Abstract
An overview of physician sexual misconduct in the workplace is presented with boundary violation categories outlined. Working definitions of Professional Sexual Impropriety and Professional Sexual Violation are offered. Risk management issues of boundary crossings versus boundary violations are clarified. Sexual addiction is present in over 50% of professionals alleged with sexual impropriety. To assist in evaluation and treatment, common cognitive distortions used by physicians to support ongoing sexual misconduct with case examples, as well as reasons for treatment resistance are described. In addition, cognitive distortions victims use to avoid reporting sexual misconduct are listed. Diagnostic evaluation factors are emphasized along with general truths about physician sexual misconduct.
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