Professional Boundaries Podcast

Dr. Wendy McIntosh PhD

Professional Boundaries: Your safety, your well-being. Dr. Wendy McIntosh PdD is sharing strategies and tips about maintaining safe Professional Boundaries. Helping you keep yourself safe at work. For health professionals, police, mental health workers, chiropractors and anyone working in a public-facing role. Podcast presented by Dr. Wendy McIntosh PhD RGN, RMHN, Grad.Dip MH, MN, Cert IV Workplace Assessment & Training, Group Leadership Cert, MRCNA, MANZCMHN, AMANZSPA.Wendy has over 30 years as a health professional (clinical, education and research), twenty-five of those years in mental health. Areas of specific interest and passion for Wendy include professional supervision, professional boundaries, ethics and identity, links between childhood trauma and mental illness and workplace bullying. Wendy has over 20 years as a psychodrama trainee – a life long learning. She is committed to using experiential learning in the work she does with individuals and groups. Regularly presenting workshops at national & international conferences, Wendy consistently receives feedback on her passion, knowledge, and creativity as a presenter & facilitator.

Episodes

  1. 12/20/2019

    Ep.5 Reasons for Transgressions

    Episode 5 – Reasons for Transgressions In Episode 5, Dr Wendy McIntosh PhD, from Davaar Consultancy recounts a Professional Boundaries scenario about a Police officer in a small town and the various events that led to his transgressions. You’ll hear how, in hindsight, it was clear that unresolved issues from his own history left him at risk of this particular boundary violation.  Learn about how taking a candid look at our own history might give us hints about Red Flags warning us of likely vulnerabilities before problems transpire. Wendy also discusses Consistency or the lack of it, a particularly powerful Red Flag that usually deserves our immediate attention. This is the fifth part of a dialogue that be will be continued in the following episodes. Use the links above to subscribe, or click the play button to listen. There are 6 episodes planned in this first season of the Professional Boundaries Podcast and we hope you’ll be back to enjoy and learn from each of them. If you’ve ever wondered about your own boundaries in your Professional role, or been alerted about the risks of crossings or violations, this podcast will help you learn what to watch for, and ways to stay out the danger zones. Dr Wendy McIntosh welcomes both your interest and curiosity. Send Wendy questions at wendy@davaar.com.au or via Twitter, Instagram or Linked In In this podcast series, Dr Wendy McIntosh PhD shares insights and strategies about developing and maintaining professional boundaries. Professional Boundaries are not limited to the clinical or therapeutic arena. If you are in a professional role – a teacher, support worker, police officer, a prison officer, council worker, hairdresser. If you are a volunteer or belong to a theatre group, a choir, a sports club, there will be something in this podcast for you and the relationships you have with others. Setting boundaries in our life is necessary for our emotional, psychological, spiritual and physical well being. Setting boundaries is about our safety. Dr. Wendy McIntosh PhD Since 2005 Wendy has been developing her knowledge and interest in the area of professional boundaries. Wendy delivers workshops on boundaries in Australia (where she now lives) and Internationally when invited to do so. She is continually integrating learning and insights she gains from the work she does in professional boundaries. Wendy comes from a nursing, and predominately psychiatric nursing, background. Wendy consistently receives feedback on her passion, knowledge, and creativity as a presenter and facilitator. Enjoy exploring boundaries in this podcast series as Wendy takes you on your own reflective journey on your professional boundaries. References: Sir Walter Scott Quote – https://www.ncbi.nlm.nih.gov/pubmed/12678303 https://www.merriam-webster.com/dictionary/intrapsychic Thomas Gutheil, (1989). Borderline personality disorder, boundary violations and patient-therapist sex: Medico-legal pitfalls. American Journal of Psychiatry, 146, 597-602. The Drama Triangle – https://www.youtube.com/watch?v=E_XSeUYa0-8 Recommended reading on Transference King, R.,& O’Brien. T. (2011). Transference and countertransference: Opportunities and risks as two technical constructs migrate beyond their psychoanalytic homeland. Psychotherapy in Australia, 17 (4), 12-17. Music clips in this podcast: “Lightless Dawn” by Kevin McLeod (Found at http://FreePD.com) & “Pond” by Rafael Kruz ((Found at http://FreePD.com Artist- https://www.orchestralis.net/) License: CC 0 BY (http://creativecommons.org/licenses/by/3.0/) Transcript: Podcast Five – Reasons for transgressions According to Aristotle – “All human actions have one or more of these seven causes: chance, nature, compulsions, habit, reason, passion, desire.” Scenario He was a police officer, recently graduated from the police academy. As a child, he had witnessed and experienced domestic violence from his father to his mother. As a young child, he wished that he could have done something to stop the violence. He had hopes that someday his father would have an accident, an injury or would die so that he never came home again. As a young officer he accepted a posting to a rural and remote area, he was glad to leave the city behind. Glad to leave his trauma behind. His father was no longer