Professional Sexual Misconduct in Institutions - Causes and Consequences, Prevention and Intervention

Essential reading about a notoriously difficult problem: how abusive professionals manipulate their clients and what we as organizations and individuals can do about it.Professional sexual misconduct (PSM) is a problem that is notoriously difficult to address and that can be a minefield for all concerned - for victims, for the institutions where it takes place -, and also because outstanding and supposedly responsible members of society may be accused of abuse.Here, Werner Tschan, one of the world's leading experts in dealing with PSM, outlines an up-to-date approach to PSM and professional disruptive behaviors. He describes practical ways to prevent PSM, as well as effective treatments for victims and to rehabilitate offenders or those accused. Using examples from real-life cases from around the world, he also discusses how PSM is a societal problem and what we can do to stop it. Recent headline cases involving a variety of organizations - medical, media, church, schools, sport, industry - show that institutions can be ideal environments for PSM, and so great emphasis is placed in this volume on preventive measures that we can and must take at an institutional level.With clear, jargon-free writing this book is essential reading for all professionals interested in preventing and dealing with PSM, as well as of interest to victims and their families.

List of contents

ForewordDedicationPrefaceSurvivor's Voice: A True Story of an Elderly ManReaching Out for Help1 Introduction1.1. Historical Background; 1.2 Children's Lies - The BacklashAfter 1900; 1.3 The End of "Hystories"; 1.4 Developmentsin Europe; 1.5 New Penal Codes; 1.6 Public Awareness;1.7 Awareness Psychology2 How to Understand Survivors' Reactions2.1 Attachment Theory; 2.2 Trauma and Its Consequences;2.3 Delayed Onset of Symptoms; 2.4 OvercomingTrauma; 2.5 Society's Answer to Trauma3 What Is PSM and How Does it Happen3.1 What Is PSM?; 3.2 What Is the Magnitude of PSM?; 3.3The spectrum of offense; 3.4 Who Becomes a Victim ofPSM?; 3.5 What Are the Consequences of PSM?; 3.6 HowCan PSM Be Discovered?; 3.7 False Accusations of PSM;3.8 What Helps Victims of PSM?; 3.9 Liability Questions;3.10 Who Becomes an Offender Professional?; 3.11 Sexualityand PSM; 3.12 Punishment or Treatment?4 PSM in Various Disciplines4.1 Health Care Professionals; 4.2 Psychotherapy andCounseling; 4.3 Social Work; 4.4 Care Homes; 4.5 Religion;4.6 Education; 4.7 Sports and Leisure Time Activities; 4.8Justice System; 4.9 Military5 The Overlap with Workplace Violence5.1 The Culture of Organizations as a Management Task;5.2 Sexual Harassment; 5.3 Bullying; 5.4 Stalking; 5.5Physical Violence; 5.6 The Decision-Making Process; 5.7Problem-Solving Attempts; 5.8 Prevention of WorkplaceViolence6 The Impact of PSM on Survivors, Institutions, andProfessionals6.1 From Victim to Survivor; 6.2 Consequences forOffender Professionals; 6.3 Consequences for the Institution;6.4 Consequences for Society7 Treatment of Survivors7.1 Realizing; 7.2 Finding Help; 7.3 Processing; 7.4 Integration;7.5 Overcoming; 7.6 Healing; 7.7 From Victim toOffender8 Why Do Professionals Commit Sexual Offenses?8.1 The First Meeting; 8.2 Treatment Procedure; 8.3 ThePath to PSM; 8.4 Offender Strategies; 8.5 Homework Duringthe Treatment Program; 8.6 Evaluation and Terminationof Program; 8.7 Prognosis9 Prevention of PSM in Institutions9.1 Effective Complaint Mechanisms; 9.2 False Accusations;9.3 The Decision-Making Process; 9.4 An IntegratedApproach10 Boundary Training10.1 A New Paradigm: Rehabilitation After PSM; 10.2 The24 Modules; 10.3 Who Should Undergo Boundary Training?;10.4 Boundary Training in Professional Formationand Further Development; 10.5 We Don't Need to Re-Invent the Wheel11 Assessment and Rehabilitation of Affected Professionals11.1 Assessment; 11.2 Rehabilitation Program; 11.3 CriticalQuestions; 11.4 Case Consultation and Supervision;11.5 Economic Consequences; 11.6 Risk Management12 Prevention Overview12.1 Victim Counseling Services and Other Requirements;12.2 Curricular Integration; 12.3 Paradigm Shift in Justice;12.4 The Three Pillar Model for Effective Prevention

