feeling uncomfortable, he allowed it. This happens at the end of the next 3 sessions and he becomes increasingly uncomfortable. He sought supervision from a more experienced therapist.
In reading the case study for Unit 6, how do you assess Dr. Kim’s behavior? Do you see any potential ethical issues?

Sample Answer

 

Based on the provided case study, Dr. Kim’s behavior raises concerns regarding professional boundaries and potential ethical issues. Here is an assessment of Dr. Kim’s behavior and the potential ethical issues involved:

Allowing the initial hug:

Dr. Kim’s decision to allow the hug at the end of the session, despite feeling uncomfortable, indicates a lack of assertiveness in maintaining professional boundaries.
While it is understandable that he may have wanted to accommodate Susan’s request, it is essential for therapists to prioritize professional guidelines and ethical principles.
Repeatedly allowing hugs:

Dr. Kim allowing hugs at the end of subsequent sessions, despite his increasing discomfort, demonstrates a lack of assertiveness in setting and maintaining boundaries.
Continuing to engage in physical contact with a client when it makes the therapist uncomfortable can be seen as a breach of professional conduct.
Seeking supervision:

Dr. Kim taking the initiative to seek supervision from a more experienced therapist is a positive step towards addressing the issue.
Seeking guidance and consultation from a trusted colleague or supervisor is crucial in navigating ethical challenges.
Potential Ethical Issues:

Boundary violations:

Allowing repeated physical contact, such as hugging, with a client blurs the professional boundaries between therapist and client.
Therapists are expected to maintain appropriate physical boundaries to ensure the therapeutic relationship remains focused on the client’s well-being.
Dual relationships:

Engaging in repeated physical contact, particularly of an intimate nature like hugging, can create a dual relationship between therapist and client.
Dual relationships can lead to ethical conflicts and compromise the objectivity and integrity of the therapeutic relationship.
Lack of self-care:

Dr. Kim’s discomfort and increasing unease indicate a potential neglect of his own well-being in favor of accommodating his client’s requests.
Therapists must prioritize self-care and recognize when their own boundaries and comfort levels are being compromised.

Conclusion:

In assessing Dr. Kim’s behavior, it becomes evident that his decision to allow repeated hugs with his client raises concerns regarding professional boundaries and potential ethical issues. Allowing physical contact beyond what is considered appropriate in the therapeutic relationship can compromise the objectivity, integrity, and effectiveness of therapy. Seeking supervision is a positive step towards addressing these concerns and finding guidance on how to navigate this complex situation ethically. It is imperative for therapists to prioritize professional boundaries, maintain objectivity, and ensure the well-being of both themselves and their clients.

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