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ORIGINAL RESEARCH Boundary Violations and Personality Traits among Psychiatrists
BibTeX
@MISC{Garfinkel_originalresearch,
author = {Paul E Garfinkel and R Michael Bagby and C Psych and Em Waring and Barbara Dorian},
title = {ORIGINAL RESEARCH Boundary Violations and Personality Traits among Psychiatrists},
year = {}
}
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Abstract
Objective: To demonstrate that sexual abuse of patients by psychiatrists can be due to a variety of contributors, which may include therapists ’ psychopathic and narcissistic personality styles. Method: Data from a prospective cohort of residents training in psychiatry were examined to evaluate the personality traits of 2 psychiatrists subsequently convicted of boundary violations. Results: The 2 psychiatrists who lost their licenses were identifiable at the beginning of their residency training as individuals with significant character pathology. Conclusions: For some psychiatrists, repetitive sexual abuse of patients represents one aspect of an ongoing pattern of exploitative relationships. The professional and ethical implications of these findings as they relate to early identification for those at risk are considered. (Can J Psychiatry 1997;42:758–763) Key Words: boundary issues, predictors of abuse, therapist character pathology Surveys examining the frequency of sexual contact be-tween psychiatrists and their patients indicate that 6 % to 10 % of those surveyed admitted to having engaged in such contact (1,2). Those psychiatrists who engage in sexual con-tact with their patients are more likely to be men who work
Keyphrases
personality trait original research boundary violation ethical implication exploitative relationship boundary issue therapist character pathology survey significant character pathology residency training key word sexual con-tact early identification narcissistic personality style prospective cohort repetitive sexual abuse boundary violation sexual abuse sexual contact be-tween psychiatrist ongoing pattern
