Therapists will be more effective practitioners when they understand the fa
ctors that contribute to sexual boundary violations. The authors' interview
s with former victims indicated that offending therapists were mostly reput
able psychologists working alone, and that boundary violations developed gr
adually. The clients were often victims of child sexual abuse. Many reporte
d pleasurable feelings during the affair but saw the experience as hurtful
or exploitative in retrospect. The authors' findings imply that practitione
rs should minimize seemingly innocuous physical consolation or self-disclos
ure, especially with survivors of child abuse. They are encouraged to selec
t offices with other professionals and to participate in peer-supervision a
ctivities.