Conflicts of interest involve dual relationships
; one person in a position in one relationship and a relationship in another situation.
Gottlieb's decision-making model (35) recognizes that trying to avoid all dual relationships
is unrealistic and not all dual relationships
(Adapted from Parkes & Jules, 2008) Boundary crossings and violations are generally viewed in a linear manner, ranging from less harming acts such as extending the time during a particularly emotionally-charged session or receiving a small gift, to breaches such as dual relationships
and therapist self-disclosure, through to violations such as sexual contact with the client.
Among their topics are moral development and ethical decision making in social work practice, confidentiality and the duty to warn and protect, paternalism, and dual relationships
. ([umlaut] Ringgold, Inc., Portland, OR)
Specifically, they spoke of concerns about dual relationships
, fiduciary issues, supervisees selecting their own supervisors, and their own training and competence for sanctioned supervision.
Coaches must be cautious to maintain clear well-defined boundaries with their clients, always avoiding dual relationships
. The professional needs to identify his/her role with the client as either therapist or coach.
NAADAC's code of ethics warns counselors to avoid dual relationships
, and never to have a sexual relationship with a patient--even a former patient.
Fahmy also talked about dual relationships
between Egypt and Italy, saying that Italian tourism to Egypt should return to its normal levels after the reinstatement of security and the rule of law.
Policyholders can speak with attorneys knowledgeable about areas of practice such as confidentiality, child abuse reporting requirements, patient access to records, dangerous patients, dual relationships
, and other topics crucial to their practices.
Emerging forms of digital and electronic practice have unleashed a staggering array of ethical and risk management issues involving practitioner competence, client privacy and confidentiality, informed consent, conflicts of interest, boundaries and dual relationships
, consultation and client referral, termination and interruption of services, documentation, and research evidence.
Nonetheless, rural practice of integrated primary care presents unique challenges to practitioners of multiple disciplines, including issues of competence, confidentiality, and dual relationships
. This article provides an illustrative vignette to describe ethical issues in the rural practice of integrated primary care.