This paper examines the ethical prohibition against dual relationships in psychology, focusing on a scenario in which a psychologist holds an existing instructor-student relationship with a person seeking therapy. Drawing on professional ethical standards, the paper walks through the concrete ways a dual relationship can compromise the therapeutic alliance β including conflicts over payment, grade disputes, and perceived bias β even when no actual harm occurs. The paper concludes that the mere possibility of a conflict of interest is sufficient to undermine therapeutic effectiveness, and recommends that the psychologist refer the student to another clinician rather than accept them as a client.
One of the most important ethical standards for psychologists β as well as for others in similar therapeutic roles β is the avoidance of dual relationships. Put simply, a dual relationship arises whenever a psychologist holds any additional relationship with a client beyond the therapeutic one. In the scenario presented here, the nature of the potential dual relationship is fairly straightforward: the psychologist and the student already have an established relationship with clearly defined roles as instructor and student. Because this is an ongoing, pre-existing relationship, it would not be ethical for the psychologist to also engage in a therapeutic relationship with the student.
Considering the possible future direction of such a hypothetical relationship helps illustrate why it would be so problematic. For example, if the psychologist began to see the student as a client and the student-client then did not pay for a session, this would generate a certain amount of conflict. In the course of a straightforward therapeutic relationship, conflicts over payment can become fertile ground for exploring the nature of the client-clinician relationship and the ways in which the client may interact with others in his or her life. This can prove to be a very therapeutic and powerful element of the work between a psychologist and a client (Meyer, n.d.).
However, pursuing this hypothetical a little further: what if, after the client has failed to pay a bill and the psychologist has addressed the issue β yet the bill remains unpaid β there is also an exam in the course? The student receives a low grade. Now the client feels angry. Is the low grade a result of the quality of the academic work, or is it retaliation for the outstanding payment? The student may be confused, or may be fairly certain that the grade is punitive. In either case, the therapeutic relationship will have been damaged (Meyer, n.d.).
"Contract pressures and perceived bias undermine therapy"
"Perceived conflicts harm therapy even without actual wrongdoing"
"Psychologist should validate student and refer elsewhere"
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