Boundary Violations in the Patient-Physician Relationship

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  1. Dimen M. Rotten Apples and Ambivalence: Sexual Boundary Violations through a Psychocultural Lens. J Am Psychoanal Assoc. 2016 Apr;64(2):361-73.
  2. Harkreader M. The Disturbing Increase in Sexual Misconduct and Sexual Boundary Issues. Tenn Nurse. 2015 Summer;78(2):15. 
  3. Virine J, Lawyers HP. Boundary violations: sexual relationships with patients. Qld Nurse. 2014 Feb;33(1):26-7. 
  4. Honig RG, Barron JW. Restoring institutional integrity in the wake of sexual boundary violations: a case study. J Am Psychoanal Assoc. 2013 Oct;61(5):897-924. 
  5. Tettlebaum H, Meyers K. Part II--Sexual misconduct by professionals. Safeguarding yourself and your practice against allegations of sexual abuse or patient impropriety. Mo Med. 2012 May-Jun;109(3):187-8. 
  6. Brooks E, Gendel MH, Early SR, Gundersen DC, Shore JH. Physician boundary violations in a physician's health program: a 19-year review. J Am Acad Psychiatry Law. 2012;40(1):59-66. 
  7. McNulty N, Ogden J, Warren F. 'Neutralizing the patient': therapists' accounts of sexual boundary violations. Clin Psychol Psychother. 2013 May-Jun;20(3):189-98.
  8. Zwirn I, Owens H. Commentary: Boundary violations in the correctional versus therapeutic setting--are the standards the same? J Am Acad Psychiatry Law. 2011;39(2):164-5. 
  9. Faulkner C, Regehr C. Sexual boundary violations committed by female forensic workers. J Am Acad Psychiatry Law. 2011;39(2):154-63. 
  10. Perlman SD. Falling into sexuality: sexual boundary violations in psychotherapy. Psychoanal Rev. 2009 Dec;96(6):917-41.
  11. Cohen C, Kelian RL, Oliveira RA, Gobbetti GJ, Massad E. Sexual harassment in the physician-patient interaction: analysis of charges against doctors in the state of São Paulo. Clinics (Sao Paulo). 2009;64(11):1075-83. Read full-text online.
  12. Sansone RA, Sansone LA. Crossing the line: sexual boundary violations by physicians. Psychiatry (Edgmont). 2009 Jun;6(6):45-8. Read full-text online.
  13. Stewart DE, Venos E, Ashraf IJ. Mental health policies on reporting child sexual abuse and physician-patient sexual relationships. World Psychiatry. 2009 Feb;8(1):45-8. Read full-text online.
  14. Spickard WA Jr, Swiggart WH, Manley GT, Samenow CP, Dodd DT. A continuing medical education approach to improve sexual boundaries of physicians. Bull Menninger Clin. 2008 Winter;72(1):38-53.
  15.  Committee on Ethics, American College of Obstetricians and Gynecologists.. ACOG Committee Opinion No. 373: Sexual misconduct. Obstet Gynecol. 2007 Aug;110(2 Pt 1):441-4. Request full-text from the TMA Knowledge Center. 
  16. Binder RL, McNiel DE. "He said--she said": the role of the forensic evaluator in determining credibility of plaintiffs who allege sexual exploitation and boundary violations. J Am Acad Psychiatry Law. 2007;35(2):211-8. 
  17. Beecher LH, Altchuler SI. Sexual boundary violations: the conduct, the code, and the consequences. Minn Med. 2005 Jun;88(6):42-4. 
  18. Crausman RS. Sexual boundary violations in the physician-patient relationship. Med Health R I. 2004 Aug;87(8):255-6. 
  19. Camarra JA. Allegations of sexual misconduct against physicians: a lawyer's perspective. J Med Pract Manage. 1999 Sep-Oct;15(2):101-4. 
  20. Ferris LE. Patient protection laws and the issue of consensual sexual relationships with physicians. CMAJ. 2004 Jan 6;170(1):34-5. Read full-text online.
  21. Bledsoe B, Ng A, Ogilvie W. The seductive patient. JEMS. 2003 Nov;28(11):34-42. 
  22. Spiegel W, Colella T, Lupton P. Sexual feelings in the physician-patient relationship: recommendations for teachers. Med Educ. 2003 Sep;37(9):840-1.
  23. Norris DM, Gutheil TG, Strasburger LH. This couldn't happen to me: boundary problems and sexual misconduct in the psychotherapy relationship. Psychiatr Serv. 2003 Apr;54(4):517-22. Read full-text online.
  24. Gabbard GO. Post-termination sexual boundary violations. Psychiatr Clin North Am. 2002 Sep;25(3):593-603. 
  25. Gutheil TG, Simon RI. Non-sexual boundary crossings and boundary violations: the ethical dimension. Psychiatr Clin North Am. 2002 Sep;25(3):585-92. 
  26. Puglise SM. "Calling Dr. Love": the physician-patient sexual relationship as grounds for medical malpractice--society pays while the doctor and patient play. J Law Health. 1999-2000;14(2):321-50. 
  27. Simon RI. Therapist-patient sex. From boundary violations to sexual misconduct. Psychiatr Clin North Am. 1999 Mar;22(1):31-47.
  28. Roman B, Kay J. Residency education on the prevention of physician-patient sexual misconduct. Acad Psychiatry. 1997 Spring;21(1):26-34. 
  29. Robinson GE, Stewart DE. A curriculum on physician-patient sexual misconduct and teacher-learner mistreatment. Part 2: Teaching method. CMAJ. 1996 Apr 1;154(7):1021-5. Read full-text online.
  30. Gorton GE, Samuel SE, Zebrowski SM. A pilot course for residents on sexual feelings and boundary maintenance in treatment. Acad Psychiatry. 1996 Mar;20(1):43-55.
  31. Robinson GE, Stewart DE. A curriculum on physician-patient sexual misconduct and teacher-learner mistreatment. Part 1: content. CMAJ. 1996 Mar 1;154(5):643-9. Read full-text online.
  32. Gabbard GO. Lessons to be learned from the study of sexual boundary violations. Am J Psychother. 1996 Summer;50(3):311-22. 
  33. Dobash TJ. Physician-patient sexual contact: the battle between the state and the medical profession. Spec Law Dig Health Care Law. 1995 Jun;(196):9-43. 
  34. Irons R. The seductive patient. Ala Med. 1994 Dec;64(6):13-7. 
  35.  The patient-physician relationship and the sexual abuse of patients. CMAJ. 1994 Jun 1;150(11):1884A-1884F. Read full-text online.
  36. Lamont JA, Woodward C. Patient-physician sexual involvement: a Canadian survey of obstetrician-gynecologists. CMAJ. 1994 May 1;150(9):1433-9. Read full-text online.
  37. Gutheil TG. Ethical issues in sexual misconduct by clinicians. Jpn J Psychiatry Neurol. 1994;48 Suppl:39-44.
  38. Dobash TJ. Physician-patient sexual contact: the battle between the state and the medical profession. Wash Lee Law Rev. 1993 Fall;50(4):1725-59. 


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Last Updated On

February 02, 2017

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