Sexual contacts between nurses and patients in psychiatric hospitals have not been investigated systematically. The aim of the present study was to determine the frequency of nurse–patient sexual relationships and their prominent characteristics on the one hand and the nurses' attitudes towards these contacts on the other. A questionnaire was mailed to 714 nurses employed at two psychiatric hospitals. Although 94% of the 279 respondents considered sexual contact (defined as “physical contact between a patient and a nurse, in which sexual arousal occurred in the nurse”) to be inappropriate, 17% of the male and 11% of the female responding nurses reported having had such contacts with patients.
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Apfel, R. F., and Simon, B. (1985). Patient–therapist sexual contact. 1. Psychodynamic perspectives on the cause and results. Psychother. Psychosom. 43: 57–62.
Averill, S. C., Beale, D., Benfer, B., Collins, D. T., Kennedy, L., Myers, J. A., Pope, D., Rosen, I., and Zoble, E. (1989). Preventing staff–patient sexual relationships. Bull. Menn. Clin. 53: 384–393.
Berland, D. I., and Guskin, K. (1994). Patient allegations of sexual abuse against psychiatric hospital staff. Gen. Hosp. Psych. 16: 335–339.
Bernsen, A., Tabachnick, B. G., and Pope, K. S. (1994). National survey of social workers' sexual attraction to their clients: Results, implications and comparison to psychologists. Eth. Behav. 4(4): 369–388.
Case, P. W., McMinn, M. R., and Meek, K. R. (1997). Sexual attraction and religious therapists: Survey findings and implications. Couns. Val. 41(2): 141–154.
Dahlberg, C. C. (1970). Sexual contact between patient and therapist. Contemp. Psychoanal. 6: 107–124.
Forer, B. (1980). The therapeutic relationship. Paper presented at the annual meeting of the California State Psychological Association. Pasadena, California.
Gartrell, N., Herman, J., Olarte, S., Feldstein, M., and Localio, R. (1986). Psychiatrist–patient contact: Results of a national survey, I: Prevalence. Am. J. Psych. 143(9): 1126–1131.
Gechtman, L., and Bouhoutsos, J. C. (1985). Social workers' attitudes and practices regarding erotic and nonerotic physical contact with their clients. Paper presented at the Annual conference of the California Society for Clinical SocialWork, and the National Federation of Societies for Clinical Social Work, Universal City, CA.
Hankins, G. C., Vera, M. I., Barnard, G. W., and Herkov, M. J. (1994). Patient–therapist sexual involvement: A review of clinical and research data. Bull. Am. Acad. Psych. Law 22(1): 109–126.
Henderson, V. (1977). Basic principles of nursing care. International Council of Nurses. Geneva.
Herman, J. L., Gartrell, N., Olarte, S., Feldstein, M., and Localio, R. (1987). Psychiatrist–patient sexual contact: Results of a national survey, II: Psychiatrists' attitudes. Am. J. Psych. 144(1): 164–169.
Hoffman, R. M. (1995). Sexual dual relationships in counseling: Confronting the issues. Couns. Val. 40(1): 15–23.
Holroyd, J. C., and Brodsky, A. N. (1977). Psychologist's attitudes and practices regarding erotic and nonerotic physical contact with patients. Amer. Psychol. 32(10): 843–849.
Kardener, S. H., Fuller, M., and Mensh, I. N. (1973). A survey of physician's attitudes and practices regarding erotic and nonerotic contact with patients. Am. J. Psych. 130: 1077–1081.
Kirstein, L. (1978). Sexual involvement with patients. J. Clin. Psychol. 39: 366–368.
Leggett, A. (1994). A survey of Australian psychiatrists' attitudes and practices regarding physical contact with patients. Aust. NZ J. Psych. 28(3): 488–497.
Moggi, F. (1991). Sexuelle Kindesmisshandlung: Definition, Pr¨avalenz und Folgen. Ein Ueberblick. Z. Klin. Psychol. Psychopath. Psychother. 39: 323–335.
Moggi, F., and Brodbeck, J. (1997). Risk factors and consequences of sexual abuse in psychotherapy. Z. Klin. Psych. Forsch. Praxis 26(1): 50–57.
Mueser, K. T., Goodman, L. B., Trumbetta, S. L., Rosenberg, S. D., Osher, F. C., Vidaver, R., Auciello, P., and Foy, D. W. (1998). Trauma and posttraumatic stress disorder in severe mental illness. J. Consult. Clin. Psych. 66(3): 493–499.
Peters, S. D., Wyatt, G. E., and Finkelhor, D. (1986). Prevalence. In Finkelhor, D. (ed.), A Sourcebook on Child Sexual AbuseLondon, Sage, pp. 15–59.
Pope, K. S. (1990). Therapist–patient sexual involvement: A review of the research. Clin. Psych. Rev. 10: 477–490.
Pope, K. S. (1994). Sexual involvement with therapists: Patient assessment, subsequent therapy. Forensics. Washington DC: American Psychological Association.
Pope, K. S., and Bouhoutsos, J. (1986). Sexual intimacy between therapists and patients. New York, Praeger.
Pope, K. S.,Keith-Spiegel, P., and Tabachnick, B. G. (1986). Sexual attraction to clients. Amer. Psychol. 41(2): 147–158.
Porter, E. (1986). Treating the young male victim of sexual assault: Issues and intervention strategies. Sater Society Press, Syracuse, New York.
Read, J., and Fraser, A. (1998). Abuse histories of psychiatric inpatients: To ask or not to ask? Psych. Serv. 49(3): 355–359.
Read, J. (1998). Child abuse and severity of disturbance among adult psychiatric inpatients. Child Abuse Neg. 22(5): 359–368.
Schoener, G.R. (1989). Psychotherapists' sexual involvement with clients: Intervention and prevention. Minneapolis, Minnesota: Walk-In Counseling Center.
Seto, M. C. (1995). Sex with therapy clients: Its prevalence, potential consequences, and implications for psychology training. Can. Psych. 36(1): 70–86.
Shepard, M. (1971). The love treatment: Sexual intimacy between patients and psychotherapists. New York, Peter H. Wyden.
Smith, S. (1989). The seduction of the female patient. In Gabbard, G. O. (ed.), Sexual Exploitation in Professional RelationshipAmerican Psychiatric Press, Washington, DC.
Thoreson, R.W., Shaughnessy, P., and Frazier, P.A. (1995). Sexual contact during and after professional relationships: Practices and attitudes of female counselors. J. Coun. Dev. 74(1): 84–89.
Van Einde Boas, C. (1966). Some reflections on sexual relations between physicians and patients. J. Sex Res. 2: 215–218.
Wincze, J. P., Richards, J., Parsons, J., and Bailey, S. (1996). A comparative survey of therapist sexual misconduct between an American state and an Australian state. Prof. Psych. Res. Prac. 27(3): 289–294.
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Bachmann, K.M., Bossi, J., Moggi, F. et al. Nurse–Patient Sexual Contact in Psychiatric Hospitals. Arch Sex Behav 29, 335–347 (2000). https://doi.org/10.1023/A:1001914303435
- sexual contact
- psychiatric hospitals