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date: 15 May 2021

Abstract and Keywords

Ethical issues are not uncommon in the course of psychotherapy. However, the setting in which the counseling takes place can have an impact on the types of ethical dilemmas that arise. Because of the very nature of work in rural areas, concerns regarding professional competence, confidentiality, and multiple relationships are frequent when working in these types of communities. This chapter covers these topics and several others with an emphasis on special considerations with children/adolescents and with older adults. The chapter reviews common complications that may arise when providing psychotherapy, utilizing sample dilemmas, providing possible solutions, and offering recommendations for best practice when therapists are working in rural areas.

Keywords: rural, ethics, psychotherapy, competence, confidentiality, multiple relationships

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