In the mental health field, a dual relationship is a situation where multiple roles exist between a therapist, or other mental health practitioner, and a client (Zur, 2015). Dual relationships are also referred to as multiple relationships, and these two terms are used interchangeably in the research literature (Zur, 2015). Standard 3.05 of the APA ethics code outlines the definition of multiple relationships. Dual or multiple relationships occur when (APA, 2010):
1. A professional and personal relationship take place simultaneously between the psychologist and the client.
2. The psychologist has a relationship with a person closely related to or connected to their client.
3. The psychologist has intentions to enter into a future relationship with the client or someone closely related to the client
In the ethics code, Standard 3.05a states, “(a) a multiple relationship occurs when a psychologist is in a professional role with a person and at the same time is in another role with the same person” (Fisher, 2013). If a psychologist gets involved in this situation, they will not be able to defend themselves in front of the licensing board because this behavior will not be condoning. It is better to avoid this situation to escape repercussions. In addition, the standard provides a description of when to avoid multiple relationships when the relationship causes harm to the client or impairs the psychologist's competence and when these relationships are not considered unethical
Kitchener, K. (1988). Dual role relationships: What makes them so problematic?. Journal of Counseling and Development.
At times, a relationship between the client and the worker may occur when building a rapport with the client. Some dual relationships are not harmful but when it is for personal gain, it becomes unethical
A counselling relationship is likened to being on a journey - a beginning, middle and end (Smallwood, 2013). During the beginning phase the client develops sufficient trust in the counsellor and the relationship ‘to explore the previously feared edges of his awareness’ (Mearns and Thorne, 1988, p.126).
us. Rogers puts forward the view that the client held in the therapeutic relationship, when given the
Geyer (1994) defines dual relationships as occurring when a mental health practitioner, “relates to a client in roles other than that of a mental health practitioner outside the therapeutic context” (p.187). Areas outside of context may include church, social gatherings, and organized events to name a few. The term dual relationship is interchangeably used with multiple relationships or nonprofessional relations. Corey et al. (2011) further defines this role as a professional who assumes multiple, two or more, roles at the same time with a client. The following paper will look to address a literature review of dual relationships along with a review of the California Association of Marriage and Family Therapist (CAMFT) and American Counseling Association (ACA) ethics codes regarding the topic. I will further provide personal reflections and values as they relate to dual relationships. In closing I will provide an ethical resolution to a hypothetical case and provide final thoughts.
Your post is very informative, and provides some interested points in the learning forum. When comparing both ACA and NAADAC, ACA group dual relationships in a forbidden non-counseling Roles and Responsibility, which makes it more clearly about the specific of behaviors in-person and electronic interactions and relationships (ACA, Code of Ethics, 2014). NAADAC also stated that counselors should not engage in dual relationships. One example of a dual relationship is engaging in a sexual relationship between a former or current client. The NAADAC, the guidelines do not include a specific guidance of the appropriateness of the relationship. It just enforced that under no circumstances the practitioners should engage in sexual behavior
Dual relationships and the ethical behavior that revolves around boundaries with clients present a multitude of very complicated situations to counselors where a clearly defined course of action is not always evident. Aside from no accord amongst mental health professionals and boundary issues being unavoidable at times, recognition and prediction of potential benefits or pitfalls correlated with dual relationships can prove to be troublesome as well (Remley & Herlihy, 2010). For most cases, it is best if an outline is used to discern when it is appropriate for a counselor to breach the client-counselor boundary.
For that reason, in the mental health professions, dual relationships are generally not recommended. Thus, if your friend who’s a psychologist assumes two more roles consecutively with a client, this is considered a dual relationship. For instance, if an individual held a role as a counselor and business partner, or client and friend, this is a considered a dual relationship. Common examples of dual relationships include: bartering therapy for goods or services; providing
This paper will explore the concept of dual relationships between counselors and clients and the ethical implications of such relationships. In addition to presenting several examples of dual relationships, this paper will also explore how ethical decisions must be made to avoid potentially harmful or exploitive relationships in therapy as well understanding how different interactions between counselor and clients can be understood from an ethical standpoint, as well as how reviewing these ethical dilemmas may shape my future career as a counselor.
A second issue is whether the client may ever need to seek treatment again. If the former client is now romantically involved with the therapist, further engagement in therapy would be prohibited with this therapist. A referral elsewhere would need to be made. If the therapist judges this situation to be likely to arise, it would be wise not to engage in a sexual relationship with the former client.
There has been some recent argument against the current understanding of the place of relationships in psychotherapy. While most theories argue that relationships are important or even essential to good mental health, other theorists claim that the way relationships are conceptualized in these theories is insufficient (Slife & Wiggins, 2009). Most of these theories conceptualize the individuals first, and then talk about the way these individuals relate. Relationships are often understood as two or more independent self-contained individuals interacting (Slife & Wiggins, 2009). An alternative way to look at relationships is offered by relational psychoanalysts and other theorists, though again it should be noted that
Dual relationships occur when a practitioner is in a professional role with a client as well as taking on another role outside the clinic with the client. The professional needs to assess the risk in the relationship and whether both the practitioner and the client can differentiate between a boundary crossing and a boundary violation. In rural area’s a dual relationship may be unavoidable, the article discuses that the practitioner may have been chosen because of the prior relationship, and that some form of prior relationship may even be a prerequisite for the development of trust and respect in a small community. However, Zur also writes about the “Slippery Slope Effect” in which that all boundary crossings eventually lead to sexual relationships and boundary violations. The author then notes that the slippery slope effect is an unreasonable link and adds that when thinking of crossing a boundary the professional needs to consider the welfare of the client and benefits to treatments, whilst avoiding harm or exploitation and to respect the client’s autonomy (Zur 2004, pp27-32).
In this case, the psychologist is presented with several ethical issues which could cause harm to the client. The first ethical issue that arose in this case is the potential for a role conflict. The psychologist and Mr. Hartwig had contact prior to the development of a therapeutic relationship when the psychologist bought a car from Mr. Hartwig. It may not be enough that the brief, informal relationship ended. The psychologist must assess the dimensions of the previous relationship from the viewpoint of the client as well as his/her own personal feelings (Koocher & Keith-Spiegel, 2008). For example, the client could feel that he gave the psychologist a good deal and that the psychologist was indebted to him. This could leave the
When discussing the importance of professional boundaries in mental health work, most people think first of relationships between psychotherapists and clients. However, similar boundary considerations are relevant for professor–student relationships, supervisor–supervisee relationships, consultant–consultee relationships, and researcher–participant relationships. Although different dynamics are at play, the relationships psychologists have with each other, with other professionals, and with the general public have boundaries that warrant ethical consideration as well. The American Psychological Association (APA) offers some guidance. The APA Ethics Code says, in Standard 7.07: "Psychologists do not engage in sexual relationships with
“Relationship” is a term that has been used in many different situations. It could imply the ties between two people in love, the bond between family members or close friends or colleagues or even the bond between a person and his or her pet. In conselling, relationship takes on a more specific meaning. The counsellor establishes rapport with the client based on trust, respect and mutual prupose. When there is good rapport, a positive psychological climate is created and vice-versa. The likelihood of desirable outcomes is greater when the psychological climate is positive. Mutual purpose means both the counsellor and client have common goals leading to what has been described as a