Nursing 1170A/B Chapter Notes - Chapter week 2: Narcissism, Therapeutic Relationship, Professional Boundaries

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A re-visioning of boundaries in professional helping relationships: exploring. Vulnerability of patients and families is high. Therapeutic relationships are distinct from other types of relationships due to the inherent power differential that exists between a client and a practitioner. The potential for abuse of power is present in all professional client/patient. Professionals seem unaware of their power and privilege and how their relationships authority is projected and perceived. Variables affecting boundaries include the needs and personality of the client, the character and training of the therapist, the status of the treatment alliance, and the treatment setting. Dual relationships with clients are to be avoided, but in many cases, particularly in rural and remote areas, avoidance may be practically impossible for professionals. The boundary metaphor relationships therapeutic relationship and friendship. Professional boundaries define the edge of appropriate helping behaviors and allow for clarification of what is permitted in professional client patient. Boundaries help to distinguish the difference between a (cid:498)friendly(cid:499)

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