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Bull Menninger Clin. 1992 Spring;56(2):150-66.

Assessing boundary violations in psychotherapy: survey results with the Exploitation Index.

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  • 1Department of Psychiatry, Georgetown University School of Medicine.


The usefulness of the Exploitation Index (Epstein & Simon, 1990) was evaluated in a survey of psychiatrists. Forty-three percent of the respondents indicated that at least one item alerted them to behavior they thought could have been counterproductive to treatment. Twenty-nine percent found that they were stimulated to make specific changes in future treatment practice. On average, female respondents endorsed fewer boundary violations than males.

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