Sexual exploitation of clients by therapists is a blatantly unethical practice as is sexual contact with students employees supervisees research participants and others for whom the professional has responsibility.

Sexual exploitation of clients by therapists is a blatantly unethical practice as is sexual contact with students employees supervisees research participants and others for whom the
professional has responsibility.

Sexual contact with former clients is always prohibited for at least two years after the termination of therapy. The limit is five years in the ACA Code. Even after
this period sexual contact is permitted only in the most unusual circumstances and only in some professions. The codes do not directly address the issue of sexual contact after teaching or
supervision responsibilities have ended but in these cases professionals must demonstrate that the supervisory responsibilities have truly ceased. Moreover they must be able to show that the
sexual contact is nonexploitive.
Sexual misconduct by mental health professionals has been widely studied and the results show clear evidence of sexual exploitation by professionals. Up to 12% of therapists have admitted sexual
contact with current and former clients and some have acknowledged multiple contacts. Since this research relies on the willingness of professionals and clients to disclose such events in therapy
the reliability of that figure is probably not high. In any case surveys of mental health professionals have found that approximately half of those sampled have seen at least one client who
reports an experience of sexual exploitation by a former therapist. A similar percentage of faculty and supervisors have admitted the same misconduct. The only demographic variables associated with
this violation are gender and to a lesser degree age. Older male therapists and faculty are more likely to engage in this behavior than younger or female therapists. Victims on the other hand
are more likely to be female and younger than the therapist. Children as well as adults have become victims of sexual exploitation by therapists. Research has shown that sexual misconduct inflicts
serious and long-lasting psychological damage on victims. In fact that damage has been compared to the effects of rape or incest.
Sexual misconduct needs to be distinguished from experiences of sexual arousal. A great majority of counselors and therapists report having been sexually attracted to a client on occasion. The
experience of attraction is not unethical in itself as long as it is handled responsibly. The counselor has the duty to monitor his or her behavior so that the attraction does not distract the
client from the therapeutic focus of the session and does not prevent the counselor from providing competent service. Consultation and supervision are also advised when an attraction occurs.
Given this context it is not surprising that the use of nonerotic touch as a therapeutic approach is controversial. Some call it taboo and others view it as an appropriate if used wisely. All
professionals regard nonerotic touch as inappropriate if it serves the professionals needs over the clients or is insensitive to cultural social or gender considerations.
Essay Question 1
Sexual contact with former clients is one of the most controversial issues in the field. Describe the position of the APA and ACA codes on this topic and at least three reasons some scholars
disagree strongly with this position.
MULTIPLE RELATIONSHIPS AND BOUNDARY VIOLATIONS:
RISKING OBJECTIVITY AND CLIENT WELFARE

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