Dual Relationships: A Continuum Ranging From the Destructive to the Therapeutic

This article is a review of the literature regarding the nature, scope, and complexity of dual relationships, which range from the destructive to the therapeutic. The dynamics, consequences, standards of practice, and ethical dilemmas regarding sexual and nonsexual counselor–client dual relationships are discussed. Common elements of concern pertaining to both types of relationships are identified, and the potential benefits of some forms of nonsexual dual relationships are explored.     

TRANSFORMING LESBIAN SEXUALITY

Women are objectified and sexualized by the media and the economy, so that they live in a culture of sex. Lesbians are excluded from the mainstream sexual and appearance norms for women, yet are affected by these norms, including the association of sex and violence against women. The word sexuality has been used to connote both sexual orientation and sexual activity, and it is argued that this dual meaning illustrates the dominance of patriarchal definitions of women's sexuality. This article discusses methodologic issues in understanding who is a lesbian and presents various models or dimensions for understanding who is included in research about lesbians. It asks the question "What is sex?" and reviews the implications of this question for lesbian sexual activity. This question has implications for a collorary question: "What is a lesbian relationship?", and the article discusses the implications of this question on various forms of sexual and nonsexual relationships among lesbians.     

The two sides of beauty: Laterality and the duality of facial attractiveness

We hypothesized that facial attractiveness represents a dual judgment, a combination of reward-based, sexual processes, and aesthetic, cognitive processes. Herein we describe a study that demonstrates that sexual and nonsexual processes both contribute to attractiveness judgments and that these processes can be dissociated. Female participants rated the general attractiveness of faces presented in either their left or right visual field. In order to examine sexual and nonsexual components of these judgments, general attractiveness ratings were correlated with ratings of these same faces made by two independent groups of raters in two specific contexts, one sexual and one nonsexual. Based on an items analysis, partial correlation coefficients were computed for each individual and used as the dependent variable of interest in a 2 (laterality: right, left) by 2 (context: sexual, nonsexual) ANOVA. This analysis revealed an interaction such that faces rated in a sexual context better predicted attractiveness ratings of faces shown in the left than right visual field, whereas faces rated in a nonsexual context better predicted attractiveness of faces shown in the right than left visual field. This finding is consistent with the assertion that sexual and nonsexual preferences involve predominantly lateralized processing routes that independently contribute to what is perceived to be attractive.     

Romantic relationships and fading of affect for memories of the shared past

The tendency for the affect associated with positive autobiographical events to fade less over time than the affect associated with negative autobiographical events (the fading affect bias, FAB) has been observed in a variety of contexts, but numerous mediators have been reported. This current study searches for the FAB, and for potential moderators of the FAB, in the context of romantic relationship memories. Both nonsexual types of memories and sexual types of memories showed the FAB. Moreover, the FAB emerged for memories of current relationships, but not for memories of past failed relationships. The FAB also emerged for securely attached individuals, but not for individuals exhibiting other attachment styles. In addition, the FAB was moderated by relationship quality, (for failed relationships) need to belong, sexual esteem, and sexual depression. Implications of these findings both for memory and for relationships are discussed.     

Nonsexual relationships between psychotherapists and their former clients: obligations of psychologists

This article examines the issue of nonsexual relationships between psychologists and their former therapy clients. What little research is available concerning nonsexual relationships with former clients suggests that psychologists have clear reservations about some of these relationships, especially personal ones and intentional social interactions. Relationships immediately following termination are seen as particularly suspect. Drawing on the literature dealing with multiple relationships in general, and sexual relationships with former clients in particular, a number of arguments are made outlining why psychologists should avoid significant nonsexual relationships with former clients for at least some period of time following termination.     

Nonsexual Relationships Between Psychotherapists and Their Former Clients: Obligations of Psychologists

This article examines the issue of nonsexual relationships between psychologists and their former therapy clients. What little research is available concerning nonsexual relationships with former clients suggests that psychologists have clear reservations about some of these relationships, especially personal ones and intentional social interactions. Relationships immediately following termination are seen as particularly suspect. Drawing on the literature dealing with multiple relationships in general, and sexual relationships with former clients in particular, a number of arguments are made outlining why psychologists should avoid significant nonsexual relationships with former clients for at least some period of time following termination.     

