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Boundary Issues and Multiple Relationships in Genetic Counseling Supervision: Supervisor, Non-supervisor, and Student Perspectives

  • Original Research
  • Published:
Journal of Genetic Counseling

Abstract

Boundary issues and multiple relationships potentially affect all supervision interactions. Boundary crossings are departures from the strictest professional role and may or may not benefit supervisees. Boundary violations are outside common practice and may place supervisees at significant risk. Multiple relationships occur when supervisors concurrently or consecutively hold two or more roles with supervisees. Studies in other fields indicate supervisors and supervisees may be uncertain about professional conduct regarding these issues. In this study, genetic counselor supervisors (n = 126), non-supervisors (n = 72), and genetic counseling students (n = 129) completed an anonymous survey investigating four major questions: 1) Are various boundary issues and multiple relationships perceived as differentially appropriate? 2) Do supervisor, non-supervisor, and student perceptions differ? 3) What challenging situations have respondents experienced? and 4) What management strategies did they use? There was general agreement among groups in their appropriateness ratings of 56 hypothetical supervisor behaviors, although supervisor ratings tended to reflect stricter boundaries regarding the appropriateness of interactions than student ratings. A majority rated unavoidable boundary crossings and supervisor multiple relationships involving an academic relationship as most appropriate, and romantic/sexual multiple relationships and/or boundary violations as least appropriate. Analysis of respondents’ actual challenging situations revealed many involved boundary violations, placed students at risk of harm, and often resulted in student compliance.

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Acknowledgments

This study was completed in partial fulfillment of the requirements for the first author’s Doctor of Philosophy degree from the University of Minnesota. This study satisfied a pre-dissertation research requirement. We are grateful to the participants for taking the time to share their perceptions and experiences. We also thank the reviewers and the Action Editor for their insightful comments and suggestions.

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Correspondence to Patricia McCarthy Veach.

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Gu, L., McCarthy Veach, P., Eubanks, S. et al. Boundary Issues and Multiple Relationships in Genetic Counseling Supervision: Supervisor, Non-supervisor, and Student Perspectives. J Genet Counsel 20, 35–48 (2011). https://doi.org/10.1007/s10897-010-9318-9

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  • DOI: https://doi.org/10.1007/s10897-010-9318-9

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