The Ethics of Dual Relationships: Beliefs and Behaviors of Clinical Practitioners

Abstract

This study reports on a survey of 220 randomly selected MFTs and LCSWs about nonsexual dual relationships. The purpose was to investigate whether therapists were engaging in dual relationships and whether their beliefs and behaviors differed based on particular characteristics. Nearly one-third of the respondents had provided individual therapy to a friend, relative, or lover of a current client, disclosed details of their own personal stresses to clients, or accepted client invitations to special occasions. Over three-quarters had accepted small gifts from clients. Yet the majority viewed these relationships as unethical. Results imply that little consensus exists about nonsexual dual relationships, and therapists need to be vigilant in terms of potential risks to clients and to themselves.