Ethical Judgments of Counselors: Results From a Turkish Sample

The present study examined the ethical judgements of Turkish counselors (N = 767) using a translation of the Gibson and Pope (1993) ethical judgements survey. Items predominantly judged as ethical and unethical, and group differences regarding gender, taking ethics as a course, professional affiliation, and level of academic degree, were investigated. Chi-square analysis, Fishers’s exact test, and Fisher–Freeman–Halton tests were used in statistical analysis. Results revealed that participants predominantly judged breach of confidentiality in cases of child abuse and potential harm toward oneself or others as ethical. Items concerning sexual dual relationships were predominantly perceived as unethical, and male participants were more likely to judge items regarding sexual and nonsexual dual relationships as ethical. Implications for future research and practice are discussed.     

Sex differences in regret: all for love or some for lust?

Few sex differences in regret or counterfactual thinking are evident in past research. The authors discovered a sex difference in regret that is both domain-specific (i.e., unique to romantic relationships) and interpretable within a convergence of theories of evolution and regulatory focus. Three studies showed that within romantic relationships, men emphasize regrets of inaction over action (which correspond to promotion vs. prevention goals, respectively), whereas women report regrets of inaction and action with equivalent frequency. Sex differences were not evident in other interpersonal regrets (friendship, parental, sibling interactions) and were not moderated by relationship status. Although the sex difference was evident in regrets centering on both sexual and nonsexual relationship aspects, it was substantially larger for sexual regrets. These findings underscore the utility of applying an evolutionary perspective to better understand goal-regulating, cognitive processes.     

Sexual experience and recall of sexual vs. nonsexual information

The effects of both sex guilt and sexual experience on the ability to remember sexual and nonsexual information were examined Male and female subjects were asked to read and then recall facts from vignettes that concerned sexual and nonsexual dilemmas As expected, the sexually inexperienced subjects made more mistakes than did the experienced subjects when recalling sexual information There were no differences between the groups in recall of nonsexual information, and there were no differences associated with the sex guilt variable In addition, one subgroup of the sample was singled out as being particularly interesting from an applied perspective Previous research has identified high-guilt, high-experience women as being an at-risk group for unwanted pregnancy In fact, these women did have difficulty in remembering the sexual information Moreover, there was a clear bias in their recall pattern toward remembering information in favor of being sexually active Results are presented in terms of the relationship between sexual experience and sexual schemata, and between sex guilt and emotionality     

Trends in Ethical Complaints Leading to Professional Counseling Licensing Boards Disciplinary Actions

This article presents findings of a content analysis of the types of ethical violations that led to disciplinary actions (N = 936) across state counseling licensing boards for professional counselors during the time frame of 2010 to 2014. The most frequent types of ethical violations included failure to acquire the appropriate amount of continuing education, dual relationships (sexual and nonsexual), and misrepresentation of credentials. Implications of the findings and future research needs are discussed.     

Sexual and nonsexual marital aggression: Legal considerations, epidemiology, and an integrated typology of perpetrators

In this paper, the legal history of marital rape and the current status of “marital rape allowances” to sexual assault statutes are reviewed. The prevalence of marital rape and its comorbidity with nonsexual violence, as well as the physical and psychological sequelae found to be specifically associated with sexual aggression in marriage is reviewed. Our current limited theoretical understanding of the relationship between sexual and nonsexual violence in marriage is extended by integrating marital rape and marital violence batterer typology research. Specifically, we offer a four-type batterer typology integration (i.e., family-only, dysphoric/borderline, generally violent/antisocial, and sexually obsessive batterers) that fully describe husbands that are only nonsexually violent, both physically and sexually violent, or only sexually violent. Theoretical and practical implications of this integration are identified. Future research directions are outlined, and the need for greater clinical attention to the phenomena of sexual violence in marriage is highlighted.     

