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Bartering in Psychotherapy: Ethical and Clinical Considerations

6 CE Credit Hours - Online Course - $60.00

Developed by Ofer Zur, Ph.D.

Course fulfills the California and other states' ethics and law requirements. Course may qualify for insurance discount. Check with your insurer.

Course materials: text/webpage Articles    videoVideos

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General Course Description

This intermediate-level course explores the complexities of bartering in the context of boundary crossings and dual relationships in psychotherapy.

The course maps types of bartering (i.e. goods, services), discusses the relationships between and definitions of bartering, boundary crossing and dual relationships, explores the applications to poor clients and to those from different cultures, provides bartering vignettes, reviews the ethics codes on bartering, outlines the objections to bartering and offers clinical and ethical guidelines for employing, specifically, bartering and, more generally, boundary crossing and dual relationships. Additional resources and references are provided for further study, but they are not part of the course.

Educational Objectives

This course will teach the participant to:

1.    Summarize the complexities and potential risks and benefits involved in bartering arrangements.

2.    List the different types of bartering arrangements.

3.    Define and explain boundary crossings, boundary violations and dual relationships in psychotherapy.

4.    Utilize guidelines for handling bartering, dual relationships and boundaries in therapy.

5.    Explain the relationships between bartering, boundary crossings and dual relationships.

6.    Outline what the different codes of ethics state in regard to bartering.

7.    Summarize updates of the ethics codes and California law on bartering and offer guidelines for ethical decision making about bartering in therapy.

8.    Utilize tools to make clinical and ethical decisions with regard to bartering, boundary crossings and dual relationships.

Course Syllabus

Evolution of Bartering

Opposition to Bartering

Bartering, Boundary Crossing and Dual Relationships

Types of Bartering: Goods, Services, Part of a Pro Bono or Low Fee, Others

Arranging Bartering: Direct Communication, Trade Associations, Online Bartering

Bartering and the Codes of Ethics

Case Studies

Beyond Risk Management


Guidelines for Bartering in Psychotherapy

California Regulations on Bartering in Psychotherapy

Boundaries and Dual Relationships in Psychotherapy:

  • Purpose and Definition
  • Dual Relationships - Key Points
  • Boundaries - Key Points
  • Dual Relationships - Guidelines
  • References to Online Articles and to Online Ethics Codes
  • Arguments Against Dual Relationships and their Rebuttals
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