Abstract

Abstract The special nature of the professional relationship in psychotherapy requires a code of conduct that protects the patient, but also allows therapeutic flexibility. However, the limits of professional conduct are transgressed when a psychotherapist goes beyond his or her professional boundaries to satisfy his or her own needs. The implications of misconduct are considered to be particularly severe in psychotherapy. Misconduct has various faces and facets. Sexual misconduct is the most drastic form of boundary violation; however, this should not detract attention from other forms of misconduct, especially because they often precede the more severe boundary violations. Any form of misconduct is profoundly connected with the person of the therapist. Nevertheless, research often addresses the question of what professional misconduct is, rather than how ethical professional conduct can be facilitated. This chapter aims to give an overview of the current literature to (1) define professional conduct and outline ethical reasoning, (2) describe different forms of misconduct, (3) discuss options for prevention and intervention, and (4) discuss options for improving training of future psychotherapists.

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