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Much of the literature on nonsexual boundary violations (Borys and Pope 1989; Epstein 1994; Epstein et al. 1992; Frick 1994, Gabbard 2009a; Gutheil 2014; Gutheil and Gabbard 1993; Lamb et al. 1994; Simon 1992; Strasburger et al. 1992) evolved from a process of working backward from the study of sexual exploitation cases and observing that therapist-patient sex is the final outcome of a gradual erosion of nonsexual boundaries: the slippery slope phenomenon described in Chapter 3. It soon became apparent that considerable harm may be done to the patient and to the process even when the descent down the slope is aborted before sexual involvement takes place.
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