|"Written by two of the leading
individuals in the field, Confidentiality and Its
Discontents is a clearly readable and well-argued zccount
of the debates about confidentiality in psychiatry and psychoanalysis."
--SANDOR GILMAN, Emory University.
"Confidentiality and its
Discontents provides careful descriptions and discussions
of a range of privacy cases that demonstrate the rapidly
escalating problems assoicated with the supposed confidentiality of the
psychotherapeutic relationship. Confidentiality and Its
Discontents will be a useful and unique resource to many mental health
-- PAUL BRINICH, Clin Prof. (Emeretus) , Depts. of Psychology and
Psychiatry, Univ. of North Carlina, Chapel Hill.
has been plagued by errant
and abusive practitioners since its inception. In this outstanding new
volume, Jeffrey Berman and Paul Mosher have traced the history of
sexual boundary violations in great detail. Their meticulous research
into appalling cases of analyst misconduct in the consulting room (and
elsewhere) makes for a fascinating and chilling read. The siren song of
counter-transference requires systematic processing by the analyst,
hopefully in consultation with a trusted colleague. We are all
vulnerable to self-deception. Hence psychoanalysts and psychotherapists
should read this book, which is the most thorough history of analysis
going awry that has ever been published. I highly recommend it"
--GLEN O. GABBARD, Clinical Professor of Psychiatry at Baylor College
of Medicine in Houston, Texas, and Training & Supervising
Analyst at the Center for Psychoanalytic Studies in Houston.
treatment has the potential of immense good. That results
from the combination of the psychological power of the therapist and
the vulnerability of the patient. However that power, and that
vulnerability, can also lead to great evil. Berman and Mosher have
assembled some startling and horrible examples of the several ways in
which that evil may occur. Sick or criminal doctors, foolish patients,
sexual temptations, financial temptations, and the disturbing recurrent
tendency of the profession to deny its problems, or at least to keep
them to itself, are culpable. The authors have done the community and
the mental health profession an immense service-- bringing light and
fresh air to what has long been kept secret. Their meticulous research
and gift at storytelling brings us tales of rape, theft and unbridled
grandiosity. These reflect universal human themes that will no doubt
continue, but thanks to Berman, Mosher and others like them, the
profession's primary loyalty is shifting from shielding its bad seeds
to protecting its patients."
--ROBERT MICHELS, Former Chair, Department of Psychiatry Former Dean
and Provost for Medical Affairs
Cornell University Medical College
brilliant, erudite, comprehensive and enthralling account of the
history of boundary violations of both sexual and non-sexual kinds. The
account reveals the narcissism and entitlement of the violators along
with the often inadequate responses to their egregious unethical
activities. These case studies are lessons from the past not to be
--DOUGLAS KIRSNER, Emeritus Professor of Philosophy &
Psychoanalytic Studies at
Deakin University, Melbourne, Australia,
intriguing book raises deeply important questions. Any powerful weapon
can be used for good or for ill. That is certainly the case with
psychotherapy. Off the
Tracks chronicles many missteps, but ends with a
clear vision of a way forward. if psychiatry has any sense, it will
follow where Drs. Berman and Mosher lead."
--TM LUHRMANN, Watkins University Professor, Anthropology Department,
Stanford University, Author, Of Two Minds
"Off the Tracks: Cautionary Tales
About the Derailing of Mental Health
Care delivers more than its title. It is both a
read and a highly researched, valuable, and thought provoking work. It
will appeal to both professionals and the general public. The authors'
thesis, that treatment relationships are a powerful force in and of
itself, is illustrated by extensive narrative examples of various
theoretical approaches of mismanaged relationships that harmed
patients. The authors include physical treatments since they too
involve clinical judgments. The range of examples in the study is
extensive. Off the
Tracks will intrigue and enrich all readers."
--JUDITH SCHACHTER, Former President, American Psychoanalytic
health services are badly needed (and do much good), but have
sometimes gone off the rails. This entertaining and accurate history
tells many of these stories, each of which is a lesson in the dangers
of naivete and hubris."
--JOEL PARIS, Emeritus Professor
of Psychiatry, McGill University;