We will consider professional and sexual issues in the chiropractic office. Recent events have led to an acute awareness of physician actions, that may compromise the physician-patient relationship. This paper defines sexual boundary violations in physicians; emphasizes that a comprehensive evaluation of the physician is necessary when sexual impropriety or violation is suspected; and describes an educational intervention for physicians who need education and training in sexual boundaries. This course focuses on ethical principles and models for decision making that are most applicable for those who practice in the healthcare profession.
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When a Client Crosses the Line
Boundary Violations and Malpractice Litigation | Psychiatric Times
Law, rules and regulations, not Alerts, specify the requirements for practice and violating them constitutes professional misconduct. Not adhering to this Alert may be interpreted as professional misconduct only if the conduct also violates pertinent law, rules and regulations, some citations of which are listed at the end of this Alert. Sexual misconduct can be the basis of a charge of professional misconduct. Increasingly across many health professions, including chiropractic, patients are filing complaints alleging that licensees have engaged in some form of sexual misconduct. Since the primary techniques of chiropractic care are "hands-on" requiring the practitioner to be in close proximity to the patient's body, you should be aware of and anticipate situations that could be perceived as sexual misconduct, and take measures to prevent them. Patient complaints of sexual misconduct may range from allegations of predatory behavior by licensees, inappropriate romantic relationships, or unexpected physical contact during provision of clinical procedures. Be aware that even if you have taken steps to prevent erroneous allegations, if a complaint is filed, these measures do not provide you with immunity from prosecution.
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Clear sexual boundaries
Erik Madsen was first arrested in November after charges of sexual battery were pressed against him by a former patient. Since the first victim came forward, 12 additional victims have since come forward with similar stories. Madsen was indicted to the Superior Court in Macon County in February and now faces 4 felony counts of Second Degree Forcible Sex Offence and 13 misdemeanor charges of sexual battery and 13 charges of assault on a female. Madsen addressed the Board of Chiropractic with his attorney Dale Curriden in December and did not deny the allegations against him, however he argued that the encounters were consensual.
By Cherie Sohnen-Moe The sexual assault allegations against Al Gore has elicited much commentary about clients crossing the line sexually. Regardless of the veracity of this particular claim, it is an important topic to explore in-depth. Some clients may "test the waters" about sexual services, while others blatantly cross the line. Massage practitioners must know how to appropriately deal with those situations.