alive he had died whilst driving home one night under the influence of alcohol. He assessed that his mother would be ok without him being there, they had regular phone contact and he always felt reassured at the end of the phone calls. He was a few weeks into his positing and he was enjoying his new role. He was taking some time to establish a network of friends. He was the only officer in the village, his colleagues operated out of the main station which was 50 kilometres away. One night he received an emergency call to attend a domestic disturbance in the village. He knew the address, he had met the young woman who lived there and he liked her. He had heard through the village grapevine that her partner would beat her on a regular basis. The protocol was that he had to wait for other officers to arrive to assist him rather than go into such a situation on his own. He knew his colleagues would take some time to get there. There was protocol and there was his reaction. He did not wait. He drove to the house, jumped out of the car and as he entered the house, he announced who he was. Welcome to this Podcast series – Professional Boundaries, Your safety, your wellbeing. I am Wendy Mcintosh from Davaar Consultancy and I am delighted that you are joining me on another journey into the world of professional boundaries. This podcast series invites you to reflect on your Professional Boundaries and to appreciate how knowing the five foundation stones of boundaries can assist you in the everyday work that you do. This is our fifth episode. As I have stated in previous episodes I wanted the podcasts to be as interactive as possible and I been inviting listeners to email me any questions, scenarios or reflections they had about boundaries. I am delighted to say that I now have podcast listeners contacting me with scenarios they wish explored during an episode and two folks who have approached me to ask that we have an episode specifically on collegial boundaries. So thank you for that, we will build your themes into future episodes. Keep your questions, scenario, and reflections coming. Let us keep boundary discussions alive and robust. Contact details for ongoing discussions or questions with me are given at the end of this episode. I realised as I was thinking about content for this episode that there was one theme that I had not yet integrated as a thread through my previous episodes. That thread is consistency. Consistency in the way a professional works with a customer they see on a regular basis. Consistency in the work a professional does with a number of customers. Consistency in a team approach. Consistency modelled throughout an organisation. Boundaries are more challenging to have in place – when an organisation is loud about its mission statement, vision statement and expectations about how employees conduct themselves and then team leaders, supervisors, and management team – loudly role model something quite different. Talk about setting up moral distress in a workforce. Talk about taking work home. Talk about feelings of unfairness and injustices. Talk about employees wanting to do more for a customer than what the professional role requires. Well, we will talk about these further as we continue on our boundary journey. In today’s episode, we explore foundation stone number four – Reasons for boundary transgressions. I have developed a multilevel model to explore and explain the reasons for transgressions. I find that factors from all four levels contribute in some way to influencing a transgression. The four levels that I focus on are the Intrapsychic, Interpersonal, Organisational, and Broader System. I will give a brief introduction about each level and then using the scenario of the police officer I shall describe each level in greater detail. Let’s start with the Intrapsychic Level Intrapsychic is defined in the Marion Webster dictionary as “being or occurring within the psyche, mind, personality”, for me the Intrapsychic also includes a person’s beliefs and moral compass. At this point, I want to pause to consider – when I talk about the Intrapsychic in terms of boundaries, I include that of the individual client and of the individual professional. Remember, the professional is always responsible for commencing, maintaining and where necessary effectively ceasing the professional relationship. This is because of the inherent power/vulnerability dynamic in the relationship. However, there may also be other vulnerabilities in the client (beyond them being a client of the service) that predisposes a professional to be at greater risk of boundary transgressions with that individual client. I will explore this more, later in this episode. At the core of the Interpersonal level is the relationship between the professional and the other person, for example, the professional and a client, the professional and a colleague, the professional and a client’s support person. This level includes the dialogue, the interaction, the communication, the spoken and the unspoken, the dynamic of power and vulnerability, the social roles ascribed to each person such as nurse-patient, hairdresser-customer, support worker-customer, teacher-student, counsellor-client, police officer-customer. At the Organisational Level– it is important to consider how policies and procedures, guidelines, mission statements, job descriptions, Duty of Care, resource allocation, and expectations can challenge or compliment professional relationships. Expectations of supervisors and team leaders of their staff, expectations

