I’ve known several psychologists who either had sex with or started a romance with former supervisees. This is not unethical or illegal, but it creates a performance problem for the psychologist.
More than other fields, clinical psychology frowns upon sex or romance with supervisees because of the nature of psychotherapy supervision, which often involves discussion of personal matters. This makes the relationship susceptible to exploitation by supervisors—they get the supervisee vulnerable in the course of supervision and then pounce. Of course, the students don’t feel exploited, they feel special; and the supervisors don’t feel like predators, they feel like lovers. Indeed, one of the many things I love about Janna is the image of me I see in her eyes. An equally positive (but less realistic and therefore less satisfying) image of me can be found in the eyes of many of my students. (Also, of course, almost all the other aspects of our marriage benefit from our being equals, in conversation, in bed, in making decisions, and in combat.) Still, the long list of famous clinicians who slept with or got romantically involved with patients and students gives us an idea of how big a problem this is.
Another reason psychology frowns upon sex in supervision and therapy, besides protection of vulnerable people, has to do with the role of the psychologist. The clinician is invited into the inner workings of the patient’s life and mind, and this position of intimacy can be sustained only if there are certain guarantees that the clinician is there as a guide, not as a tourist. It’s a performance of professionalism that must be thorough to be effective. Much as the proverbial banker could not act licentiously or drunkenly and expect people to ask him to safeguard their funds, the clinician cannot act impulsively and expect people to ask her to safeguard their secrets. That’s why the Hippocratic Oath states, “In every house where I come I will enter only for the good of my patients, keeping myself far from all intentional ill-doing and all seduction and especially from the pleasures of love with women or men, be they free or slaves.”
Goffman teaches us that the great story of life involves our performance of roles and our concern about whether our performance will be discredited. The way you present yourself as a supervisor dictates your performance problems. If you claim wisdom, then foolishness and stupidity undermine you. If you claim to be expert in intimate, authentic conversation, then stiffness and caution give your performance the lie. If you claim to have transcended your own psychology, then any emotion at all, instead of enriching the supervision, will mock it.
One performance of supervisor that is especially susceptible to discreditation by sexual behavior is that of the charismatic leader. One wants to devote oneself to Skinner because of the clarity and brilliance of his ideas, and his absolute repudiation of any cultlike behaviors satisfies the devotee’s anxiety that Skinner might be after admiration and not truth. If you look at actual cults, you tend to find leaders (a shout out here to feminism for providing the world with women who are as bad as men) who exploit devotion for lust, greed, political power, and admiration. When supervisors do the same, only emotional cripples stay with them. The charismatic leader is the best positioned to exploit followers and the one whose entire performance is cast in cultish and narcissistic terms by any sexual, financial, or devotional agenda. If you want followers of the sort you want, then you have to be above suspicion when it comes to lust.
It’s empathy that levees and diverts supervisory lust. I meet young women who are both worried and perhaps a little relieved by the idea that they can make their way in psychology on their looks, with the crushing disappointment (whenever it turns out to be true) that Irene Cara’s character displays in Fame when she thinks her singing voice has earned her a major opportunity and she is told to take off her shirt. And even if a student wanted to be seen sexually, I can’t believe it would be good for her. For this reason, I don’t have an opinion about supervisory romance between people who are fundamentally equals and only happen to find themselves in a supervision together. Like so much else, it’s the function of the romance that matters, not its topography. But even then, the charismatic supervisor will find himself with a discredited performance that might not be salvageable.