9 Tips to Maintain Boundaries in Clinical Practice
March 31, 2017
The points summarized in this pocket guide—drawn from actual cases—recur repeatedly as problems for practitioners.
Thomas G. Gutheil, MD
Breaking Up Is Hard to Do: Terminating Therapy Before Things Get Out of Hand
June 30, 2012
Cases that come to our attention as malpractice claims, ethics claims, or Board of Registration complaints raise the question: why did the treating clinician not terminate the treatment before things got so out of hand?
Grand Rounds—Boundary Issues in Clinical Practice
May 8, 2012
Psychotherapists have fiduciary power and—from a risk management perspective—the clinician must act in a manner in which misconduct cannot be inferred. In terms of boundary violations, some preventative measures (like psychodynamic education) can be taken.
Empty Words in Psychiatric Records: Where Has Clinical Narrative Gone?
December 17, 2011
Here we address some of these problems of meaningless phrasing, empty shells, and template-distorted recording in an attempt to improve clinical documentation for both clinical care and risk management.
Podcast: Psychiatric Records—Careful of Those Empty Words
December 14, 2011
In this podcast, Dr Thomas Gutheil talks about a key challenge facing psychiatrists. . . valid medical record keeping. Here: important tips from an expert based on an article he coathored with Dr Robert Simon.
A “Pocket Guide” to Avoiding the Most Common Boundary Pitfalls
March 3, 2011
Here is a “pocket guide” for clinicians drawn from actual cases. With some modification, the list could become a patient information sheet or office policy.
