Dual Relationships
The relationship between a service provider and their client is particularly sensitive because the circumstances that bring the two individuals into contact are usually necessitated by a state of mental unrest in the client. Accordingly, the issue of whether or not to engage in a dual relationship (when the doctor has a relationship with their patient distinct from the clinical context) with the client must be treated in a very sensitive manner; the therapist has a responsibility to not only operate in their own best interest but also that of the patient they are hired to assist. This paper examines the relationship between a therapist and an unhappily married Latin American female client, determining whether or not the therapist should advocate divorce and pursue a romantic relationship with his client. Although the therapist has decided that they will pursue the relationship and advocate divorce, this is not recommended.
The patient and therapist have been in treatment for three months. In this period, the client, a thirty-five-year-old Latina woman, has grown increasingly unhappy with her marriage. The impetus for the counseling was that her husband was verbally abusive with her, never giving her any respect and ordering her to restrict herself to a steady diet of housekeeping and satisfying his desires. As the relationship progressed, the patient has grown more effusive in complimenting the doctor on his attire, physical appearance, and intellectual acumen. The doctor is forty years of age and recently divorced. There are a number of factors that must be considered by the doctor in deciding whether to pursue the relationship with his patient, including the patient's vulnerability, whether or not it is in her best interest to get a divorce, and whether the two individuals would be compatible in a romantic context, and finally, if it is possible to continue with the therapeutic relationship.
The first matter that must...
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