email page print pageAll Topic Reviews
269 Amazing Sex GamesA History of MarriageA Pocket History of Sex in the Twentieth CenturyActionAll the WayAlways Forever MaybeAmerica UnzippedAmerica UnzippedAmerica's Sexual TransformationAmerican EugenicsAmerican GirlsAmerican HookupAn Interpretation of DesireAnarchism & SexualityAnatomy of a BoyfriendAnatomy of LoveAnthony GoicoleaAnticlimaxArt and HomosexualityArt/PornAssuming a BodyAutoportraitBachelors and BunniesBecoming OrgasmicBehind the Red DoorBest Sex Writing 2005Better Sex Through YogaBetter Sex Through YogaBetter Than EverBetween Mom and JoBeyond Diversity DayBeyond SexualityBeyond SpeechBeyond ToleranceBig Porn IncBill HensonBodies in DoubtBody ImagesBonkBoys Don't CryBreasts - A DocumentaryBrothelBuying SexCase Studies in Communication about SexCase Studies in Sexual DevianceCaught in the WebCelibaciesChildren and SexualityChildren and the Politics of SexualityChildren with Sexual Behavior ProblemsChildren, Sexuality and SexualizationChristy ReportClay's WayClinical Manual of Women's Mental HealthClose toYouClumsyCold HitCollege SexComing of Age in AmericaConfessions of the Other MotherCybersexCyborgasmDare... to Make Love with 2, 3, 4... or MoreDare... to Try BisexualityDating: Philosophy for EveryoneDeadly ButterflyDebating Same-Sex MarriageDeep GossipDeparting from DevianceDesire, Love, and IdentityDigital DiariesDilemmas of DesireDirty MindsDirty StoriesDisorders Of DesireDisorders of Sex Development:Doing ItDoing ItDoing It Down UnderDown and Dirty Sex SecretsDude, You're a FagEarly Embraces IIIEmerald City BluesEmotionally InvolvedEnjoying Guilty PleasuresErotic CapitalErotic InnocenceErotic PassionsEthics, Sexual Orientation, and Choices about ChildrenEveryday PornographyEvolution and Human Sexual BehaviorExploring TranssexualismFade to BlackFagbugFaking ItFamilies Like MineFast GirlsFinal JeopardyFinding H. F.Fire on the Mountain DVDFor Lesbian ParentsFor The Bible Tells Me SoForbiddenFrictionFrom Disgust to HumanityFrom Shame to SinFuckologyGay, Straight, and the Reason WhyGender in the MirrorGender OutlawsGeography ClubGetting OffGetting RealGetting the Love You WantGirls & SexGirls Gone MildGirls Gone SkankGLBTQGoddess WorshipGoing DownGood GirlsGood PornGood Sex IllustratedGreat Answers to Difficult Questions About SexGuide To Getting It OnHandbook New Sexuality StudiesHandbook of Counseling and Psychotherapy with Lesbian, Gay, and Bisexual ClientsHard to GetHardcore from the HeartHear Us Out!HeterosyncraciesHit & MissHomosexualitiesHookedHooking UpHow Sex Became a Civil LibertyHow Sex ChangedHow Sex WorksHow To Be GayHow to Do Things with Pornography How to Give Her Absolute PleasureHow to Have Magnificent SexHow to Make Great Love to a ManHow to Make Great Love to a WomanHow to Make Love Like a Porn StarHow to Think More About SexHypnography for MenHypnography for WomenHysterical MenI'd Rather Eat ChocolateI'll Be Your MirrorIf Men Could TalkImpotenceIn a Queer VoiceIn Praise of the WhipIn the Mood, AgainInsatiable WivesIntense Games DVDInvestigating Young People's Sexual CulturesIt's Perfectly NormalIt's Perfectly NormalItís Your HourJane Sexes It UpJock SturgesJust Between UsKama-Sutra--The Secrets to the Art of LoveKids Gone WildLegalizing ProstitutionLegalizing ProstitutionLet's Get This StraightLets Talk about SexLetters to Penthouse Vol. 50Likely to DieLittle ChicagoLoose GirlLosing Matt ShepardLoveLove and DesireLove and SexLove JunkieLove Lust DesireLove SickLustMad for FoucaultMagical ThinkingMaking American BoysMaking Babies the Hard WayMaking Chastity SexyMaking Peace with PornMaking ScenesMale SexualityMalefemaleMaster BreastsMating in CaptivityMedicalized MasculinitiesMelancholia and MoralismMenMental Health Issues in Lesbian, Gay, Bisexual, and Transgender Communities MiddlesexMoney ShotMoral Panics, Sex PanicsMy Girlfriend Comes to the City and Beats Me UpMy HeartbeatMy Horizontal LifeName All the AnimalsNatural BeautyNerveNerveNew Sex Now DVDNightswimmingNone of the AboveNormalNormalNot GayNot My ShameNot The Marrying KindNot Under My RoofNothing PinkOedipus WreckedOn Being RapedOne Hot SecondOne Hour in ParisOpenOrgasmOrgasm Inc.OrgasmologyOrgasmsOver 100 Truly Astonishing Sex TipsOverexposedPeekPeriod PiecesPervPhilosophizing About Sex Philosophy of Love, Sex, and MarriagePhilosophy of