Factors Used in Multiple-Relationship Ethical Decisions in a Small University Town
APA Ethical Standards for psychologists strongly caution against multiple relationships between professionals and clients to prevent exploitation; but clear guidelines are lacking. This dilemma is more common in smaller communities and this pilot study explored this issue in a small rural community using Gottlieb's (1993) decision-making model as a framework. Local practitioners (n = 25) were surveyed about their experience and factors used to make decisions regarding multiple relationships using vignettes. Majority chose to proceed with the secondary relationship citing importance of factors such as role incompatibility, clarity of termination of the professional relationship, and the availability of other professionals. Discrepancies were noted between factors rated as important and their actual influence on decisions made, which should be explored.