Behind Closed Doors,9780865692855

Behind Closed Doors

by ;
ISBN13: 9780865692855
ISBN10: 0865692858
Format: Hardcover
Pub. Date: 1998-06-01
Publisher(s): Auburn House
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Summary

A guide for the appropriate and respectful care of patients by health professionals for both doctor and patient.

Table of Contents

Preface ix
PART I Gender, Sexuality, and Touch 3(60)
Chapter 1: Gender
3(30)
Gender and Culture
3(2)
Gender Roles in Western Society
5(5)
Gender Traits
10(1)
Evolutionary Insights
11(1)
The Effects of Socialization
11(4)
Psychological Development
15(2)
Gender and Power
17(5)
Gender and the Doctor/Patient Relationship
22(6)
Summary
28(5)
Chapter 2: Sexuality
33(10)
Sexuality in Western Culture
34(3)
The Study of Sex and Sexuality
37(1)
Cultural Myths and Messages
37(2)
The Issue of Power
39(1)
Sexuality in Other Cultures
40(1)
Sexuality in the Doctor/Patient Relationship
40(3)
Chapter 3: Touch
43(10)
Perception and Touch
43(1)
Touch and Gender
44(1)
Touch and Culture
45(1)
Touch, Proximity, and Intimacy
45(1)
Touch between Doctor and Patient
46(7)
Chapter 4: Explorations and Applications
53(10)
Personal Explorations in Gender, Sexuality, and Touch
53(3)
Practical Applications for Practitioners
56(7)
PART II Sexual Misconduct 63(47)
Chapter 5: What Is Misconduct?
63(8)
A Fiduciary Failure
63(1)
An Ancient Transgression
64(1)
An Equal Opportunity Problem
64(1)
Breaking the Silence
64(1)
Sexual Misconduct vs. Sexual Harassment
65(3)
Prevention Strategies
68(3)
Chapter 6: How Misconduct Occurs
71(16)
The Breakdown of Professionalism
71(1)
Two Flawed Models of Misconduct
72(1)
Cultural Contributors to Misconduct
73(2)
Who Commits Sexual Misconduct?
75(3)
Who Is Affected by Sexual Misconduct?
78(3)
Common Fears and Misconceptions
81(6)
Chapter 7: Caring for the Abused Patient
87(4)
A Survivor's Tale
87(1)
Signs and Symptoms of Abuse
88(1)
Stages of Recovery
88(1)
Guidelines for the Practitioner
89(2)
Chapter 8: Boundaries and Consent
91(6)
Personal Boundaries
91(1)
Professional Boundaries
92(2)
The Question of Consent
94(3)
Chapter 9: The Doctor Role
97(8)
The Power of the Doctor Role
97(1)
Partnership and Power
98(2)
Adherence vs. Compliance
100(1)
Power and Communication
101(1)
Transference and Countertransference
102(3)
Chapter 10: What Is the Solution?
105(5)
The Failure of Self-Regulation
105(1)
External Regulation
105(2)
Professional Monitoring
107(1)
Education and Individual Self-Monitoring
108(2)
PART III Patient Protection Protocol 110(67)
Why "Patient Protection"? 110(1)
Chapter 11: Safe Touch Protocol
111(4)
Anatomical Risk Levels
111(1)
Safe Touch Guidelines
112(3)
Chapter 12: Safe Practice Strategies
115(12)
Office-Centered Interventions
115(2)
Patient-Centered Interventions
117(2)
Doctor-Centered Interventions
119(4)
Supervision--or the Buddy System--for Safe Practice
123(4)
Chapter 13: Safe Practice Analysis
127(34)
What Is the Safe Practice Analysis?
127(1)
Why Do the Practice Analysis?
128(1)
Sexual Misconduct Risk Factor Analysis
129(4)
The Practice Evaluation Questionnaires
133(18)
Putting It All Together
151(7)
Comparing the RFA and Practice Evaluations
158(1)
Deciding What to Change
159(2)
Chapter 14: Making Changes
161(8)
Diagnosing the Problem
161(3)
When Others Say You Have a Problem
164(1)
Making Changes
165(3)
When Problems Involve a Belief System
168(1)
Chapter 15: Defusing Sexual Attractions
169(8)
You Suspect a Patient Attraction
170(1)
You Are Told of a Patient Attraction
170(1)
You Feel Attracted to a Patient
171(1)
The Attraction Is Mutual
172(5)
PART IV Review 177(8)
Chapter 16: Six Factors for Safe Practice
177(6)
The Trust Factor
177(1)
The Touch Factor
177(1)
The Power Factor
178(1)
The Doctor Factor
179(1)
The Communication Factor
180(1)
The Sex Factor
180(3)
Chapter 17: The New Partnership
183(2)
Bibliography 185(6)
Recommended Reading 191(4)
Recommended Viewing 195(4)
Index 199

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