Love, Sex, and Marriage: An IntroductionPin-up GrrrlsPINSPlease Don't Kill the FreshmanPolicing SexualityPolyamory in the 21st CenturyPornPorn NationPorn StudiesPorn UniversityPornifiedPornlandPornographyPornographyPornography, Sex, and FeminismPosition Of The Day PlaybookPray the Gay AwayPredatorsPremarital Sex in AmericaPrinciples and Practice of Sex TherapyPrivate Dicks - Men ExposedPrivate Practices DVDProblem GirlsPrudePsychopathia SexualisQueer PhilosophyRapeRape Is RapeRated X - A Journey Through PornRazmatazRecruiting Young LoveRedefining GirlyRedefining RapeRegulating SexRelax, It's Just SexRethinking Gender and Sexuality in ChildhoodRethinking RapeRunning with ScissorsSatan's Sex BookScreening SexSelling Sex ShortSexSex & Single GirlsSex (Ed)Sex and SpiritSex and the American TeenagerSex and the SoulSex and the Soul, Updated EditionSex and WarSex at DawnSex by NumbersSex DetoxSex Fiends, Perverts, and PedophilesSex in AntiquitySex in CrisisSex in the World of MythSex ObjectSex OffendersSex on the BrainSex PositionsSex Q & ASex, Family, and the Culture WarsSex, or the UnbearableSex, Therapy, and KidsSex, Time and PowerSextasySexting and Young PeopleSexual ArtSexual Boundary ViolationsSexual DevianceSexual DisordersSexual EcstasySexual EthicsSexual FluiditySexual IntelligenceSexual Orientation and Psychodynamic PsychotherapySexual Orientation and School PolicySexual PleasureSexual PredatorsSexual Teens, Sexual MediaSexuality in AdolescenceSexuationSexyBookShameShamelessShy GirlSlutWalkSmall FavorsSmutSocial Control of Sex OffendersSome Assembly RequiredSplit ScreenStir-FryStraight to JesusStrange BedfellowsStripped BareSurviving Sexual ViolenceSymptoms of Being HumanTalkTalk to Me FirstTechniques of PleasureTestosterone RexThe Anthropology of SexThe BabiesThe Better Sex Guide to the Kama SutraThe Big Book of PornThe Birth of the PillThe Blue Moon Erotic Reader IIIThe BodyThe Breast BookThe Breath of Tantric LoveThe Busy Couple's Guide to Great SexThe Case of the Female OrgasmThe Chemistry Between UsThe Clitoral TruthThe Dangerous Art of Blending InThe Education of SophieThe Emergence of SexualityThe End Of AliceThe End of SexThe Erotic EdgeThe Erotic Lives of WomenThe Essential KamasutraThe Evolution of BeautyThe Fate of GenderThe First Man-Made ManThe First TimeThe Gay Baby BoomThe Good Vibrations Guide to SexThe Happy Hook-UpThe Hite ReportThe Humble Little CondomThe Illustrated Guide to Extended Massive OrgasmThe Illustrated Story of OThe Love CureThe Madness of WomenThe Men They Will BecomeThe Mirror of LoveThe Miseducation of Cameron PostThe Moral Panics of SexualityThe Naked Truth About SexThe Nature of Sexual DesireThe New Erotic PhotographyThe New Gay TeenagerThe Notebook GirlsThe Only Girl in the CarThe Order of the Poison OakThe Origins of SexThe Other HollywoodThe Other PlaceThe Other Side of DesireThe Perils of MasculinityThe Perversion of YouthThe PervertThe Phenomenology of Sex, Love, and IntimacyThe Philosophy of PornographyThe Philosophy of Sex: Contemporary ReadingsThe Pleasure's All MineThe Politics Of LustThe Porn TrapThe Pornographer's GriefThe Pornography IndustryThe Praeger Handbook of TranssexualityThe Psychodynamics of Gender and Gender RoleThe Purity MythThe Real Truth About Teens and SexThe Right to Be ParentsThe Secret Lives of GirlsThe Sex Addiction WorkbookThe Sex Lives of TeenagersThe Sex MythThe Shared HeartThe Sleep of ReasonThe Smart Girl's Guide to PornThe State of AffairsThe Story of SexThe SurrenderThe Ten Minute Sexual SolutionThe Tenth CircleThe Transformations of GwenThe Transformations of GwenThe Trauma MythThe Ultimate Guide to Sex and DisabilityThe Vagina MonologuesThe ValleyThe Violence of CareThe Virgin BlueThe Virginity ClubThings Tom LikesThinking KinkThinking XXXToo Hot to HandleTransTransTransgender Children and YouthUltimate JudgementUltimate SexUndoing GenderUnlikelyUntangling the WebUntrue VirginVirgin NationVirgin Sex for GirlsVirgin Sex for GuysVirginity LostWhat Does Consent Really Mean?What Women WantWhat's Happening to My Body? Book for BoysWhat's Happening to My Body? Book for GirlsWhat's Happening to Tom?What's Wrong with Homosexuality?When Jeff Comes HomeWhen Sex Goes to SchoolWhen the Piano StopsWhere Do We Fall When We Fall in Love?Who Has What?Who's Been Sleeping in Your HeadWilhelm ReichWired for IntimacyWomen and Child Sexual AbuseWomen and MadnessWritten in the FleshYou Know Me WellZen Sex