Sexual and nonsexual marital aggression: Legal considerations, epidemiology, and an integrated typology of perpetrators

In this paper, the legal history of marital rape and the current status of “marital rape allowances” to sexual assault statutes are reviewed. The prevalence of marital rape and its comorbidity with nonsexual violence, as well as the physical and psychological sequelae found to be specifically associated with sexual aggression in marriage is reviewed. Our current limited theoretical understanding of the relationship between sexual and nonsexual violence in marriage is extended by integrating marital rape and marital violence batterer typology research. Specifically, we offer a four-type batterer typology integration (i.e., family-only, dysphoric/borderline, generally violent/antisocial, and sexually obsessive batterers) that fully describe husbands that are only nonsexually violent, both physically and sexually violent, or only sexually violent. Theoretical and practical implications of this integration are identified. Future research directions are outlined, and the need for greater clinical attention to the phenomena of sexual violence in marriage is highlighted.     

Memory for Sexual and Nonsexual Television Commercials as a Function of Viewing Context and Viewer Gender

The present study investigated memory for sexual and nonsexual commercials as a function of programme‐commercial congruity and programme‐induced level of involvement. Participants were allocated to one of four conditions: sexual programme with sexual or nonsexual commercials and nonsexual programme with sexual or nonsexual commercials. Recall and involvement levels were tested with a series of memory tests and programme ratings. It was predicted that sexual advertisements would be recalled and recognised better overall, that the sexual programme context would impair memory for commercials, and that level of involvement with the programme would inversely correlate with recall and recognition of the commercials and their content. Recall of sexual advertisements was found to be better than for nonsexual advertisements, and subjective ratings of programme involvement were higher for the sexual programme. Neither the perceived involvement level nor programme type affected memory for the commercials overall, but men were shown to remember sexual advertisements better than nonsexual advertisements—particularly when the sexual advertisements were embedded in a sexual programme. Women were equally good at remembering sexual and nonsexual advertisements. Implications of the current results and suggestions for future research are discussed. Copyright © 2013 John Wiley & Sons, Ltd.     

Managing Nonsexual Multiple Relationships in University Counseling Centers: Recommendations for Graduate Assistants and Practicum Students

Graduate students typically serve in a wide variety of positions throughout their course of study in an academic setting. Because of the large number of roles assumed, graduate students may encounter several ethical dilemmas unique to the academic setting, particularly dilemmas regarding nonsexual multiple relationships. Although the topic of multiple relationships and psychologists has been extensively discussed in the literature, fewer articles have focused on the potential for nonsexual multiple relationships between graduate assistants, practicum students, and undergraduate students. This article focuses on the unique ethical dilemmas and challenges experienced by graduate assistants completing their practica at University Counseling Centers and provides recommendations for evaluating and managing nonsexual multiple relationships with undergraduate students.     

The Relationship of Trauma to Nonsexual Crimes Committed by Adolescent Sexual Abusers: A New Area of Research

In an early investigation on the topic of the relationship between trauma history and nonsexual crimes committed by sexual offenders, this study examined nonsexual crimes committed by a sample of 451 juvenile sexual abusers. More than 60% of this sample committed quite serious crimes (i.e., animal cruelty, arson, assault, burglary, car theft, drug-related crimes, or theft). Based on the delinquency literature, childhood victimization significantly predicted severity of criminal behavior for this sample. Implications for research and practice are discussed.     

The Mosher Forced Choice Guilt Scale as a measure of anxiety.

Women divided into two levels of sex-guilt were administered the Word Association Test under three different conditions. In the first a confederate modeled sexual responses, in the second a confederate modeled nonsexual responses, and in the third condition no confederate was present. The results indicated that both low- and high-guilt women made significantly more sexual responses when exposed to the sexual model than in the nonsexual or no-model conditions. The results were interpreted as supporting an avoidant-anxiety conceptualization of guilt as opposed to Mosher's preservation of self-esteem view.     

