Ethical guidelines for social work generally recommend avoiding dual relationships whenever possible.This study explored perspectives from Canadian social workers in remote communities, where this may not be feasible. Dual relationships in these communities were identified as ubiquitous and inevitable. Formal decision models were often overlooked in favour of an ongoing evaluation of the therapeutic relationship, and self-care related to frequent exposure to dual and multiple relationships was identified as a concern. The role of formal education and training and professional guidelines are discussed.
Bodor, R.C. ( 2004) ‘Understanding the Experience of Dual and Multiple Relationships in Rural and Remote Social Work Practice’, unpublished doctoral dissertation, University of Calgary, Calgary.
2.
Boisen, L.S. and L.A. Bosh ( 2005) ‘Dual Relationships and Rural Social Work: Is There a Rural Code?’, in L.H. Ginsberg (ed.) Social Work in Rural Communities, 4th edn, pp. 189-203. Alexandria, VA: Council on Social Work Education.
3.
Borys, D.S. and K.S. Pope ( 1989) ‘Dual Relationships between Therapist and Client: A National Study of Psychologists, Psychiatrists, and Social Workers’, Professional Psychology: Research and Practice20(5): 283-93.
4.
Briskman, L. and M. Lynn ( 1999) Challenging Rural Practice. Geelong , Australia: Deakin University Press.
5.
Brownlee, K. ( 1996) ‘The Ethics of Non-sexual Dual Relationships: A Dilemma for the Rural Mental Health Professional’, Community Mental Health Journal32(5): 497-503.
6.
Brownlee, K. and S. Taylor ( 1995) ‘The Canadian Association of Social Workers Code of Ethics and Non-sexual Dual Relationships’, The Social Worker63(3): 133-6.
7.
Canadian Association of Social Workers (CASW) ( 2005) ‘Guidelines for Ethical Practice’. Available online at: http://www.casw-acts.ca/practice/guidelines_e.pdf (accessed 24 October 2008).
8.
Cheers, B. ( 1998) Welfare Bushed: Social Care in Rural Australia. Aldershot: Ashgate.
9.
Congress, E. and D. McAuliffe ( 2006) ‘Social Work Ethics: Professional Codes in Australia and the United States’, International Social Work49(2): 151-64.
10.
Curtis, L. and M. Hodge ( 1994) ‘Old Standards, New Dilemmas: Ethics and Boundaries in Community Support Services’, Psychosocial Rehabilitation Journal18: 13-33.
11.
Daley, M.R. and M.O. Doughty ( 2006) ‘Ethics Complaints in Social Work Practice: A Rural-Urban Comparison’, Journal of Social Work Values and Ethics3(2). Available online at: http://www.socialworker.com/jswve/content/blogcategory/12/44/ (accessed 24 October 2008).
12.
Delaney, R. and K. Brownlee ( 1996) ‘Ethical Dilemmas in Northern Social Work Practice’ , in R. Delaney, K. Brownlee and M.K. Zapf (eds) Issues in Northern Social Work Practice, pp. 47-69. Thunder Bay, ON : Lakehead University Centre for Northern Studies.
13.
Drechsler, G. ( 1996) ‘My Neighbour, Cousin, and Client: A Response from the Yukon to Brownlee and Taylor on the Ethics of Non-sexual Dual Relationships’ , The Social Worker64: 1-3.
14.
Endacott, R., A. Wood, F. Judd, C. Hulbert, B. Thomas and M. Grigg ( 2006) ‘Impact and Management of Dual Relationships in Metropolitan, Regional and Rural Mental Health Practice’, Australian and New Zealand Journal of Psychiatry40(11-12): 987-94.
Gripton, J. and M. Valentich ( 2004) ‘Dealing with Non-sexual Professional- Client Dual/Multiple Relationships in Rural Communities’, Rural Social Work9: 216-25.
17.
Helbok, C.M., R.P. Marinelli and R.T. Walls ( 2006) ‘National Survey of Ethical Practices across Rural and Urban Communities’, Professional Psychology: Research and Practice37(1): 36-44.
