Sex between therapists and clients has emerged as a significant phenomenon, one that the profession has not adequately acknowledged or addressed. Extensive research has led to recognition of the extensive harm that therapist-client sex can produce. Nevertheless, research suggests that perpetrators account for about 4.4% of therapists (7% of male therapists; 1.5% of female therapists) when data from national studies are pooled. This chapter looks at the history of this problem, the harm it can cause, gender patterns, the possibility that the rate of therapists sexually abusing their clients is declining, and the mental health professions' urgent, unfinished business in this area.
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