Abstract
Residency directors were surveyed about education related to prevention of psychiatrist-patient sexual exploitation. Ninety-nine percent said they provide at least 1 session on this topic, 49% offer a formal course on it, and 83% indicated that this instruction should be mandatory. Eight percent of these educational programs had been instituted within the prior 10 years, and 55% of these programs had been instituted within the prior 4 years. Great variability was found in the precise nature of the instruction offered. By contributing to increased awareness, better treatment, and possibly to prevention of unethical behavior, such education can benefit patients, trainees, and the profession, and should be required for accreditation.
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References
Gabbard G (ed): Sexual Exploitation in Professional Relationships. Washington, DC, American Psychiatric Press, 1989
Gartrell N, Milliken N, Goodson WH, et al: Physician-patient sexual contact: prevalence and problems. West J Med 1992; 157:139–143
Gartrell N, Herman J, Olarte S, et al: Psychiatric residents’ sexual contact with educators and pa-tients: results of a national survey. Am J Psychiatry 1988; 145:690–694
Pope KS, Keith-Spiegel P, Tabachnick BG: Sexual attraction to clients: the human therapist and the (sometimes) inhuman training system. Am Psychol 1987;41:147–158
Pope KS, Tabachnick BG, Keith-Spiegel P: Ethics of practice: the beliefs and behaviors of psychologists as therapists. Am Psychol 1987; 42:993–1006
Pope KS, Tabachnick BG: Therapists’ anger, hate, fear and sexual feelings: national survey of therapist responses, client characteristics, critical events, formal complaints, and training. Professional Psychology: Research & Practice 1993; 24:142–152
Carr ML, Robinson GE, Stewart DE, et al: A survey of Canadian psychiatric residents regarding resident-educator sexual contact. Am J Psychiatry 1991; 148:216–220
Blackshaw SL, Patterson PGR: The prevention of sexual exploitation of patients: educational issues. Can J Psychiatry 1993; 37:350–353
Gorton GE, Samuel SE, Zebrowski SM: A pilot course for residents on sexual feelings and boundary maintenance in treatment. Academic Psychiatry 1996; 20:43–55
Coverdale JH, Bayer T, Isbell P, et al: Are we teaching psychiatrists to be ethical? Academic Psychiatry 1992; 16:199–205
Accreditation Council for Graduate Medical Education: Directory of Graduate Medical Education Programs 1991-1992. Chicago, IL, American Medical Association, 1991
Herman JL, Gartrell N, Olarte S, et al: Psychiatrist-patient sexual contact: results of a national survey, II: psychiatrists’ attitudes. Am J Psychiatry 1987; 144:164–169
Vasquez MJT: Counselor-client sexual contact: implications for ethics training. Journal of Counseling and Development 1988; 67:238–241
Epstein R: Keeping Boundaries: Maintaining Safety and Integrity in the Psychotherapeutic Process. Washington, DC, American Psychiatric Press, 1994
Bridges, NA: Meaning and Management of attraction: neglected areas of psychotherapy training and practice. Psychotherapy 1994; 31:424–433
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Gorton, G.E., Samuel, S.E. A National Survey of Training Directors About Education for Prevention of Psychiatrist-Patient Sexual Exploitation. Acad Psychiatry 20, 92–98 (1996). https://doi.org/10.1007/BF03341555
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DOI: https://doi.org/10.1007/BF03341555