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Setting Clear and Ethical Boundaries with Clients

Section 8
Track #8 - Effectively Using the Body Scan Technique to Avoid
Contradictory Nonverbal Messages

Question 8 | Ethics CEU Answer Booklet | Table of Contents
Social Worker CEUs, Counselor CEUs, Psychologist CEs, MFT CEUs

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As you know, nonverbal communication takes place between therapist and client the first time you meet...each starts developing ideas about the kind of person with whom each are dealing.

Previously I described the use of a calm body language as a way of reinforcing a boundary with an out-of-control client. Let's look at nonverbal communication, contradictory messages, and the resulting effect on boundaries. As you know, nonverbal communication takes place universally when two individuals meet, size each other up, and develop ideas about the kind of person with whom they are dealing, whether the other is hostile or friendly, weak or strong, concerned or indifferent.

Share on Facebook How to Avoid 2 Types of Contradictory Nonverbal Messages
Because nonverbal communication never ceases, two types of contradictory messages can occur.
-- 1. One
related to present circumstances and
-- 2. another
related to your past issues.
You may say verbally, "I am glad that worked out for you," while at the same time you may convey nonverbally, "I'm tired and feeling the affects of my allergy medication, it's late on a Friday afternoon, and I'll be glad to see my last appointment."

Partially Self-Disclosing
I find if I am giving off a mixed message I might partially self disclose, but still maintain an ethical boundary by saying, "My allergies have been really bothering me today, so excuse me if my eyes look a little glazed over." By acknowledging a reality of which the client may be aware, sets up a situation in which a limitation you have as a person is stated.

Vent to a Fellow Therapist
When I am aware of these feelings that may project contradictory non-verbal messages and recognize their impact on the client, I attempt to deal with my own feelings in constructive ways. To avoid a problem, I may vent my feelings of frustration with a fellow therapist. They can also, in some instances, help me to clarify my feelings regarding the client, help me to try to understand their source, and decide whether it is possible to change the situation that provoked them.

In summary ask yourself, "Do I need to increase the frequencies of my body scans regarding my non-verbal messages?" Since body language can convey conflicting feelings to your client, this creates the boundary violation of shifting the focus away from the client and towards yourself.

Share on Facebook Exercise: Body Scan
To maintain this ethical boundary, I do a body scan starting with the tilt of my head, to my facial expression, eye contact; to my shoulders being raised; my posture; arms and hands and finally leg and feet movement. By doing my body scan in this order from top to bottom, so to speak, it has become a regular habit that takes little mental distraction and can be done in a few seconds.

How do you vent your feelings of frustration? Think of a client towards which you have conflicting feelings. What feelings do you need to acknowledge? What is their source?

- Stone, M. PhD, Boundary Violations between Therapist and Patient. Psychiatric Annals, 1999, 670-7.

What is one method to develop awareness of your nonverbal communication? To select and enter your answer go to Ethics CEU Answer Booklet.

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