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Freud himself was anything but an anonymous or neutral figure.

According to accounts from his patients who have reported their experiences, his personal presence was very much in evidence to his patients (Lohser and Newton, 1996).

He made no effort to disguise his own personal judgments about issues that arose.

He often was quite dogmatic and would express strong feelings toward his patients.

As a result, the professions are now much more alert to the problem, and the veil of secrecy has been lifted.

To determine if this article meets the CE requirements for your specialty, please contact your state licensing board. Gabbard is Brown Foundation Chair of Psychoanalysis and professor in the Menninger department of psychiatry at the Baylor College of Medicine. Professional boundaries are components that constitute the therapeutic frame.

Ernest Jones indicated in a letter to Freud that his common-law wife, Lo Kann, had been a patient of his as well.

Freud was sufficiently concerned about the devastating impact of transference and countertransference on his disciples that his early papers on technique often sound like a version of the Ten Commandments designed to warn his students about potential transgressions of professional boundaries.

He is also training and supervising analyst at Houston-Galveston Psychoanalytic Institute. They can be considered to represent an "edge" or limit of the appropriate behavior by the psychoanalytic psychotherapist in the clinical setting (Gutheil and Gabbard, 1993).

The fundamental notion inherent in the concept of professional boundaries is that attention to the basic aspects of the professional nature of the therapeutic relationship will serve to create an atmosphere of safety and predictability that facilitates the patient's ability to use the treatment.

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