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978-0-7657-0471-9 • Hardback • June 2007 • $123.00 • (£95.00)
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Andrea Celenza, PhD, is an assistant clinical professor at Harvard Medical School. She has authored and presented numerous papers on therapists who have engaged in sexual misconduct with a focus on training, supervisory, and rehabilitation issues. She is the recipient of several awards, including the Karl A. Menninger Memorial Award, the Felix & Helena Deutsch Prize, and the Symonds Prize. She is in private practice in Lexington, Massachusetts.
Part 4 I. Nature and Scope of the Problem
Chapter 5 1. How Do They Happen?
Chapter 6 2. This Couldn't Happen to Me
Chapter 7 3. Precursors to Therapist Sexual Misconduct
Chapter 8 4. When is a Couch Just a Couch?
Chapter 9 5. The Therapeutic Context
Chapter 10 6. Academic and Supervisory Contexts
Chapter 11 7. Sexual Misconduct in the Clergy
Part 12 II. Reporting, Fallout, and Recovery
Chapter 13 8. Reporting and Other Ethical Responsibilities
Chapter 14 9. Collateral Damage and Recovery
Chapter 15 10. Helping the Victims
Part 16 III. Rehabilitation
Chapter 17 11. Therapy of the Transgressor
Chapter 18 12. Helping the Helpers: Supervision of the Transgressor
Part 19 IV. Prevention
Chapter 20 13. Responsible Responsivity
Chapter 21 14. Love and Hate in the Countertransference: Preventing Violations Through Supervision
Chapter 22 15. Boundary Violations Vulnerability Index (BVVI)
Chapter 23 16. Teaching Boundaries, Experiencing Boundaries
24 Appendices: Empirical Research
25 Appendix A: Personal and Interpersonal Characteristics of Transgressors: Co-investigator: Mark Hilsenroth
26 Appendix B: A Rorschach Investigation: Co-investigator: Mark Hilsenroth
29 About the Author
Sexual Boundary Violations is an outstanding book that belongs in every therapy training program, but not just to help the trainees. It is a humanely and well-written reminder of our own vulnerability and the unjustified, moralistic attitudes that keep more people from seeking help when they are losing control. Andrea Celenza writes and thinks clearly and explores her sensitive material in an evenhanded and matter-of-fact way. She manages to educate us about a moral dilemma while adeptly modeling and encouraging us to view even the gravest missteps with curiosity and compassion.
An outstanding book that belongs in every therapy training program, but not just to help the trainees. It is a humanely and well-written reminder of our own vulnerability and the unjustified, moralistic attitudes that keep more people from seeking help when they are losing control.
Andrea Celenza is one of a handful of mental health professionals who has studied the problem of sexual boundary violations in the helping professions. Where others speculate, she brings years of clinical experience to bear on the subject. The result is a highly informative and comprehensive overview of the causes, consequences and casualties of sexual boundary violations. She maintains a humane perspective and offers valuable strategies for rehabilitation and treatment. All mental health professionals would be wise to spend some time with this superb new book.
— Glen O. Gabbard, M.D., chair of psychoanalysis, The Brown Foundation; professor of psychiatry, Baylor College of Medicine, Houston, Texas
Dr. Celenza holds the various phenomena involved in sexual boundary violations by therapists and clergy to a multi-faceted lens of clinical psychoanalysis, supervisory consultation, psychological testing, empirical research, ethics, law—and that metapsychologically elusive human attribute called decency. She extends and deepens the existing knowledge in this realm while introducing many intriguing and useful novel concepts of her own. Avoiding the pitfalls of sentimentality and moralizing, Celenza unmasks the ubiquitous vulnerability to such transgressions and the profound damage caused by them. She delineates ameliorative and preventive strategies aimed at minimizing such betrayals. Unerringly compassionate in its approach, Celenza's work is a shining tribute to the essential humanity at the heart of the psychotherapeutic enterprise.
— Salman Akhtar, MD, is professor of psychiatry at Jefferson Medical College and training and supervising analyst at the Psychoanalytic Center of Philadelphia, Pennsylvania.
Sexual Boundary Violations is an essential text for the mental health field and should become required reading for therapists, analysts, teachers, and clergy. I am sure that we will use it in our training program as part of the required course on professional ethics. Comprehensive, well organized, clearly written, with numerous and often gripping clinical illustrations, the book not only reviews the literature but provides practical and helpful guidance for clinicians and clergy as well as for those who teach and supervise them.
— Lewis Aron, Ph.D., New York University Postdoctoral Program in Psychotherapy and Psychoanalysis
Andrea Celenza eloquently captures the damage—to themselves, their victims, their professions, and the wider social fabric—inflicted by professionals and clergy who transgress sexual boundaries. Her incisiveness about the non-negotiable need for sexual integrity is achieved, however, without unnecessarily demonizing those who cross lines that never should be crossed. Rather, she combines clarity tempered with compassion in addressing the characteristics of perpetrators. Most importantly, Celenza insists upon differentiating among transgressors. She challenges us to appreciate the unique humanity and circumstances of people many of us wish to lump together and dissociate from consciousness. She challenges us instead to hold in mind paradox and contradiction. This book is a vital component of continuing education and consciousness-raising for all of us who vow first to "do no harm."
— Mary Gail Frawley-O'Dea, Ph.D., author, Perversion of Power: Sexual Abuse in the Catholic Church
Her work spans training, consultation, supervisory, therapeutic, rehabilitation, and research contexts, and thus she is able to write from a position of highly specialized experience and expertise.
— Psychologist-Psychoanalyst Division 39 Newsletter
The author of this book notes at the outset that her book focuses on sexual boundary violations, but does so within the context of an examination of broader boundary issues. She observes that boundaries in the professional milieu help protect the integrity of the relationship when there is a power differential, for example between a doctor and patient, employer and employee, or supervisor and student. Celenza reviews, with great scholarship, the literature on her subject.... The book is a valuable addition to the examination of sexual boundary violations and should form part of any study of ethical practice... Recommended.
— Metapsychology Online
This book is distinguished from other texts in that it includes the publication of a preventative measure and assessment tool that caregivers may use to identify levels of risk or vulnerability at different points in their career. This measure derives from a research project that employed eleven reliable and validated psychological measures. This is an empirically controlled, double-blind study not previously published. Several of the measures are combined to develop a 'Boundary Violation Vulnerability Index' based on this research. This measure represents a preventative tool to aid therapists in training as well as those at different points in their careers in order to monitor levels of risk in an ongoing way. No other publication includes such a measure.
This book incorporates the latest findings in the area of sexual boundary violations. Similar books on the subject have not been published for over ten years. In addition, this book addresses problems in clergy counseling, an area not often included inbooks that address the problem of sexual boundary violations.