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Boundaries Not to Cross: Strategies for Boundary Setting in COD Supervision

Boundaries Not to Cross: Strategies for Boundary Setting in COD Supervision. Carol Falender, Ph.D. Boundaries not to Cross. Boundaries.

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Boundaries Not to Cross: Strategies for Boundary Setting in COD Supervision

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  1. Boundaries Not to Cross: Strategies for Boundary Setting in COD Supervision Carol Falender, Ph.D.

  2. Boundaries not to Cross

  3. Boundaries • Boundaries are the “edge” of acceptable behavior. Theory and discipline (i.e. substance abuse counselor, social worker, psychiatrist, psychologist) dictate different ways to tailor these to the individual needs of the situation—in this case, supervision. • Boundaries are designed to create safety—predictability – within which supervision can thrive as can clinical work • Gutheil & Gabbard

  4. Boundaries • External boundaries serve to allow for psychological boundary crossing in supervision and in therapy • How to understand them and apply them in the service of therapy and supervision without imposing unnatural rigidity??

  5. Boundary Issues • Boundary Crossings • a benign variant where the ultimate effect of the deviation from the usual verbal behavior may be to advance the therapy in a constructive way that does not harm the supervisee • Adapted from Gutheil & Gabbard

  6. Role Time; Place and space Money Gifts Services, and related matters Clothing Language Self-disclosure and related matters Physical contact Examples…from your work

  7. Boundary Violations • transgression that is clearly harmful to or exploitative of the patient. In contrast to the boundary crossing, the boundary violation is usually not productively discussed by the supervisor and supervisee and may also be part of a repetitive practice. The harm may range from wasting time and opportunity to inflicting severe trauma

  8. What We Know • “Sexual misconduct often begins with relatively minor boundary violations which often show a crescendo pattern of increasing intrusion into the [other’s] space that culminates in sexual contact.” • Gutteil & Gabbard

  9. The Two Hatter Issue (Powell, 1993; 2004)

  10. Difference in Recovering Versus Nonrecovering Participants • Supervisors focus on personal issues of recovering supervisees • Education - experience clash • Emotional • Approach (attending meetings; Models of treatment; Socialize)

  11. Two Hat Issues • Supervisor, supervisee, and client in recovery • Attending 12 step meetings with clients • Sponsoring a supervisee; Supervisee’s client

  12. Two Hat Issues • Supervisee and client in recovery; Supervisor not • Supervisor and client in recovery; Supervisee not • Supervisor is in recovery; Rest of the staff is not

  13. Supervisory Perspectives • Power differential • How power differential is attenuated by diversity variables • Extreme importance of considering supervisee worry about evaluation • Need for supervisor to protect supervisee • Falender & Shafranske, 2004; 2008

  14. References Falender, C. A., & Shafranske, E. P. (2004). Clinical supervision: A competency-based approach. Washington, DC: American Psychological Association. Falender, C. A., & Shafranske, E. P. (Eds.) (2008). Casebook for clinical supervision: A competency-based approach. Washington, DC: American Psychological Association. Gutheil, T.G., & Gabbard, G.O. (1998). Misues and misunderstandings of boundary theory in clinical and regulatory settings. American Journal of Psychiatry, 155(3), 409-414. Powell, D.J. (1993). Clinical supervision in alcohol and drug abuse counseling. New York: Lexington Books. Powell, D.J. (2004). Clinical supervision in alcohol and drug abuse counseling: Principles, models, methods. San Francisco: Jossey-Bass.

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