with No Name:
The inclusion in the Hippocratic oath of a specific injunction against a physician's having sexual relationships with patients indicates that this concern has a venerable history among physicians. Elaboration of these same ethical proscriptions in the current annotated version of medical ethics applicable to psychiatrists confirms that this concern exists into the present (Official Actions of the American Psychiatric Association, 1973). Moral outrage is regularly expressed by physicians toward those physicians who, in spite of the ethical restraints imposed by the above-mentioned codes, nonetheless indulge themselves sexually with their patients. Yet the force and sincerity of the call for integrity among physicians (Masters and Johnson 1970, pp. 388-391; Demac 1975; Macklin 1976) does not appear to have much deterrent effect on that segment of the profession that chooses to have sex with their patients.
How can this ethical stance be reconciled with the increasing evidence that indicates therapist-patient sex may be far more prevalent than previously thought? Writers who have dealt with this topic have comforted themselves and their audiences with the hopeful observation that serious forms of unethical behavior—such as having sex with