Can chiropractors dating former patients
It is important in the doctor–patient relationship that a ‘neutral, safe space' is established which allows a therapeutic alliance to grow. Three salient features describe the circumstances in which this type of relationship occurs: there is an expectation of trustworthiness, an unequal power relationship exists and the interaction occurs under conditions of privacy. Although it does not involve the sexualization of the doctor–patient relationship, it clearly illustrates the importance of recognizing all four types of power, and, in particular, the prominence of Hierarchical power: A consultant specialist was admitted to hospital with a severe multi-system disease causing severe renal impairment.
This is recognized within professional codes, for example by the New Zealand Medical Council which states that “the ethical doctor– patient relationship depends upon the doctor creating an environment of mutual respect and trust in which the patient can have confidence and safety”. It is an underlying principle of the concept of boundaries and it has been argued that it is the doctor's breach of fiduciary trust, not the patient's consent, which is the central issue regarding sexual misconduct. After 6 weeks in hospital, on the day of his planned discharge, he was accidentally given another patient's medication.
These include boundaries of role, time, place and space, money, gifts and services, clothing, language and physical contact.
Sexual misconduct usually commences with violations of more minor boundaries:“The road to therapist–patient sex is paved with progressive boundary violations.
Counter-transference is the doctor's reaction to this process and this can include erotic feelings.
Doctors can mistake the feelings of love that arise in a therapeutic relationship as being the same as love that arises elsewhere; it is not.
Unfortunately, our website is currently unavailable in most European countries.
Whilst having sexual relationships with current patients is clearly unethical, the ethics of such a relationship between a doctor and former patient is more debatable.the deleterious effects of such relationships upon patients have become increasingly recognized and condemned by the medical community. One such area is whether sexual relationships with patients are ever ethically permissible and, if so, under what circumstances.Two years after the zero tolerance policy was adopted, the New Zealand Medical Council released a further policy statement in which it stated that whilst complaints regarding sexual relations with former patients will be considered individually, it will be presumed to be unethical if the “doctor–patient relationship involved psychotherapy, or long-term counselling and support; the patient suffered a disorder likely to impair judgement or hinder decision-making; the doctor knew that the patient had been sexually abused in the past; [or] the patient was under the age of 20 when the doctor–patient relationship ended”.This has been documented extensively in the literature, with no counteracting reports of successful relationships and non-abusive consequences being published.This does not mean that no such type of relationship may exist, but it has not been researched.