American Massage Therapy Association (AMTA) Practice Test

What should a therapist do if a long-time client offers a valuable gift?

1. Tell the client she cannot accept the necklace because it could influence future referrals

2. Accept the necklace only if it is reported to the state board

3. Tell the client she cannot accept the necklace for ethical reasons

4. Graciously accept the necklace

The correct answer is: Graciously accept the necklace

In a therapeutic setting, accepting gifts from clients can present ethical dilemmas, but there are situations where accepting a gift may be appropriate. One reason for accepting a gift graciously is the therapeutic relationship that has been built over time; it may signify gratitude or appreciation on the client's part without any underlying expectation or influence regarding future services. In many ethical frameworks, if a therapist feels that accepting a gift does not impact the treatment, boundaries, or professional judgment and is consistent with the nature of the relationship, it can be seen as acceptable. However, acceptance should always be approached carefully, considering the context and potential implications on the therapeutic alliance. Choosing to accept the necklace suggests that the therapist values the heartfelt gesture while maintaining an awareness of boundaries. It would be advisable for the therapist to reflect on the appropriateness of the gift, and if there are any discomforting feelings or potential for altered dynamics in the therapist-client relationship, it may warrant a discussion with the client to navigate those complexities. Overall, accepting a gift is nuanced, and the therapist should always consider the implications of that decision in relation to maintaining professionalism and the integrity of the therapeutic relationship.