Question 1

What is the most common social dual relationship between therapists and their clients?

Accepted Answer

The most common social dual relationship is friendships.

Question 2

What term means improper treatment of an individual due to carelessness or thoughtlessness?

Accepted Answer

Neglect is improper treatment of an individual due to carelessness or thoughtlessness. Neglect may occur from lack of professional knowledge or lack of boundaries.

Question 3

Which term is defined the existence of multiple roles a therapist and a client?

Accepted Answer

Dual relationships are any situation where multiple roles exist between a therapist and a client. Examples of dual relationships are when clients are also friends, family members, or business associates.

Question 4

Which strategy establishes and maintains professional boundaries?

Accepted Answer

Strategies for maintaining professional boundaries are (1) have clearly defined roles and responsibilities including who can participate in the therapeutic relationship; (2) establish clear boundaries between yourself and others; (3) develop and follow a treatment plan, (4) recognize that different cultures and ethnic groups may have varying rules for interactions and these rules must be factored into professional decisions and actions; (5) meet personal needs outside the therapeutic relationship, (6) develop self-awareness regarding your responses to the needs of others, and (7) follow a self-care plan.

Question 5

Which term describes the unconscious transfer of emotions and resultant behaviors associated with a significant person in the client's life onto someone else such as the therapist?

Accepted Answer

Transference is the unconscious transfer or displacement of emotions and resultant behaviors associated with a significant person in the client's life onto someone else such as the therapist.

Question 6

Which type of boundary helps an individual identify own feelings and keep them separate from the feelings of others?

Accepted Answer

Emotional boundaries involve the capacity to be aware of, to control, and to express one's emotions. It also involves identifying which emotions are yours and which ones are not yours, and keeping these feelings separate.

Question 7

What term means improper treatment that is intentional and deliberate?

Accepted Answer

Abuse is improper treatment that is intentional and deliberate. Abuse may occur when therapists use clients for personal gain or gratification.

Question 8

Which example demonstrates a financial boundary?

Accepted Answer

Financial boundaries involve issues of money and include fee schedules, payment arrangements and procedures, and policies of non-payment.

Question 9

Which term means the spaces between the therapist's power and the client's vulnerability?

Accepted Answer

Professional boundaries are the spaces between the therapist's power and the client's vulnerability.

Question 10

What is the term for the imbalance of authority in the therapeutic relationship with clients in the vulnerable position?

Accepted Answer

Power comes from the therapist's position and the access he or she has to client information. In contrast, clients know (or should know) little about their therapists. These differences, also called a power differential, create an imbalance of power in the therapeutic relationship with clients in the vulnerable position.

Question 11

Which example demonstrates a physical boundary?

Accepted Answer

Physical boundaries are the circumstances under which therapists physically touch clients; this includes the who, when, where, how, and under what circumstances of professional touch. Obtaining consent before working on the gluteal region is an example of a physical boundary in the therapeutic relationship.

Question 12

What type of boundary encompasses beliefs, thoughts, and ideas while also safeguarding self-esteem?

Accepted Answer

Intellectual boundaries encompass beliefs, thoughts, and ideas, as well as safeguard self-esteem.

Question 13

Which example is a sign of countertransference?

Accepted Answer

Signs of countertransference can include becoming angry or depressed when a client cancels an appointment.

Question 14

What characteristic differentiates friendships from therapeutic relationships?

Accepted Answer

Friendships involve choice, mutuality (both parties voluntarily enter the relationship), trust, pleasure (both parties enjoy the relationship), and reciprocity. Therapeutic relationships involve choice, mutuality, trust, and pleasure, but not reciprocity.

Question 15

Which type of boundary is necessary for emails, texting, and social media?

Accepted Answer

Digital media including social media and electronic communications introduce a new boundary for health care providers and this may create dual relationships, and issues with confidentiality and privacy.

Question 16

What term describes a therapist's revealing thoughts, feelings, and personal history to clients?

Accepted Answer

Revealing thoughts, feelings, and personal history to clients is called self-disclosure.

Question 17

Which example shows a common scenario involving a financial conflict of interest for massage therapists?

Accepted Answer

One of the most common financial conflicts of interest for massage therapists is selling products to clients. In these situations, therapists may be faced with choosing between the client's best interest and therapist's financial interests when profits are received from product sales.

Question 18

Which response is appropriate for the massage therapist if a client has an emotional release during the session?

Accepted Answer

A massage therapist's scope of practice does not allow for the intentional eliciting or processing of emotions. When clients share their emotional concerns with their massage therapists, therapist should act to bring the focus back to the body using questions such as, "Where do you feel that in your body?" or "Can you tell me what you notice in your body as you say that?"

Question 19

Which example demonstrates a time boundary?

Accepted Answer

Time boundaries include: (1) Being ready when clients arrive with music playing (if appropriate) and clean linens on the massage table. (2) Beginning and ending the session on time. (3) Focusing on the client during the session, and avoiding distracting activities such as talking or texting on mobile devices or conversing with other clients in the waiting room.

Question 20

Which term describes the unconscious transfer or displacement of unresolved emotions by the professional onto a client?

Accepted Answer

Countertransference is the unconscious transfer or displacement of unresolved emotions by the professional onto a client. Countertransference may occur from unmet personal needs, unresolved emotions, or internal conflicts that are brought into the therapeutic relationship unknowingly.

Quiz 2: The Therapeutic Relationship: Ethics, Boundaries, and Cultural Competencies