38 Int. J. Psychol. Couns.
question continues to influence decision making in clinical
practice, thus hampers the success of the therapy. Also
psychologists face similar nettlesome conditions when
they had middle to long-term personal contact with clients
and interns. For instance, in the beginning of the
treatment, the power differential was pronounced, and
contacts may go on for ages, and then developed into
peer, friendly, companion-able or passionate ones. In this
case, it is advisable that psychologists take into
consideration the issue illustrated earlier, thatstate that
the scopes of the relationship must be viewed from the
client’s perspectives. So, it is not sufficient to conclude
that the approved professional rapport is reaching
termination. Finally, as good as a decision making model
is to clinical practice, it still lacked empirical validation.
Hence, for it to be properly applied in clinical practice, it
requires a subtle professional judgement as well as
careful and thorough reflection from a clinical psycho-
logist. Finally, it is worth mentioning that consultation is
an important ingredient in the decision-making process.
There is still no alternative to professional consultation of
As the decisions whether or not to cross a borderline
threaten us every day, they are often subtle and influence
the progress recorded in the therapy. Although dual
relationships sometimes enhance therapy, aid the treat-
ment strategy, and promote the clinician-client working
relationship, they also weaken the treatment process,
hamper the clinician-client cooperation, and bring instant
or lasting damage to the service user. At the individual
level, psychologists should take cognisance of their
individual and professional needs and be self-care. They
should endeavour to achieve those needs without
allowing them having any bearing on their relationships
with clients. Based on these analyses, this paper
recommends that: 1) professionals should position
themselves and make sound choices by coming up with a
strategyon boundary crossings that focus on their general
attitude to ethics. 2) Efforts must be directed toward
staying up-to-date with the evolving law, ethical values,
research, concept, and practice procedures. 3) Before
taking any decision, a psychologist must take into
consideration the situational context of each client.4)
Clinical psychologist must involve incritical thinking
devoid of common cognitiveblunders that can affect
clinical duties. 5) Efforts should be directed toward
avoiding personal responsibility for our decisions and we
should justify our choices and conduct. When we realise
our mistake or notice that our boundary choices have led
to woe, we should apply accessiblemeans to come up
with the best solution to solve the problem.
American Association for Marriage and Family Therapy (2001). AAMFT
code of ethics. Alexandria, VA: Author.
American Psychological Association (APA).(1992). Ethical Principles of
Psychologists and Code of Conduct.Amer. Psychol. 47, 1597-1611.
American Psychological Association.(1990). Ethical principles of
psychologists.Amer. Psychol.45, 390-395.
American Psychological Association (APA) (2002). Ethical Principles of
Psychologists and Code of Conduct.Amer. Psychol. 57, 1060-1073.
Beauchamp TL, Childress JF (1994). Principles of biomedical ethics(4th
ed.). New York: Oxford University Press.
Bleiberg RJ, Baron J (2005). Entanglements in dual relationships in a
university counseling center. Edu. Administrat. Abstracts, 40(2), 21-
Bleiberg RJ, Skufca L (2005). Clergy dual relationships, boundaries,
and attachment. Pastoral Psychol. 54(1), 3-22.
Borys D, Pope K (1989). Dual relationships between therapist and
client: A national study of psychologists, psychiatrists, and social
workers. Professional Psychology: Res. Practice, 20, 283-293.
Carroll MA, Schneider HG, Wesley GR (1985). Ethics in the practice of
psychology.Englewood Cliffs, NJ: Prentice-Hall.
Catalano S (1997). The challenges of clinical practice in small or rural
communities: Case studies in managing dual relationships in and
outside of therapy. J. Contemporary Psychotherapy, 27: 23-35
Corey G (2009). Theory and Practice of Counseling and Psychotherapy,
(8th ed.). Belmont, CA: Brook/Cole.
Corey G, Corey MS, Callanan P (2007).Issues and Ethics in the Helping
Professions.(7th Ed.). Belmont: Thompson Brooks/Cole.
Doyle K (1997). Substance abuse counselors in recovery: Implications
for the ethical issue of dualrelationships. J. Counsel. Develop.75:428-
Edwards J (2007). Speaking the unspeakable: The ethics of dual
relationships in counseling and psychotherapy. Hove: Routledge.
ISBN 1-58391-985-6. Counsel. Psychothera.Res.7, 128-131.
Epstein RS, Simon RI (1990), The Exploitation Index: an early warning
indicator of Boundary violations in psychotherapy. Bull Menninger
Feminist Therapy Institute (1987). Feminist therapy code of ethics.
Gabbard GO (1989).Sexual Exploitation in Professional Relationships.
Washington, DC, American Psychiatric Press,
Gottlieb MC (1986). Dual relationships: Is it ever all right? In R. M.
Dawes (Chair), "Dual relations: therapist and ex-patient." Symposium
conducted at the annual Annual meeting of the American
Psychological Association, Washington, DC.
Gutheil TG (1989). Borderline personality disorder, boundary violations
and patient-therapists ex: medicolegal pitfalls. Am. J. Psychiatry 146,
Gutheil TG, Gabbard GO (1993). The concept of boundaries in clinical
practice: theoretical and risk management dimensions. Am. J.
Psychiatry 150: 188-196.
Gutheil TG, Gabbard G.O (1998), Misuses and misunderstandings of
boundary theory in clinical and regulatory settings. Am. J. Psychiatry
Hubble MA, Duncan BL,Miller SD (1999) The Heart and Soul of
Change: What Works in Therapy. Washington, DC: American
Kitchener KS (1986, August). Dual role relationships: Can and ought
psychologists avoid them? Paper presented at the 94th Annual
Convention of the American Psychological Association, Washington,
Kitchener KS (1988). Dual role relationships: What makes them so
problematic? J. Counsel. Develop. 67: 217-221.
Kitson C, Sperlinger D (2007). Dual relationships between clinical
psychologists and their clients: A survey of UK clinical psychologists’
attitudes. Psychol.Psychothera.80, 279-295.
Knapp S, Slattery JM (2004). Professional boundaries in non-traditional