About the author

Werner Tschan, MD, runs a private practice in psychiatry in Siwtzerland. He serves on the Advisory Board
of AdvocateWeb. He gives lectures and workshops worldwide, and has published numerous articles on
the subject of professional sexual misconduct (PSM). Dr. Tschan undertook his postgraduate training at
the University of Mainz, Germany on the treatment of sexual offenders. This, together with his master’s
degree in Applied Ethics at Zurich University, gives him the professional background to answer ethically
challenging questions. He has dedicated much of his professional career to the prevention of interpersonal
violence and received recognition for this in being given the AdvocateWeb award Boundary Angel in
“recognition of worldwide dedication to victims of sexual exploitation” in 2006.
Dr. Tschan provides solutions for professionals and institutions in how to deal with PSM as well as assists
regulating authorities in improving legal proceedings and interventions. In close cooperation with colleagues
he has developed a modular-based boundary training program for the rehabilitation of professionals
after PSM. Werner Tschan has served as chair of several task forces on the behalf of state or national
medical associations to study the problem of PSM among health care professionals. He was a member
of the German government Round Rable Against Sexual Abuse. He is also involved in the postgraduate
training of professionals from various backgrounds (physicians, mental health professionals, the clergy,
forensic professionals, human resource management, and lawyers), as well as performing assessments
of impaired professionals and being involved in their treatment and rehabilitation.

Summary

Essential reading about a notoriously difficult problem: how abusive professionals manipulate their clients and what we as organizations and individuals can do about it.
Professional sexual misconduct (PSM) is a problem that is notoriously difficult to address and that can be a minefield for all concerned – for victims, for the institutions where it takes place –, and also because outstanding and supposedly responsible members of society may be accused of abuse.
Here, Werner Tschan, one of the world’s leading experts in dealing with PSM, outlines an up-to-date approach to PSM and professional disruptive behaviors. He describes practical ways to prevent PSM, as well as effective treatments for victims and to rehabilitate offenders or those accused. Using examples from real-life cases from around the world, he also discusses how PSM is a societal problem and what we can do to stop it. Recent headline cases involving a variety of organizations – medical, media, church, schools, sport, industry – show that institutions can be ideal environments for PSM, and so great emphasis is placed in this volume on preventive measures that we can and must take at an institutional level.
With clear, jargon-free writing this book is essential reading for all professionals interested in preventing and dealing with PSM, as well as of interest to victims and their families.

Additional text

Advance praise:
«This is a very informative book on a deeply important subject. It is essential for the professional functioning of all individuals in a fiduciary relationship with patients, clients and students.»
Michael F. Myers, MD, Clinical Professor of Psychiatry, Vancouver

«An invaluable resource for those working in rehabilitation of professionals who have breached fiduciary relationships. »
Carolyn Quadrio, MD, Associate Professor of Psychiatry, Sydney

«I admire Werner for tackling this taboo subject and speaking out for the victims of PSM…. The complicated nature of PSM is clarified and possible remedies for perpetrators’ rehabilitation and future prevention are provided. »
Naoko Miyaji, Professor of Cultural Psychiatry, Tokyo

«This outstanding resource is written with empathy, experience and a therapeutic perspective. I recommend this book to all those interested in the ethics of professional relationships.»
Christoph Rehmann-Sutter, Professor of Theory and Ethics in the Biosciences, Lübeck

Report

Advance praise: "This is a very informative book on a deeply important subject. It is essential for the professional functioning of all individuals in a fiduciary relationship with patients, clients and students." Michael F. Myers, MD, Clinical Professor of Psychiatry, Vancouver "An invaluable resource for those working in rehabilitation of professionals who have breached fiduciary relationships. " Carolyn Quadrio, MD, Associate Professor of Psychiatry, Sydney "I admire Werner for tackling this taboo subject and speaking out for the victims of PSM . The complicated nature of PSM is clarified and possible remedies for perpetrators rehabilitation and future prevention are provided. " Naoko Miyaji, Professor of Cultural Psychiatry, Tokyo "This outstanding resource is written with empathy, experience and a therapeutic perspective. I recommend this book to all those interested in the ethics of professional relationships." Christoph Rehmann-Sutter, Professor of Theory and Ethics in the Biosciences, Lübeck

Product details

• Authors: Werner Tschan
• Publisher: Hogrefe Publishing
• Languages: English
• Product format: Paperback / Softback
• Released: 01.09.2013
• EAN: 9780889374447
• ISBN: 978-0-88937-444-7
• No. of pages: 216
• Dimensions: 152 mm x 228 mm x 14 mm
• Weight: 392 g
• Subjects: Humanities, art, music > Psychology; Social sciences, law, business > Law > Criminal law, criminal procedural law, criminology; Sozialpsychologie, Psychotherapie, Psychiatrie, Kriminalpsychologie, forensische Psychologie, Forensische Psychologie und Psychiatrie, PSM, Sexual abuse, Professional Sexual Misconduct