    1 hr
  2. 02/19/2020

    Ep.6 Strategies to Set and Repair Boundaries

    Episode 6 – Strategies to Set and to Repair Professional Boundaries In Episode 6, Dr. Wendy McIntosh PhD, from Davaar Consultancy, shares a Professional Boundaries scenario set in a child care centre. Although the lure of becoming friendly with the parents of the children who are cared for each day is attractive, it can be a pattern that can be tricky to reverse. Wendy describes steps to remedy this awkward situation and some hints on ways to help refocus the attention back on the customer and their child, rather than the staff member’s family.  Also discussed are strategies for establishing better boundaries in collegial relationships, and how it’s important that front office staff also exhibit a unified boundaries front. This is the final episode of Season One,  and rounds up our first season of the Professional Boundaries Podcast. Use the links above to subscribe, or click the play button to listen. Get access to all episodes here.  Stay tuned for the Season Two, coming soon. There are 6 episodes in this first season of the Professional Boundaries Podcast and we hope you’ll both enjoy and learn from each of them. If you’ve ever wondered about your own boundaries in your Professional role, or been alerted about the risks of crossings or violations, this podcast will help you learn what to watch for, and ways to stay out the danger zones. Dr. Wendy McIntosh welcomes both your interest and curiosity. Send Wendy questions at wendy@davaar.com.au or via Twitter, Instagram or Linked In In this podcast series, Dr. Wendy McIntosh PhD shares insights and strategies about developing and maintaining professional boundaries. Professional Boundaries are not limited to the clinical or therapeutic arena. If you are in a professional role – a nurse, a teacher, support worker, doctor, police officer, a prison officer, council worker, healthcare worker, or hairdresser. If you are a volunteer or belong to a theatre group, a choir, a sports club, there will be something in this podcast for you and the relationships you have with others. Setting boundaries in our life is necessary for our emotional, psychological, spiritual and physical well being. Setting boundaries is about our safety. Dr. Wendy McIntosh PhD Since 2005 Wendy has been developing her knowledge and interest in the area of professional boundaries. Wendy delivers workshops on boundaries in Australia (where she now lives) and Internationally when invited to do so. She is continually integrating learning and insights she gains from the work she does in professional boundaries. Wendy comes from a nursing, and predominately psychiatric nursing, background. Wendy consistently receives feedback on her passion, knowledge, and creativity as a presenter and facilitator. Enjoy exploring boundaries in this podcast series as Wendy takes you on your own reflective journey on your professional boundaries. References Alaric Hutchinson – https://www.goodreads.com/quotes/tag/present-moment Brooke Deterline – https://www.youtube.com/watch?v=wzicXbnmllc- Adam Fraser – The third space – https://www.youtube.com/watch?v=dpk_dssZXqs Cambridge Dictionary – https://dictionary.cambridge.org/dictionary/english/recalibrate Music clips in this podcast: “Arcadia” by Kevin McLeod (Found at http://incompetech.com) & Savannah Sketch”  ” by Kevin McLeod (Found at http://incompetech.com) License: CC 0 BY (http://creativecommons.org/licenses/by/3.0/) Transcript: Podcast Six – Strategies for Setting and Repairing Boundaries Scenario She worked with children at a child care centre. She had been used to sharing details of her own family including information about her children with parents whose children attended the centre where she worked. Initially, she had thought nothing about this self-disclosure. She assessed that sharing information about herself and her children assisted the parents to feel comfortable about leaving their children in her care. However, she had become aware that she was uncomfortable about sharing such intimate information with some parents. Being curious about this, she started to question her actions. She read about professional boundaries and discussed questions she had about her self disclosure with friends. With greater awareness and appreciation about boundaries, her concern grew about the patterns of interactions she had established in her relationships with the parents at the centre. She experienced increased discomfort with parents who would start each day asking her about her children. She realised that the focus had become about her and her children – the roles had reversed. She wanted to create greater separation between her home and work. She wanted to be able to leave her children at home where they belonged not in her workplace. How could she protect them, when she had been so disclosing of their experiences growing up. She felt a pang of disquiet that she