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J Psychother Pract Res 8:292-300, October 1999
© 1999 American Psychiatric Association


Clinical and Research Reports

Psychodynamic Perspective on Therapeutic Boundaries

Creative Clinical Possibilities

Nancy A. Bridges, L.I.C.S.W., B.C.D., C.G.P.

Received November 5, 1998; revised June 2, 1999; accepted June 2, 1999. From Cambridge Hospital, Harvard Medical School, and Smith College School for Social Work, Massachusetts. Address correspondence to Nancy A. Bridges, 135 School Street, Belmont, MA 02478.

Discussion of boundaries in therapeutic work most often focuses on boundary maintenance, risk management factors, and boundary violations. The psychodynamic meaning and clinical management of boundaries in therapeutic relationships remains a neglected area of discourse. Clinical vignettes will illustrate a psychodynamic, developmental-relational perspective using boundary dilemmas to deepen and advance the therapeutic process. This article contributes to the dialogue about the process of making meaning and constructing therapeutically useful and creative boundaries that further the psychotherapeutic process.

Key Words: Psychodynamic Psychotherapy • Therapeutic Boundaries




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