9 Tips to Maintain Boundaries in Clinical Practice

The points summarized in this pocket guide-drawn from actual cases-recur repeatedly as problems for practitioners.

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Thoughtful, knowledgeable practice is always best for patients and the best avoidance of trouble for clinicians. The points summarized here recur repeatedly as problems for practitioners. It is a “pocket guide” for clinicians drawn from actual cases.


Gutheil TG, Brodsky A. Preventing Boundary Violations in Clinical Practice. New York: Guilford Press; 2008.

Gutheil TG, Gabbard GO. The concept of boundaries in clinical practice: theoretical and risk-management dimensions. Am J Psychiatry. 1993;150:188-196.

Gutheil TG, Gabbard GO. Misuses and misunderstandings of boundary theory in clinical and regulatory settings. Am J Psychiatry. 1998;155:409-414.

Gutheil TG, Simon RI. Non-sexual boundary crossings and boundary violations: the ethical dimension. Psychiatr Clin North Am. 2002;25:585-592.

Norris DM, Gutheil TG, Strasburger LH. This couldn’t happen to me: boundary problems and sexual misconduct in the psychotherapy relationship. Psychiatr Serv. 2003;54:517-522.

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