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Advances in Psychiatric Treatment (2004) 10: 312-320
© 2004 The Royal College of Psychiatrists

Boundary violation and sexual exploitation in psychiatry and psychotherapy: a review

Sameer P. Sarkar

Sameer P. Sarkar is a consultant in forensic psychiatry at Broadmoor Hospital (Crowthorne, Berkshire RG45 7EG, UK. E-mail: Sameer.Sarkar{at}wlmht.nhs.uk) and an associate in the hospital’s psychotherapy department. He has studied law at the University of Northumbria at Newcastle and at Harvard Law School and has written on the law and ethics in forensic psychiatry. He teaches ethics of forensic psychiatry to psychiatrists and mental health professionals at two London medical schools. The opinions expressed are those of the author and do not reflect the opinions of West London Mental Health Trust, of Broadmoor Hospital or of the Ethics and the Law sub-committees of the Royal College of Psychiatrists, of both of which the author is a member.

In psychiatric and psychotherapeutic practice, ‘boundaries’ delineate the personal and the professional roles and the differences that should characterise the interpersonal encounters between the patient/client and the professional. Boundaries are essential to keep both parties safe. The author outlines the various types of boundary violation that can arise in clinical practice, their consequences (both clinical and legal), how professionals can avoid them and how health care institutions might respond, should they occur. He concentrates on sexual boundary violations, because these have been the subject of most empirical study.




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Copyright © 2004 The Royal College of Psychiatrists.