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Boundaries and Dual Relationships in Clinical Practice

1. From the psychology course guidelines, to literature on moral values, and clinical internships, it has been labeled as inappropriate, if not unprofessional for clinical psychologists to get involved in all of the following circumstances, except for:

A. Unofficial work or private relationship with clients

B. Taking gifts offered

C. Giving examples from one’s own experiences

D. Socialize with clients in their practice


2. Most evidence suggests that, in most cases, clients face higher risk during treatment due to negativity of dual relationship.

A. True

B. False


3. Literature on ethical issues in clinical practice found that _____ are more injurious to clients.

A. Boundary violations

B. Boundary crossings

C. Boundary violations and boundary crossings are equally injurious to clients

D. Boundary violations and boundary crossing can both be beneficial at times


4. It has been found that nearly all of the progress made in therapy is from the therapeutic relationship.

A. True

B. False


5. Sexual misconduct starts with slight boundary crossings.

A. True

B. False


6. Which of the following is the first step in the sequence of engaging in sexual misconduct?

A. Engaging in the personal or private discussion that hampers professional duty, involving in body contact (i.e., pats on the shoulder, massages, and hugging each other).

B. Moving from calling each other the last-name to the first-name.

C. Sessions at lunch.

D. Outdoor outing.


7. An act of boundary violation of one professional ideology may be a normal professional practice for another.

A. True

B. False


8. As a clinician, ethical consciousness is a constant process that contains constant probing and individual obligation.

A. True

B. False


9. The decision making model proposes that in clinical practice, the dimension of any relationship must be measured from the point of view of the:

A. Service user

B. Professional

C. Outside observer

D. The point of view of the service user, the professional, and the outside observer must all be measured


10. Role incongruity rises as a result of:

A. Higher differences in anticipations of the two roles.

B. Greater divergence of the duties of the two roles.

C. An upsurge in the power disparity.

D. Role incongruity rises as a result of higher differences in anticipations of the two roles, greater divergence of the duties of the two roles, and an upsurge in the power disparity.


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