EthicsWalk addresses spiritual care as an ethical enterprise. It explores why relationships between spiritual care providers and those they serve need protection, and examines what that protection entails. PlainViews invites
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Boundaries: Navigating or Negating?
Last month’s column suggested that experienced spiritual care providers might occasionally navigate boundaries to benefit persons served. How does one discern beneficent boundary navigation from maleficent, self-serving boundary negation?
Some sticky wickets:
Self-disclosure:
Appropriate self-disclosure acknowledges the spiritual
care provider’s humanity and may be re-assuring. Disclosures must address the needs of
the other and be directly applicable to them. Disclosures to impress, seek advice,
sympathy, or admiration from the other, are never appropriate.
Similarly, discussions of the provider’s sexuality, relationships, or other
personal matters are reserved for friends or professionals engaged for that purpose.
Availability:
Availability is vital to good spiritual care. However, availability has parameters.
When reasons are frequently found to stretch parameters with a particular person in care, problems may be developing. Examples include:
— arranging to see the person outside “normal” hours
— rearranging one’s schedule
— excitedly anticipating visits
— extra care with clothes and grooming
— meeting at a “special location”
— frequently thinking about the person
— giving or receiving gifts
— keeping secrets beyond confidentiality requirements
— failing to note contact in the office schedule
— not wanting other staff to know about the meeting
Unusual Touching
Touch is important and prudent touching is often appropriate in spiritual care. Before touching, consider:
— “What is the likely impact on this particular person of my touch?”
— “What is my intent?” If your intent is about “you,” don’t touch.
If you are uncertain about the impact, ask. [“Are you comfortable with shaking hands?” “Is a hand on your arm comforting?”]
Be conscious of touching a particular person more frequently or in ways different from normal patterns of touch in the professional care environment. For example, hugs rather than handshakes, hand lingering on arm rather than touch-and-remove.
Sexualized Attraction
“I’m really sexually attracted to this other person, I think...”
Erotic energy is good. Erotic energy is healthy and helpful in many professional
relationships. The danger is letting erotic energy sexualize the context, content and
contact of the spiritual care provider’s association with a particular person. If you suspect
this is happening, ask:
— what is lacking in me, in my committed relationship with partner or religious community, in my social life, in my prayer
and study life that becoming involved with this other person would hope to satisfy?
— why am I vulnerable in my personal or professional life to this infatuation, to falling in love outside my commitments?
— what do I need to know about myself to understand this attraction?
— from whom can I get some enlightenment -- immediately?
— if the spiritual care provider asks, “Is this a relationship I should discuss with a colleague?” the answer is “definitely
and soon.”
— if the care provider wonders, “Can I handle this relationship” the answer is, “probably not.”
— if he or she ponders, “Should I terminate this contact?” the answer is, “Yes, and, now!”
Relationships carry risk. A spiritual care provider does not avoid relationships, even with difficult or troubled people to avoid risk. However, a spiritual care provider is responsible for establishing and maintaining relationships which respect the provider’s and the other’s integrity and safety.
To be continued from other perspectives. Comments welcome!