Lying On The Couch Case Study

Moreover, not only do dual relationships engender boundary crossings or violations, but the use of self-disclosure is also an instance where a boundary crossing can become a boundary violation. Although self-disclosure is encouraged if it is in the benefit of the client, it is not advised if the disclosure induces harm on the client or burden on the client (Corey et al., 2015). This is the case in Lying on the Couch, where Dr. Ernest Lash asserts that psychotherapists should encourage an all honesty policy with their clients, because this is a vital component in strengthening the therapeutic relationship; however, this becomes a predicament when he fosters a sexual attraction to one of his clients, Carolyn. Under the assumption that disclosing his sexual attraction to Carolyn will be an intervention that encourages honesty and loyalty as a psychotherapist, Dr. Lash informs her that she has entered into his fantasies, that he ruminates about seeing her and that he thinks about what to wear on the days he sees her (Yalom, 1997).
Dr. Lash’s …show more content…
Therefore, a psychotherapist must always approach these ethical dilemmas in a frame of reference that includes every outside agent, beside himself or herself, because this fresh perspective can either forewarn or normalize a feeling or attitude that the psychotherapist may have. Hence, why such approaches as the Herlihy and Corey model or the social constructivist process allow the psychotherapist the opportunity to assess, analyze, and learn, in order to make an ethical decision that does not hinder the client’s growth. Dr. Streider and Dr. Lash took advantage of the ambiguity in the ethical guidelines, without taking into consideration the harm their actions placed on their client and their professional competence. In cases of dual relationships or