Professional Sexual Misconduct in Institutions - Werner Tschan

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Résumé :
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 on 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.

Biographie:
Werner Tschan, MD, runs a private practice in psychiatry in Siwtzerland. He is the Scientific Advisor to the Linda Foundation and 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. Together with his master's degree in Applied Ethics at Zurich University this 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 in improving legal proceedings and interventions by regulating authorities. 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 table on the prevention of sexual offenses in institutions. 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.

Sommaire:
Foreword Dedication Preface Survivor's Voice: A True Story of an Elderly Man Reaching Out for Help 1 Introduction 1.1. Historical Background; 1.2 Children's Lies - The Backlash After 1900; 1.3 The End of Hystories; 1.4 Developments in Europe; 1.5 New Penal Codes; 1.6 Public Awareness; 1.7 Awareness Psychology 2 How to Understand Survivors' Reactions 2.1 Attachment Theory; 2.2 Trauma and Its Consequences; 2.3 Delayed Onset of Symptoms; 2.4 Overcoming Trauma; 2.5 Society's Answer to Trauma 3 What Is PSM and How Does it Happen 3.1 What Is PSM?; 3.2 What Is the Magnitude of PSM?; 3.3 The spectrum of offense; 3.4 Who Becomes a Victim of PSM?; 3.5 What Are the Consequences of PSM?; 3.6 How Can 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 Sexuality and PSM; 3.12 Punishment or Treatment? 4 PSM in Various Disciplines 4.1 Health Care Professionals; 4.2 Psychotherapy and Counseling; 4.3 Social Work; 4.4 Care Homes; 4.5 Religion; 4.6 Education; 4.7 Sports and Leisure Time Activities; 4.8 Justice System; 4.9 Military 5 The Overlap with Workplace Violence 5.1 The Culture of Organizations as a Management Task; 5.2 Sexual Harassment; 5.3 Bullying; 5.4 Stalking; 5.5 Physical Violence; 5.6 The Decision-Making Process; 5.7 Problem-Solving Attempts; 5.8 Prevention of Workplace Violence 6 The Impact of PSM on Survivors, Institutions, and Professionals 6.1 From Victim to Survivor; 6.2 Consequences for Offender Professionals; 6.3 Consequences for the Institution; 6.4 Consequences for Society 7 Treatment of Survivors 7.1 Realizing; 7.2 Finding Help; 7.3 Processing; 7.4 Integration; 7.5 Overcoming; 7.6 Healing; 7.7 From Victim to Offender 8 Why Do Professionals Commit Sexual Offenses? 8.1 The First Meeting; 8.2 Treatment Procedure; 8.3 The Path to PSM; 8.4 Offender Strategies; 8.5 Homework During the Treatment Program; 8.6 Evaluation and Termination of Program; 8.7 Prognosis 9 Prevention of PSM in Institutions 9.1 Effective Complaint Mechanisms; 9.2 False Accusations; 9.3 The Decision-Making Process; 9.4 An Integrated Approach 10 Boundary Training 10.1 A New Paradigm: Rehabilitation After PSM; 10.2 The 24 Modules; 10.3 Who Should Undergo Boundary Training?; 10.4 Boundary Training in Professional Formation and Further Development; 10.5 We Don't Need to Re- Invent the Wheel 11 Assessment and Rehabilitation of Affected Professionals 11.1 Assessment; 11.2 Rehabilitation Program; 11.3 Critical Questions; 11.4 Case Consultation and Supervision; 11.5 Economic Consequences; 11.6 Risk Management 12 Prevention Overview 12.1 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