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Relationship boundaries in providing joint marriage counselling (02HDC01167)
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(02HDC01167, 22 June 2004)
Counsellor ~ Relationship
counselling ~ Professional and ethical standards ~ Right
4(2)
A woman complained about the
services provided by a pastor and trained counsellor to her husband
and herself. The counsellor already had a longstanding pastoral
relationship with the couple, having shared meals with them and
been the celebrant at their marriage. He also had an established
professional counselling relationship with the husband, to whom he
had provided counselling in relation to his first marriage. The
woman complained that the counsellor was biased towards her
husband, and said that he insisted that she had repressed memory
syndrome and had been abused as a child. She also complained that
the clinical sessions were not conducted appropriately.
During an individual counselling session with the husband, he
initially raised concerns about the marriage, and the counsellor
recommended joint marriage counselling sessions. This
recommendation was reiterated at a later individual session with
the husband, and subsequently the couple attended four joint
sessions with the counsellor. During this time the husband
continued to see the counsellor individually, and the wife also saw
the counsellor plus a second counsellor for individual counselling.
Sometime during the joint counselling, the two individual
counsellors met (with the couple's agreement) to discuss their
relative roles in counselling the wife. The joint counsellor also
twice discussed with his clinical supervisor the difficulties
involved in the counselling relationship, and eventually joint
counselling was discontinued on the supervisor's advice. After the
joint sessions ended, the husband resided with the counsellor and
his wife for a time, which the counsellor explained as a situation
of "refuge" when the husband needed a safe environment.
The difficulties centred on the wife's perception of bias on the
part of the counsellor towards her husband - tending to reinforce
what the husband said and not allowing her to clarify points she
made. She felt that neither the counsellor nor her husband listened
to her. When she disclosed abuse suffered in her first marriage,
she believes that the counsellor decided she must have been abused
as a child and had repressed memory syndrome, and that this
affected the way he treated her in counselling. The wife's
individual counsellor confirmed that the couple's counsellor
believed that the wife had been abused as a child, as he mentioned
it to her at their meeting.
It was held that the counsellor's decision to provide marriage
counselling to the couple, and his failure to carefully set and
monitor the boundaries of his relationship with them, did not
comply with professional and ethical standards, and thus breached
Right 4(2). When counsellors have prior relationships with one or
both parties to a professional counselling relationship, they need
to take extreme care at the outset to establish the boundaries of
the new relationship; if there is any doubt about the ability to
fairly counsel the couple, a referral should be made.
The counsellor was found not to be in breach of the Code with
regard to his belief that the woman suffered from repressed memory
syndrome and childhood abuse. Expert advice was that an experienced
counsellor may have had grounds for forming such a view. No further
action was taken on the issue of bias, although the counsellor's
attention was drawn to the comments of the expert advisors that in
such circumstances it would be difficult to uphold the appearance
and practice of impartiality; nor on the issue of conduct of the
counselling sessions, as there was no evidence that the
counsellor's professional skill during these sessions fell below
accepted standards.
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