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Related Experiment Videos

Sexual misconduct and enactment.

E M Plakun1

  • 1Erik H. Erikson Institute for Education and Research, Austen Riggs Center, Stockbridge, MA 01262, USA. admit@bcn.net

The Journal of Psychotherapy Practice and Research
|October 16, 1999
PubMed
Summary
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Sexual misconduct in behavioral health is complex, often involving enactment, a psychoanalytic concept where clinicians unintentionally engage in problematic behaviors. Understanding enactment is key to preventing sexual misconduct and enhancing therapeutic relationships.

Area of Science:

  • Psychology
  • Psychoanalysis
  • Clinical Ethics

Background:

  • Sexual misconduct persists as a significant issue within behavioral health professions.
  • A simplistic view of sexual misconduct as solely perpetrated by "bad" clinicians overlooks underlying psychological dynamics.

Observation:

  • The psychoanalytic concept of enactment offers a framework for understanding how well-meaning clinicians may engage in sexual misconduct.
  • Enactment is defined and differentiated from related phenomena to clarify its role.

Findings:

  • Case examples illustrate how enactments can precipitate sexual misconduct.
  • Enactments also present opportunities for deepening psychotherapeutic work when properly understood and managed.

Implications:

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  • Understanding enactment is crucial for developing effective prevention strategies against sexual misconduct in therapy.
  • Training clinicians to recognize and manage enactments can safeguard patient welfare and enhance therapeutic outcomes.