had transgressed her children’s rights to confidentiality and privacy. She wondered what she could do to change her relationships with the parents. She was concerned that if she established boundaries on her self-disclosure that it could have a negative impact on the relationships she experienced with the parents. Perhaps even a negative impact on the centre. How could she stop the patterns of conversation that were now so well established in the meet and greet each day? Welcome to this Podcast series – Professional Boundaries, Your safety, your wellbeing. I am Wendy McIntosh from Davaar Consultancy and I am delighted that you are joining me on another journey into the world of professional boundaries. This podcast series invites you to reflect on your Professional Boundaries and to appreciate how knowing the five foundation stones of boundaries can assist you in the everyday work that you do. This is our sixth episode and today I focus on strategies. Strategies for you individually Strategies when you witness or become aware that a colleague has – or is about to transgress a boundary Strategies for organisations This is a good time to remember the four foundation stones that we have discussed in previous episodes. Reminding ourselves that when we understand those four stones in relation to the context in which we work, then we already have some strategies at hand. The four foundation stones that we have previously discussed can be informative guides in our professional boundary journey. Definitions (from episode 2) Professional Boundary framework (including over and under involvement and categories of concern) (from episode 3) Red Flags (from episode 4) and, Reasons for transgressions (episode 5) As I have stated on previous episodes I wanted the podcasts to be as interactive as possible and I have been inviting listeners to email me any questions, scenarios or reflections you have about boundaries. Thank you to those who give me scenarios to work with. I will continue to build them into episodes we produce. Keep your interactions coming and if you have any feedback that you want to put up on the various sites where you can access our podcast we would love you to do so. Contact details for ongoing discussions or questions with me are given at the end of this episode. Keep putting the word out about the podcasts to your colleagues, peers, family and friends. We are delighted that as well as our growing numbers of listeners in Australia, we welcome listeners from Europe, USA, Jamaica, Tanzania and South Africa. Brilliant. I am appreciating that the theme of professional boundaries is pertinent no matter where in the world we work. Whilst contexts will vary – professional boundary themes resonate no matter the country, the profession, or the organisation. This episode introduced a scenario that is common for participants who attend my workshops. With knowledge, awareness and insight about patterns of behaviour and potential risks of those patterns, participants are keen to change the interactions in the relationships they have with clients, colleagues, or family members of clients. The area of self-disclosure and how to adjust that especially in longer-term professional relationships is worthy of exploring. As always any enquiry about a potential or actual transgression leads with my four boundary questions. Remember them? What was/is the intent or the purpose of the action / the content of the speech? Whose needs are/were being met? Were/are there other options available? (Generally, there will be a minimum of five options for each event) And the question I believe is essential – what stopped the person using another option? For this episode, we are going to get back into the car for a journey like we did in episode three when we discussed the boundary framework. So buckle up safely. Get comfortable and enjoy the learning. Remember if you have any questions, reflections or stories you want to share – don’t be a back seat driver – come up front with me and yarn. There are three main billboards ahead – Strategies for self, Strategies for colleagues, Organisational strategies. Many of the strategies presented in this episode come from the data I collect at the end of each workshop on boundaries. Consistent strategies emerge no matter the organisation or professional group that I work with. The strategies are consistent with articles written on professional boundaries. The strategies are consistent with those identified by participants who complete our internet tool on boundaries. We are going to stop at all three billboards and take time to absorb what they have to tell us, let us start with strategies for self. Strategies for self Preparing for the journey that is professional boundaries. I remember early on in my psychiatric nurse training one of our lecturers being very clear with us “You are not here to get your own therapy, you will not use the patients for that purpose, you n

