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References

(not in proper APA format because Prezi says NO!)

Dual Relationship. (2015, August 6). Retrieved March 30, 2016, from http://www.goodtherapy.org/blog/psychpedia/dual-relationship-definition

Heaton, K. J., Black, L. (2009). I knew you when: A case study of managing preexisting nonamorous relationships in counseling. The Family Journal: Counseling and Therapy for Couples and Families. 17(2). 134-138

Lazarus, A. A., Zur, O. (Eds.) (2002). Dual Relationships and Psychotherapy. New York: Springer

National Association of Social Workers. (1999). Code of ethics of the National Association of Social Workers Washington, DC. NASW Press

Reamer, F. G. (2012). Boundary Issues and Dual Relationships in Human Services. New York: Columbia University Press.

Seabury, B.A., Seabury, B. H., & Garvin, C. D. (2011). Foundations of interpersonal practice in

social work: Promoting competence in generalist practice. (3rd ed.). Thousand Oaks, CA: SAGE Publications, Inc.

Questions?

Scenario 4. You are at the grocery store and you turn the corner and one of your clients that you are currently working with is there. She says hello and begins to talk about things being discussed with you in therapy. You are with your family, and she is with a few of her friends. What do you do?

Different Types

• Digital, online, or Internet dual relationship—the therapist is connected with the client on social media sites such as Facebook, Twitter, and LinkedIn

• Sexual dual relationship—the therapist and client are engaged in a sexual relationship

Different Types

Not all Dual Relationships can be avoided....

• Institutional dual relationship—the therapist serves as counselor and other roles within a particular institution, such as a prison, hospital, or in the military

• Forensic dual relationship—the therapist is a counselor as well as a witness in legal trials or hearings involving his or her client

• Supervisory dual relationship—the therapist is also responsible for overseeing and supervising the client’s development as a professional therapist, as often occurs in educational settings

Scenario 3. You are working in a partial hospital program, and one of your moms co-workers is admitted into the program. You are required to run groups. What do you do?

  • It's a small world after all
  • Not all dual relationships are harmful
  • Not all dual relationships are exploitative
  • Many professionals differ on opinion about what is and is not acceptable or a boundary violation

Different Types

Why are Dual Relationships avoided?

  • Social dual relationship—the therapist is also a friend

• Professional dual relationship—

the therapist doubles as someone’s work colleague or collaborator

• Business dual relationship—the therapist is also involved with someone in a business capacity

• Communal dual relationship—both therapist and client are members of a small

community will likely run into each other or be involved in the same activities outside of the office

  • Power differential within the therapeutic relationship
  • Conflict of interest
  • Exploitation
  • Impair objectivity
  • Boundaries become blurred
  • Others?

Break up into groups

What is a Dual Relationship?

According the NASW (2008), Social workers should not engage in dual or multiple relationships with clients or former clients in which there is a risk of exploitation or potential harm to the client.

In instances when dual or multiple relationships are unavoidable, social workers should take steps to protect clients and are responsible for setting clear, appropriate, and culturally sensitive boundaries.

(Dual or multiple relationships occur when social workers relate to clients in more than one relationship, whether professional, social, or business. Dual or multiple relationships can occur simultaneously or consecutively.)

Objectives

1. Explore and identify the different types of

dual relationships

2. Identify and discuss some of the challenges of dual relationships in counseling

3. Examine the moral and ethical aspects dual

relationships

Some other elements that may impact professional judgement

NASW Code of

Ethics

1.06 Conflict of Interest

-Dual Relationship

- Multiple Relationship

-Multiple Role

-Non- Professional Interaction

Dual Relationships

-Alanna Kaplan, MSW (almost)

April 5th 2016

  • Improper gift giving or receiving
  • Interference with personal autonomy
  • Self-Disclosure
  • Enmeshment

Scenario 2. You are working as a Psychiatric Rehabilitation Worker at a community mental health center. Your co-worker has worked there for 15 years. One of the clients is his neighbor. They have known each other for 17 years. Your co-worker discloses that he is inviting the client over to cook for his upcoming anniversary party. He plans to pay him for his services. Your coworker is fired for disclosing this. The client goes into crisis and severely decompensates thinking it is his fault. What do you think?

What do you think?

What would you do?

Ask Yourself...

Where are Dual Relationships likely to occur?

Scenario 1. You are at a friends birthday party and you hear that one of your clients is coming to the party. You do not want to just leave because you had just arrived, and you are worried about what your friend will think. What do you do?

What are my intentions???

What are my values???

What are my moral standards???

They can happen anywhere!

  • Rural Areas/Small Towns
  • unintended
  • ex. your client is law enforcement

Things to Think About...

Three Reasons to Identify Clear Boundaries

Or ask someone else....

- In college counseling, we are facilitating growth of future professionals.

- How long after termination is it acceptable to formulate a nonprofessional relationship?

- How to discuss this dual relationships with client?

-- Consider the therapeutic relationship

--Identify the nature of the conflict or dilemma

--Perspective taking and critical thinking

-What is the agency policy?

- What are my resources for ethical decision making?

-Positives to dual relationships?

1. Protection of the therapeutic process

2. Protection of clients from exploitation

3. Protection of clinician from liability

  • What is culturally appropriate?
  • Are there personal benefits?
  • Does this have anything to do with emotional dependency?
  • Best way to remedy unintended or unplanned relationships?
  • Altruism?

Name some others?

Input?

"What about Bob?"

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