Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/6540
Type: Journal article
Title: Crossing professional boundaries in medicine: the slippery slope to patient sexual exploitation
Author: Galletly, C.
Citation: Medical Journal of Australia, 2004; 181(7):380-383
Publisher: Australasian Med Publ Co Ltd
Issue Date: 2004
ISSN: 0025-729X
1326-5377
Statement of
Responsibility: 
Cherrie A Galletly
Abstract: While some cases of sexual exploitation involve predatory doctors, many other cases represent the culmination of a series of boundary crossings (non-exploitative departures from usual practice). The deliberate move to reduce formality in medicine has increased the likelihood of boundary crossings and violations. There are also individual doctor risk factors; boundary violations appear more likely when doctors are under stress, with insufficient emotional support. Preventive strategies include continuing education about ethics and the management of professional boundaries, along with appropriate psychological support structures for doctors. Doctors are often involved in other professional relationships as teachers, supervisors and team leaders; inappropriate sexual behaviour in these relationships is harassment. Public pressure for more punitive responses is likely if the profession is not seen to be doing all it can to deal with these issues effectively, and to be cooperating with other responsible agencies.
Keywords: Humans; Physical Examination; Risk Assessment; Attitude of Health Personnel; Sexual Harassment; Professional Misconduct; Physician-Patient Relations; Clinical Medicine; Ethics, Medical; Risk Management; Quality of Health Care; Australia; Female; Male
Description: The document attached has been archived with permission from the editor of the Medical Journal of Australia. An external link to the publisher’s copy is included.
RMID: 0020041498
Published version: http://www.mja.com.au/public/issues/181_07_041004/gal10557_fm.html
Appears in Collections:Psychiatry publications

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