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You may now see our list and photos of women who are in your area and meet your preferences.Again, please keep their identity a secret Click on the "Continue" button search with your zip/postal code.Doctors are more vulnerable to counter-transference when the doctor unconsciously or subconsciously overidentifies with the patient's situation, so much so that one author comments:“The power of the subconsciously driven countertransference to create rationalisations that the sexual relationship with the patient is ‘special and the exception' to the usual rules of professional conduct should never be underestimated.” Such ‘overidentifiers' are often ‘situational reactors' who are responding to particular triggers such as marital discord, loss of important relationships and a professional crisis in their own lives.Whilst situational reactors are certainly an at-risk group, unlike other categories of doctors who offend (e.g.Sexual misconduct usually commences with violations of more minor boundaries:“The road to therapist–patient sex is paved with progressive boundary violations.Except when a patient is raped, the therapist who eventually sexually abuses a patient follows a remarkably predictable ‘natural history' of sexual misconduct.” Not all stages will take place in any one relationship, but the general stages include: gradual erosion of therapist neutrality; socialization of therapy; the patient is treated as ‘special'; doctor's self-disclosures begin; physical contact begins (e.g.
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.
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 paper presents evidence from international medical and ethical literature to examine the validity of this position taken by the New Zealand Medical Council regarding the sexualization of relationships with former patients.
Margo Neilly faces a string of further charges, including that she allegedly started an “inappropriate” relationship with a vulnerable ex-patient and harassed former colleagues – all while under investigation by the nursing standards watchdog, the Nursing and Midwifery Council (NMC).
The NMC claims the “inappropriate relationship” between the mental health nurse and the vulnerable former patient lasted for more than a year, from when she was sacked by NHS Highland until April 2013.