Open Relationships: A Culturally and Clinically Sensitive Approach

Abstract

Romantic and sexual relationships that challenge the notion of monogamy are becoming much more common and visible in American society, yet there is very little published literature focusing on therapy with clients in open relationships. Concepts from the literature on open relationships that could be used in couple and family therapy are discussed, in addition to specific ethical considerations for therapists who work with this population. The authors provide a case description to illustrate a clinical approach that draws upon constructionist and narrative elements, discuss how therapists can assist with the negotiation of non-monogamy, and suggest ways to create a secure therapeutic space for clients in open relationships