She then asked me if I was interested in having a relationship with her.I told her that I had no interest in her or in any of my patients outside of the professional doctor-patient relationship.The American Bar Association, for example, although taking a dim view of these relationships, does not absolutely rule out the possibility that a client has given effective consent: The lawyer may be called upon in a disciplinary or other proceeding to show that the client consented, that the consent was freely given based on full and reasonable disclosure of the risks involved, and that any ensuing sexual relationship did not in any way disadvantage the client in the representation; that is, the attorney's judgement remained independent, the representation proceeded free of conflicts, the privilege was not compromised and the other ethical obligations to the client were fulfilled.Moreover, courts have indicated that, despite the physician's greater power within the relationship, they are willing to consider on a case- by-case basis whether to uphold agreements between patients and physicians in which the patient agrees not to sue the physician for malpractice.Omissions by patients can be in the form of not sharing correct information with doctors and by doctors not inquiring about relevant psychological or sexual problems. ABCD sponsors treatment for those in need regardless of gender, race or creed, helping them to reach their full potential, to live life with dignity and to take their rightful place in their community.Confidentiality breaches especially in rural communities is also a major problem, assumptions about patients and counter transference, loss of objectivity especially by heightened emotional involvement and blurred boundaries are few other major challenges. ABCD works through local Palestinian partners, the Bethlehem Arab Society for Rehabilitation (BASR) based in Beit Jala, The Sheepfold in Beit Sahour and two UNWRA Refugee Camps in Jalazone and Nour Shams.There are a number of guidelines, developed for the medical profession by the global regulatory authorities, which embed ethical concerns and dilemmas in the event of personal intimacy in doctor-patient relationship.
Joyce Robins, of Patient Concern, said: "I don't see any problem with it if they are no longer their doctor.
This is the only profession of which a member can ask a person to take their clothes off and find the request usually met with few questions and no resistance." In an earlier interview with GP magazine Pulse, he said: "A proper emotional and sexual relationship is a partnership of equals, both parties enjoying the same rights, privileges and limitations.
"Any other basis for a relationship is flawed and needs to be criticised and resisted most vehemently.
"I think it was all a bit of an old fashioned idea quite honestly. "They are getting into the 21st century and it's a good updating." Some senior GPs, however, have previously warned that such relationships are always problematic.
Dr Surendra Kumar, a GP who practises in Widnes, Cheshire, said: "Consider the powers of the doctor.