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Professional Boundaries in Corrections
Brian K Cooke1, Ryan C W Hall2, Susan Hatters Friedman2
1Dr. Cooke is Associate Professor, University of Florida College of Medicine, Gainesville, FL. Dr. Hall is Assistant Professor of Psychiatry, University of Central Florida College of Medicine; Affiliate Assistant Professor, University of South Florida, Tampa, FL; and Adjunct Professor, Barry University School of Law, Orlando, FL. Dr. Friedman is Associate Professor of Psychological Medicine, University of Auckland; Staff Psychiatrist, Mason Clinic, Auckland Regional Forensic Psychiatry Services, Auckland, New Zealand; and the Philip Resnick Professor of Forensic Psychiatry, Case Western Reserve University, Cleveland, OH. Dr. Jain is a Forensic Psychiatry Research Fellow, Columbia University and New York State Psychiatric Institute, New York, NY. Dr. Wagoner is Assistant Professor, University of South Florida College of Medicine, Tampa, FL. Portions of this article were presented at the 2017 American Psychiatric Association Annual Meeting, May 20-24, 2017, in San Diego, CA. cooke@ufl.edu.
Abstract:
Boundary violations occurring in corrections settings require special attention. There is a unique relationship between officers and inmates, governed by policies and procedures as well as ethics in general (e.g., the lack of ability for a person in a controlled environment to consent to a relationship due to power imbalance). Recent high-profile cases between corrections officers and inmates demonstrate the complexities inherent in these relationships. We examine several recent cases and offer analysis of the factors leading to these dangerous encounters. We discuss how a special relationship develops between a corrections employee and an inmate and how that can lead to blackmail, the introduction of contraband to the prison, or other illegal activity. It is easy to state that one should not engage in sexual encounters, but it is harder to discuss and identify feelings that develop in correctional settings, such as transference and counter-transference feelings in a therapeutic relationship. Lessons of professionalism from the doctor-patient relationship parallel the relationships between officers and inmates.
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