Remediation and Rehabilitation in the Disciplinary Context

Moderator:

Kate Zacher-Pate, LSW

Presenters:

Gary R. Schoener, M.Eq., Licensed Psychologist
Richard Silver, SW

Practicing What We Preach

Rehabilitation of social workers who have behaved inappropriately requires a competent assessment that is oriented toward understanding why the conduct happened. Remedial boundaries training can be helpful when used appropriately and provides something quite different from therapy.

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Learning objectives:

After this session, participants should be able to:

  1. Describe the elements of an assessment aimed at determining rehabilitation options.
  2. Describe potential components of a remedial boundaries training course.

References:

Abel, G., Osborn, C., & Warberg, B. (1995). Cognitive-behavioral treatment for professional sexual misconduct. Psychiatric Annals. 25,, pp. 106-112.

Abraham, L. (5 Nov.1995). Dr. Smith goes to sexual-rehab school.  New York Times Magazine, 5 Nov. 1995, pp. 44-49.

Celenza, A. (2007) Sexual Boundary Violations: Therapeutic, Supervisory, and Academic Contexts. NY, NY: Jason Aronson/Rowman & Littlefield, publishers.

Epstein, R. (1994). Keeping Boundaries – Maintaining Safety and Integrity in the Psychotherapeutic Process. Washington, DC: American Psychiatric Press.

Farber, B.A. (2006). Self-Disclosure in Psychotherapy. NY, NY: Guilford Press.

Forrest, L., Elman, N., Gizara, S., & Vacha-Hasse, T. (1999). Trainee impairment: A review of identification, remediation, dismissal, and legal issues.  The Counseling Psychologist, v. 27, pp. 627-686.

Gabbard, G. (1994). Sexual misconduct. In J. Oldham and  M. Riba (Eds.) Review of Psychiatry, Vol. 13, pp. 433-456, Washington, D.C.: American Psychiatric Press.

Gabbard, G. & Lester, E. (1995). Boundaries & Boundary Violations in Psychoanalysis.  New York: Basic Books

Geller, J., Norcross, J., & Orlinsky, D. (2004).  The Psychotherapists’ Own Psychotherapy. New York: Oxford University Press.

Gonsiorek, J. & Schoener, G. (1987). Assessment and evaluation of therapists who sexually exploit clients. Professional Practice of Psychology, v. 8, pp. 79-93.

Gutheil, T.G. & Brodsky, A. (2008). Preventing Boundary Violations in Clinical Practice. NY, NY: Guilford Press.

Hunter, M. & Struve, J. (1998). The Ethical Use of Touch in Psychotherapy. Thousand Oaks, CA: Sage.

Irons, R. & Schneider, J. (1999). The Wounded Healer: An Addiction Sensitive Approach to the Sexually Exploitive Professional. Northvale, N.J.: Jason Aronson & Co.

Lamb, D. (1999).  Addressing impairment and its relationship to professional boundary issues: A response to Forrest, Elman, Gizara, & Vacha-Haase, The Counseling Psychologist, v. 27, pp. 702-711.

Peterson, M.R. (1992). At Personal Risk – Boundary Violations in Professional-Client Relationships.  NY, NY: WW Norton.

Reamer, F.G. (2001). Tangled Relationships: Managing Boundary Issues in the Human Services. NY, NY: Columbia University Press.

Reamer, F.G. (2002).  Managing boundaries and dual relationships. Social Work Today, March 4, 2002.

Reamer, F.G. (2014). Elastic boundaries in social work – Proceed with Caution. Eye on Ethics, July 2014

Schoener, G. (1999). Practicing what we preach.  The Counseling Psychologist, v. 27, pp. 693-701.

Schoener, G., Milgrom, J., Gonsiorek, J., Luepker, E., & Conroe, R. (1989). Psychotherapists’ Sexual Involvement With Clients: Intervention and Prevention.  Minneapolis, Minn.:  Walk-In Counseling Center

Schwebel, M., Skorina, J., & Schoener, G. (1994).  Assisting Impaired Psychologists.  Revised Edition.  Washington, DC: Practice Directorate, APA

Strean, H. (1993).  Therapists Who Have Sex With Their Patients. New York, NY: Brunner/Mazel.

Trimberger, G.E. (2012). An exploration of the development of professional boundaries. J. of Social Work Values and Ethics, v. 9, 68-75.

Zur, O. (Ed.) (2017). Multiple Relationships in Psychotherapy and Counseling. NY, NY: Routledge

Remediation of Professionals Through the Discipline Process: Opportunities and Limitations

Québec’s legislative and regulatory framework provides for the remediation of a professional subjected to the discipline process. The presentation will review how this process can permit a social worker, found guilty of a violation, to update competencies to ensure public protection. The presentation will also summarize the limits of this option.

Learning objectives:

After this session, participants should be able to:

  1. Understand the opportunities for the remediation of social workers subjected to the discipline process.
  2. Recognize the limitations of this option in the Québec context.

Presenter information:

Gary Schoener is a clinical psychologist who serves as director of the Institute on Consultation & Training of the Walk-In Counseling Center in Minneapolis. He served as the center’s executive director for 37 years. For more than 40 years he has done consulting and training in North America and several other parts of the world on issues in professional boundaries. He has authored books, book chapters, and journal articles on the topic. He provides evaluations and remedial ethics and boundaries courses for professionals, including social workers, who are under disciplinary orders. He has consulted in more than 4,000 cases involving alleged boundary violations.

Richard Silver is a social worker and lawyer and practices as legal counsel to the Ordre des travailleurs sociaux et des thérapeutes conjugaux et familiaux du Québec. He has been on staff at the ordre since 2001. After his studies in social work, Richard practiced in both the institutional and community sectors. He has worked in private practice as a lawyer and as a member of the political staff of Québec’s Minister of Health and Social Services for a period of four years. Richard has served on the ASWB Board of Directors since 2012 and been a board member of several other organizations. He has given several presentations at ASWB education conferences.