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If a therapist's private practice client wishes to intern at the therapist's agency, what is the ethical response?

  1. Explain the ethical conflict and encourage the client to seek internship in another town.

  2. Work with the man both as his therapist and supervisor.

  3. Explain the ethical conflict and discuss why the internship is unsuitable for the client.

  4. Terminate therapy and allow the client to intern at the agency.

The correct answer is: Explain the ethical conflict and encourage the client to seek internship in another town.

The optimal response in this scenario is to explain the ethical conflict and encourage the client to seek an internship in another town. This approach maintains the integrity of the therapeutic relationship and adheres to ethical guidelines regarding dual relationships. In therapy, it is crucial to avoid situations where the therapist's objectivity may be compromised due to the potential for conflicting interests. Accepting a client as an intern at the therapist's agency can create a dual relationship, which may lead to exploitation or harm to the client. By encouraging the client to explore internship opportunities elsewhere, the therapist upholds the ethical obligation to prioritize the client’s best interests and maintain professional boundaries. This response also demonstrates the therapist's commitment to ethical standards within the profession, fostering a safe environment for the client without putting them in a vulnerable position that could complicate their therapeutic progress. Such an approach is consistent with guidelines provided by professional organizations that emphasize the importance of clear boundaries in therapy to protect both the client and the integrity of the therapeutic process.