    46 min
  3. Professional Boundaries and COVID-19

    04/06/2020

    Professional Boundaries and COVID-19

    SPECIAL EPISODE – Boundaries and COVID-19 It’s April 2020 and the world is in the grip of a global pandemic. During this trying time, each of us needs help navigating this crisis. In this special episode Dr. Wendy McIntosh PhD, from Davaar Consultancy, discusses tapping into your support networks, the pressures of being at work during the COVID-19 pandemic, and the immense challenges of maintaining safe Professional Boundaries when we’re all operating under additional pressures.  Wendy also talks about the stresses of working from home, teaches us how to use Box Breathing to get some relief, and how to use The Third Space model to use the shift between work and home to find a little peace, even when work and home are in the same location.  Use the links to the right to subscribe in your favourite Podcast app, or click the play button to listen. Visit our Podcast page to see all episodes. We hope you’ll enjoy our Professional Boundaries Podcast and learn from each episode. If you’ve ever wondered about your own boundaries in your Professional role, or been alerted about the risks of crossings or violations, this podcast will help you learn what to watch for, and ways to stay out the danger zones. Dr. Wendy McIntosh welcomes both your interest and curiosity. Send Wendy questions at wendy@davaar.com.au or via Twitter, Instagram or Linked In   In this podcast series, Dr. Wendy McIntosh PhD shares insights and strategies about developing and maintaining professional boundaries. Professional Boundaries are not limited to the clinical or therapeutic arena. If you are in a professional role – a nurse, a teacher, support worker, doctor, police officer, a prison officer, council worker, healthcare worker, or hairdresser. If you are a volunteer or belong to a theatre group, a choir, a sports club, there will be something in this podcast for you and the relationships you have with others. Setting boundaries in our life is necessary for our emotional, psychological, spiritual and physical well being. Setting boundaries is about our safety. Dr. Wendy McIntosh PhD Since 2005 Wendy has been developing her knowledge and interest in the area of professional boundaries. Wendy delivers workshops on boundaries in Australia (where she now lives) and internationally when invited to do so. She is continually integrating learning and insights she gains from the work she does in professional boundaries. Wendy comes from a nursing, and predominately psychiatric nursing, background. Wendy consistently receives feedback on her passion, knowledge, and creativity as a presenter and facilitator. Enjoy exploring boundaries in this podcast series as Wendy takes you on your own reflective journey on your professional boundaries. Music clips in this podcast: Easy Lemon by Kevin MacLeod Link: https://incompetech.filmmusic.io/song/3697-easy-lemon License: http://creativecommons.org/licenses/by/4.0/ References: Dr. Adam Fraser: The Third Space TED Talks: Kelly McGonigal – Make Stress Your Friend Box breathing: https://www.youtube.com/watch?v=FJJazKtH_9I WHO on Twitter: https://twitter.com/WHO?ref_src=twsrc%5Egoogle%7Ctwcamp%5Eserp%7Ctwgr%5Eauthor ICN on Twitter: https://twitter.com/ICNurses?ref_src=twsrc%5Egoogle%7Ctwcamp%5Eserp%7Ctwgr%5Eauthor Transcript: Special Episode – Boundaries and COVID-19 Hello to all our listeners, wherever you are in the world. Welcome to this special boundaries podcast – boundaries and Covid 19. My first message is that I trust you, your loved ones, colleagues and friends are staying safe. As safe as you can be in this rapidly changing scenario that our world and peoples of the world are currently experiencing. I never in a million years envisaged that I would do an episode on professional boundaries and viruses, yet here I am. You would be correct to wonder – really Wendy where are you going with this one? Boundaries and virus that’s a new one. True there is so much “new” happening in the world just now. I will trust that whatever emerges from my writing for this episode is what is required to be shared. My purpose for this episode is not to discuss the realities that are Covid 19. Information and updates on Covid 19 are well covered in much detail through many sites including media, government and health sites (country, state and territory specific), professional group sites and the World Health Organisation sites. It is good to find a couple of reliable sources that you trust for those updates. I follow twitter leads for the WHO and the International Council of Nurses – the ICN. I have given links to those two organisations at the end of the transcript of this episode. Transcripts for all our podcasts are available on our website: www.davaar.com.au No, my purpose for this episode is to yarn with you about boundaries during this current climate. Specifically, I will interweave my ideas about the potential for increased risk of transgressions (over and under involvement) during this time and also, more importantly, to talk you through strategies for managing your boundaries and self-care on a daily, weekly and probably monthly basis as we travel with and get affected by Covid 19. Over involvement may occur because as professionals individuals want to do their job to the very best of their ability and in extraordinary times as we are currently in, to give more and more. Conversely under involvement may occur because an individual is overwhelmed, exhausted, given so much that they have no