The author of this book notes at the outset that her book focuses on sexual boundary violations, but does so within the context of an examination of broader boundary issues. She observes that boundaries in the professional milieu facilitate the effectiveness of work and help protect the integrity of the relationship when there is a power differential, for example between doctor and patient, employer and employee, or supervisor and student. Celenza reviews, with great scholarship, the literature on her subject, but because her thesis rests upon her own psychoanalytic background and a faith in a single doctrine, the slippery slope argument, she opens herself to negative criticism. The two: psychoanalysis and the idea of the slippery slope are, I propose, pretty well intricately entwined.
Psychoanalysis emphasizes neutrality, distance and rigid boundaries. The slippery slope argument situates itself in the assumption that any boundary crossing, however minor, inevitably leads to sex and other boundary violations. Though Celenza concedes that there is a distinction between boundary crossings and boundary violations and that one does not lead inevitably to the other, she claims we are ‘all always on the slippery slope’ (p.17). I dispute this. I am a psychotherapist who works within a non-psychoanalytic framework, using the insights of Gestalt therapy as well as narrative practice, where some of the prohibitions implicit in psychoanalysis, such as therapist-client touch, is understood, I suggest, more thoroughly than psychoanalytic practitioners. The slippery-slope idea is not only, as Lazarus (1994) has put it, ‘an extreme form of syllogistic reasoning,’ but one provoked by a school of thought that actively denies therapist touch clients under any circumstance.
The slippery slope argument is based on the finding that most therapists who were engaged in boundary violation had been engaged in boundary crossing prior to their engagement in boundary violations. However, to assert that a hug, a touch to the arm, a self-disclosure, a home visit, or accepting a gift are actions likely to lead to sex is similar to saying that doctors’ visits cause death because most people see a doctor before they die. Throughout our school experience, we learn that sequential statistical relationships (correlations) cannot simply be translated into causal connections, so why accept this one? The slippery slope notion that touch, or whatever, of any kind will inevitably end up with sex is more a case of an idea of psychoanalysts sexualizing all boundaries, rather than maturely identifying which actions may in fact be effective tools of psychotherapy.
That said, the author of this book makes some very interesting observations. She notes, for instance, that sexual violations tend to occur when a therapist reaches an impasse and seduction of the patient arises from a ‘defensive reaction to a difficult patient at a stressful time in the therapist’s life.’ (p. 13) It is at this point, Celenza says, that the line is crossed. She has identified eight risk factors for therapists, thus: long-standing narcissistic vulnerability, grandiose (covert) rescue fantasies, intolerance of negative transference, childhood history of emotional deprivation and sexualization, family history of covert and sanctioned boundary transgressions, unresolved anger toward authority figures, restricted awareness of fantasy (especially hostile/aggressive), and transformation of countertransference hate to countertransference love. (p.14)
Knowledge of professional ethics, she suggests, has not been found to prevent boundary violations, nor is the profile of a therapist who engages in sexual boundary violations likely to be a psychopath. Rather, violators are just ordinary people, motivated by unconscious, denied, or compartmentalized conflicts that are generally only identifiable through intensive evaluation or therapy (p. 29).
This book is a valuable addition to the examination of sexual boundary violations and should form part of any study of ethical practice, as well as providing insight into the mindstuff of therapists who commit them. Recommended.
© 2010 Elizabeth McCardell
Elizabeth McCardell, BA, BA (Hons), M. Counselling, PhD, Independent scholar, Australia.