18.
Ives, N.G. and O. Aitken ( 2008) ‘Technology and Access: Responding to the Social Work Education Needs of First Nations and Inuit Communities’, Social Work Education27(6): 683-92.
19.
Johner, R. ( 2006) ‘Dual Relationship Legitimization and Client Self-determination’ , Journal of Social Work Values and Ethics3(1). Available online at: http://www.socialworker.com/jswve (accessed 30 September 2007).
20.
Kertész, R. ( 2002) ‘Dual Relationships in Psychotherapy in Latin America’ , in A.A. Lazurus and O. Zur (eds) Dual Relationships and Psychotherapy , pp. 329-34. New York: Springer.
21.
Kitson, C. and D. Sperlinger ( 2007) ‘Dual Relationships between Clinical Psychologists and Their Clients: A Survey of UK Clinical Psychologists’ Attitudes’, Psychology and Psychotherapy: Theory, Research and Practice80: 279-95.
22.
Kvale, S. ( 1996) Interviews: An Introduction to Qualitative Research Interviewing . Thousand Oaks, CA: Sage Publications .
23.
McCracken, G.D. ( 1988) The Long Interview. Newbury Park, CA : Sage Publications.
24.
Manning, S.S. and M.E. van Pelt ( 2005) ‘The Challenges of Dual Relationships and the Continuum of Care in Rural Mental Health’. Available online at: http://www.mileseddy.com/radio/maryvanpelt/RuralMentalHealth.rtf (accessed November 2008).
25.
Moleski, S.M. and M.S. Kiselica ( 2005) ‘Dual Relationships: A Continuum Ranging from the Destructive to the Therapeutic’, Journal of Counseling and Development83(1): 3-11.
26.
Nickel, M. ( 2004) ‘Professional Boundaries: The Dilemma of Dual and Multiple Relationships in Rural Clinical Practice’, Counseling and Clinical Psychology Journal1(1): 17-22.
27.
Ontario College of Social Workers and Social Service Workers (OCSWSSW) (2000) ‘Code of Ethics and Standards of Practice’. Available online at: http://www.ocswssw.org/sections/pdf/1.6B%20code%20of%20ethics%20english.pdf (accessed 12 April 2008).
28.
Perkins, D.V., B.L. Hudson, D.M. Gray and M. Stewart ( 1998) ‘Decisions and Justifications by Community Mental Health Providers about Hypothetical Ethical Dilemmas’, Psychiatric Services49: 1317-22.
29.
Pugh, R. ( 2003) ‘Considering the Countryside: Is There a Case for Rural Social Work?’, British Journal of Social Work33: 67-85.
30.
Pugh, R. ( 2006) ‘Dual Relationships: Personal and Professional Boundaries in Rural Social Work’, British Journal of Social Work37: 1405-23.
31.
Reamer, F.G. ( 2003) ‘Boundary Issues in Social Work: Managing Dual Relationships’ , Social Work48(1): 121-33.
32.
Scales, T. and C.L. Streeter ( 2004) Rural Social Work: Building and Sustaining Community Assets . Belmont, CA: Brooks Cole.
33.
Statistics Canada (2007) ‘2006 Census Dictionary’. Ottawa: Statistics Canada. Available online at: http://www.12.statcan.ca/english/census06/reference/dictionary/geo042a.cfm (accessed 30 April 2007).
34.
Strom-Gottfried, K. ( 2003) ‘Understanding Adjudication: Origins, Targets, and Outcomes of Ethics Complaints’, Social Work48: 85-95.
35.
Younggren, J.N. and M.C. Gottlieb ( 2004) ‘Managing Risk when Contemplating Multiple Relationships’ , Professional Psychology: Research and Practice35(3): 255-60.
36.
Zur, O. ( 2000) ‘In Celebration of Dual Relationships: How Prohibition of Non-sexual Dual Relationships Increases the Chance of Exploitation and Harm’, The Independent Practitioner (Spring): 97-100.