more to give. Remembering that boundaries are about safety – your safety as a professional. Your safety in relationship to your clients and colleagues. Currently in the shifting sands of what constitute safety at work, at home, in society, then the context of boundaries also shifts and changes. It is important in the constant shifting to keep updated about policies and guidelines, changes in your organisation and scope of practice for the professional roles you are being asked to do. I have been thoughtful about professional and personal boundaries since news of Covid 19 became more constant in our media. My reflections on boundaries and Covid 19 has ramped up further in the last two weeks as I have become more aware of the following: reports of increased stress and distress in our health professionals coping with the demands that have been placed upon them, including lack of Personal Protective Equipment (PPE) reports of how the context of the virus has been used in domestic violence relationships by perpetrators as another way to use control and fear hearing about the stress of teachers who worry about their safety and the safety of children coming to school, providing education for children not attending school and a reality that for some children school may be the only place of safety for them, what happens when the option of going to a place of safety is removed from those children? There are many more examples I can think of stimulated through discussions I have had with colleagues and family here in Australia and around the world. Each of you listening to this podcast will have your own experiences, your own stressors and your own means of managing yourself safely at this time. I am aware that the focus of this podcast will have a sense of steering towards health professionals. It is important for me to acknowledge though that boundary transgressions could also occur across many professional groups at this time including, teachers, support workers, child care workers, police and prison officers. I envisage that the podcast will also be relevant to those of you listening who are now having to work from home. There are still boundary considerations to be mindful of in the office space created in one’s own home. I envisage that the strategy content towards the end of this podcast encompasses you no matter what your working environment currently. I am also aware that some of our listeners may have become recently unemployed due to the impact of responses to Covid 19 from government strategies. This podcast is also for you, looking after you at this time of increased stress and distress. So let’s look at – Red flags and potential reasons for boundary transgressions during the Covid 19 experience. In episode five we explored reasons for transgressions using a four levelled model to assist us to understand the complexity of influencing factors in boundary transgressions. The fourth level, that of broader systemic influences is highlighted at this time. When the context shifts as rapidly as it is doing with Covid 19 – especially in terms of social mores, workload factors, safety fears for family members and safety issues due to lack of / or inappropriate PPE – there could be an increased risk of vulnerability to boundary transgressions for individual professionals and / or professional groups. Potential pressuring influences such as social media, traditional journalism, changes in government strategies (country-specific), expectations from the community and expectations within professional groups may all contribute to increased vulnerability. A vulnerability to do more. A vulnerability to be more. A vulnerability to assist no matter the cost. The cost to self, psychologically, emotionally physically, spiritually and socially could be high at this time. Internationally health professionals, especially nurses and doctors are grappling with how to do more with less. Health professionals are dying due to Covid 19 and lack of PPE has been identified as a major contributing factor for those deaths, according to regular updates from the WHO and ICN. Doing more with less is not a new experience for nurses and doctors however the level of urgency, the large numbers of patients being admitted in crises at the one time and again lack of PPE has significantly increased the stress levels of the health workforce. Increased stress is another factor that

    39 min

About

Professional Boundaries: Your safety, your well-being. Dr. Wendy McIntosh PdD is sharing strategies and tips about maintaining safe Professional Boundaries. Helping you keep yourself safe at work. For health professionals, police, mental health workers, chiropractors and anyone working in a public-facing role. Podcast presented by Dr. Wendy McIntosh PhD RGN, RMHN, Grad.Dip MH, MN, Cert IV Workplace Assessment & Training, Group Leadership Cert, MRCNA, MANZCMHN, AMANZSPA.Wendy has over 30 years as a health professional (clinical, education and research), twenty-five of those years in mental health. Areas of specific interest and passion for Wendy include professional supervision, professional boundaries, ethics and identity, links between childhood trauma and mental illness and workplace bullying. Wendy has over 20 years as a psychodrama trainee – a life long learning. She is committed to using experiential learning in the work she does with individuals and groups. Regularly presenting workshops at national & international conferences, Wendy consistently receives feedback on her passion, knowledge, and creativity as a presenter & facilitator.