Emerging Practices of Counseling and Psychotherapy in China: Ethical Dilemmas in Dual Relationships

A qualitative study was conducted with 48 Chinese counselors and psychotherapists who were interviewed in 2006 and an independent sample of 50 participants who responded to a survey in 2014. This study aims to explore how the new emerging expansion of mental health practice is related to issues and challenges of dual role relationship and how the well-engrained values and social characteristics of Chinese culture influences perceptions and resolution of ethical dilemmas. The participants identified similar dual relationships in 2006 and 2014: (a) Incidental boundary crossings, a sexual or romantic relationship, a dual social relationship, and a professional dual relationship were the most frequently reported types of dual relationships encountered by Chinese practitioners, and (b) the socioeconomic and cultural context and the development trajectory of counseling and psychotherapy in China play a significant role in shaping practitioners’ behaviors. The comparison of the data in 2006 and 2014 indicated that practitioners in psychotherapy and counseling have an improved awareness and understanding of ethical issues, evidenced by the decreasing cases of romantic and sexual relationships and increasing cases of social dual relationships influenced by the interrelatedness of traditional Chinese culture.     

Interpersonal Violence Victimization and Sexual Harassment: A Prospective Study of Revictimization

This study examined associations between past interpersonal victimization (including both child and adult victimization) and sexual harassment (SH); and it examined intervening and moderating variables of the association of past victimization with SH, including posttraumatic stress symptoms (PTSS) and job-gender context. In addition, we examined an alternative hypothesis for revictimization that abuse survivors are hyper-sensitive to perceptions of sexual harassment. Employed women residing in Kentucky (U.S.) who had received an order of protection from a male partner and who were followed-up 12 months later (n?=?445, 78 % White, mean age?=?31.98, SD?=?8.60) were selected for this analysis. SH experienced between baseline and follow-up interviews was associated with baseline assessments of child nonsexual assault experiences (r?=?0.24, p?<?0.001) and intimate partner violence victimization (r?=?0.20, p?<?0.000), demonstrating a revictimization effect. PTSS mediated the relationship between child sexual assault, child nonsexual assault and subsequent SH. Further, working in a job with a male supervisor or in a male-dominated workgroup increased associations between child nonsexual abuse and subsequent SH. No support was found for the hyper-sensitivity hypothesis. Findings are consistent with prior research that identifies sexual harassment as a form of interpersonal violence that mental health and victim service providers and researchers should include in their assessment and treatment strategies. Employers should also understand that working in male-dominated work environments compound the risk of sexual harassment for those with prior abuse histories and should be vigilant to reducing these risks.     

Advertisement–programme congruence in memory of sexual fragrance advertisements

The current study explored the effect of sexual content in advertisements and the programme–advertisement congruence on the memory of sexual and nonsexual advertisements. Seventy participants (41 females and 29 males) were randomly allocated to one of four conditions. They viewed either The Bachelorette (sexual programme) or I'm a Celebrity… Get Me Out of Here! (nonsexual programme) with sexual or nonsexual fragrance advertisements placed within the programme. The order of the advertisements was counterbalanced across participants to control for order effects. Free and cued recall of the advertisements were assessed. As predicted, there was a main effect of advertisement type, with the sexual advertisements better recalled than the nonsexual advertisements. Contrary to our prediction, the sexual content of the programme did not have an effect on advertisement recall. There was an interaction between the advertisement type and programme type; sexual advertisements were remembered better when embedded within a sexual programme. Limitations of this study are considered.     

Exploring differences in youth and parent reports of antisociality among adolescent sexual and nonsexual offenders

This study examined the extent of, and explored several possible explanations for, the discrepancies found between adolescent and parent reports of conduct problems in adolescent sexual and nonsexual offenders. We found that adolescent sexual offenders scored lower on measures of conduct problems than did nonsexual offenders, whether on the basis of adolescent or parent report, though the difference was much larger for parent reports. Examining this discrepancy more closely, we found that parents of sexual offenders reported less antisocial behavior than did their sons, whereas parents of nonsexual offenders reported more antisocial behavior than did their sons. The same pattern of results was obtained for reports on impulsivity, but much less so with respect to antisocial personality traits such as narcissism and callousness. Measures of family functioning were generally not related to these parent-adolescent discrepancies in reports of conduct problems, but these discrepancies were positively correlated with parental reports of stress. The implications of these findings for the interpretation of research on adolescent sexual offenders and comparisons of sexual and nonsexual offenders are discussed.