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Incest survivors, for example, may experience contradictory impulses to flee the abusive parent, and yet also to cling to and protect that same parent. Please follow this link for an. For some female clients who identified themselves as heterosexual before they were involved sexually with female therapists, there tended to be significant confusion over their 'true' sexual orientation. About 10% had experienced rape prior to sexual involvement with the therapist, and about a third had experienced incest or other child sex abuse. For example, the frequently cited percentages of 12. Patients agreeing to surgery allow themselves to be opened up physically because they have been led to believe that the process has some reasonable prospects of leading to improvement. The health care professions at their earliest beginnings recognized the harm that could result from sexual involvement with patients. Role Reversal and Boundary Confusion Therapists who sexually exploit their patients tend to violate both roles and boundaries in therapy. Pálos had been the therapy patient and sexual partner of Sándor Ferenczi. The ethics codes of all major mental health dating a former client prohibit the offense. Emotional Lability Emotional lability reflects the severe disruption of the person's characteristic ways of feeling in a way that is similar to cognitive dysfunction reflecting the severe disruption of the person's characteristic ways of thinking. About 5% of these patients were minors at the time of the sexual involvement with the therapist. The negative effects of the therapist's violation of boundaries and reversal of roles can generalize beyond the therapy and persist long after the termination of the therapy and the sexual relationship. The focus of sessions shifts from the clinical needs of the patient to the personal desires of the therapist. She reported consequences among the sample of women whom she studied including severe depression and suicide. Gender differences also occur in a related area of research: sexual attraction to clients. In the national study reported byfor example, one out of every 20 clients who was sexually involved with a therapist was a minor. The effects of therapist-patient sex have been assessed by independent clinicians, by subsequent therapists of the patients, and by the patients themselves. This chapter looks at the history of this problem, the harm it can cause, gender patterns, the possibility that the rate of therapists sexually abusing their clients is declining, and the mental dating a former client professions' urgent, unfinished business in this area. They may wish to break the taboo of silence that the therapist has imposed, to speak out truthfully about what has happened to them. Cognitive dysfunction can involve interrupting the flow of experience with unbidden dating a former client, intrusive images, etc.
Extensive research has led to recognition of the extensive harm that daitng sex can produce. When the data from all 8 national studies in are pooled, overall about 4. The three studies mentioned above represent only a few of the diverse sampling procedures used to study the harm that can result from therapist-patient sex.
Data from each research approach suggest that offending therapists are overwhelmingly though not exclusively male while exploited clients are overwhelmingly though not exclusively female. The flow of experience will often been interrupted by unbidden thoughts, intrusive images, flashbacks, memory fragments, or nightmares.
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