The Importance Of Dual Relationships

Therapeutic relationships ease and comfort a client`s mind. A full-bodied therapeutic relationship fosters a comfortable environment constituting contentment, thus decreasing anxiety levels (Gardner,

Kitchener, K. (1988). Dual role relationships: What makes them so problematic?. Journal of Counseling and Development.

There are a multitude of reasons why an individual may need or want therapy; whether it’s due to learning how to cope with a mental disorder or disability, life happenings such as traumas or abuse, addictions, or even PTSD. Anybody can receive it – individual persons, families, or groups. It isn’t hard to argue that most therapists and psychologists will agree that the therapeutic alliance is one of the most beneficial foundations of a therapy session. Also referred to as the working alliance or working relationship, it represents the bond between therapist and

The purpose of this study was to examine and understand the types of activities viewed as either ethical or unethical by psychologists practicing in different settings and orientation. Psychologists from the district of Hilo, Hawaii completed questionnaire and survey concerning the behaviors and acts that lead practitioners to engage in dual roles with client. Measures included demographic questionnaire and the Therapeutic Practices Survey. The participants rated the degree or level to which each behavior or act was ethical. A majority believed dual role behaviors to be unethical under most conditions and some reported that they have rarely or never engage in such behaviors. The profession and practice setting did not vary among terms of involvements, which includes incidental, social/financial, and dual roles. A review of previous studies and literature assisted in revealing the nature of relationships, ethical guidelines provided, and limits of boundaries for relationships. This study offers data to support the need for awareness of activities and behaviors leading to dual roles and the settings of practitioners most at risk.

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.

Trading goods and services is can work out for the best when it is not clinically contraindicated, and the relationship is not exploitative. I am on the line with exploration. If I offered my client services for free with no work or payment in return, I can certainly help her with her sessions but it would be at a lost for me. I am offering her an exchange which will benefit her but it also benefits me.

Therapeutic relationship is defined as the collaboration and attachment between the client and therapist that focuses on meeting the health care needs of the client (Bordin, 1979). In this relationship, the therapist without prejudice shows Empathy, insight, understanding and acceptance of the client. Duan and Hill (1996) defined Empathy as “feeling into” the experience of the client. Over the years, the research evidence keeps piling up, and indicating a high degree of Empathy in a Therapeutic relationship is possibly one of the most potent factors in bringing about positive outcome in the therapy

Research has shown that a strong therapeutic alliance is necessary for establishing a beneficial contact between the therapist and the client. If the therapist does not encourage the creation of a reliable therapeutic alliance from the beginning of the treatment, it will be hard to develop a constructive relationship with the client later. Establishing the therapeutic alliance will increase the chances of achieving the goal of the treatment because the clients will be willing to cooperate if they trust and respect the therapist. Clients are not likely to cooperate with therapists who impose their authority aggressively. Instead of imposing their authority on the patient, therapists should develop work with their patients by

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

By examining the bond between a therapist and his client we can further understand how important the role of therapeutic alliance is in treatment outcome. The authors point out that therapeutic alliance plays a major positive impact on the outcome of therapy. Individuals who build good therapeutic alliances with their therapists experience more productive and effective therapy than individuals who do not.

Therapy is often said to be just as much of an art as it is a science. Namely because there is so much that goes into it. To create a successful therapeutic relationship, there are some key elements that need to be a part of the formula. Each therapist may end up having a different recipe, but it is important that a therapist knows what ingredients he or she may need and what they can add for it to be successful. Throughout this paper, this writer will discuss characteristics she hopes to embody as a therapist, as well as the values and skills she wishes to bring with her into a therapeutic relationship.

Licensed professional counselors have a unique occupation in that not only do they interact with their clients on a highly personal level, but they also momentarily share their client’s burdens, worries, and concerns. This vicarious aspect of counseling creates the possibility for a counselor to continue sharing the client’s troubles long after the session has ended. According to Norcross and Guy (2007), “The person of the psychotherapist is inextricably intertwined with treatment success” (p. 2) meaning that if we desire more positive outcomes than negative ones we must figuratively become one with our clients. Due to this fact, “self-care is not simply a personal matter but also an ethical necessity, a moral imperative” (p. 6). If we fail to leave work at work at the day’s end, then other facets of our lives are in jeopardy of becoming tainted.

In view of the continuum of multiple relationships, which ranges form boundary crossings that ‘may be harmful, helpful, or benign to the therapeutic process’ (Hermann, 2006, Moleski & Kiselica, 2005, Rosenbloom, 2003,) to boundary violations which ‘place clients, and the therapeutic process at a high risk’ ( Gutheil & Gabbard, 1993; Simon,1992), there seems to be something more than ‘yes’ or ‘no’ answer to the non-sexual boundaries issue.

“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