Boundary modifications in the treatment of people with dissociative disorders: a pilot study

This article examines the prevalence and types of modifications to professional boundaries that occur in the treatment of people with dissociative disorders (DDs) and considers some of the implications of the findings. The study is based on the replies of 163 professionals to a 20-question survey. The survey compared the boundaries that each practitioner kept with patients/clients (P/Cs) who suffered DDs to their boundary practice with all of their other P/Cs (non-DDs). Boundaries were deemed modified when professionals treated their DDs P/Cs differently than their other P/Cs. Professionals' general boundaries were not examined. The results showed a marked tendency for the modification of professional boundaries when treating people with DDs. These results appeared to be independent of country or profession but were more pronounced among the more experienced professionals. Areas of greatest modifications were identified. The prevalence of these modifications points to their potential importance in understanding some features of DDs.