Ethical Concerns about Dual Relationships in Small and Rural Communities - A review

Dual relationships between therapists and clients (i.e., any relationships beyond the strictly professional), are generally considered inappropriate in the mental health professions. However, within the context of small and rural communities they are an almost inevitable part of every-day practice. The aim of this literature review is to provide an introduction to the ethics of dual relationships by focusing on the risks and opportunities that arise within complex relationships. Furthermore, it offers guidelines on how to determine the potential for harm in non-professional relationships with a client. It concludes by noting that dual relationships are ethically more complex than they may first appear.