Multiple relationships (historically called dual relationships) generally refer to instances when a mental health practitioner engages in a professional relationship role (e.g., as a therapist) with an individual recipient of services (e.g., a patient) and also engages in another professional (e.g., instructor, supervisor) or personal relationship role (e.g., business, social, romantic, sexual) with that same person. Several mental health professions in the United States (e.g., counselors, marriage and family therapists, and psychologists) expand their definition of multiple relationships to include the practitioner’s engagement in a professional or personal relationship with a family member of or a person closely associated with the initial recipient of services. Multiple relationships may be concurrent: The two relationships may occur at the same time. Or they may be consecutive: The ...

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