Abstract
Special ethical problems are posed by the practice of psychology in rural settings. The nature of rural values, bonds to land, relationships created by contiguity rather than intentionality, and lack of anonymity, all contribute toward creation of special problems with dual relationships for the practitioner. Ordinary prohibitions against dual realtionships may be excessively inflexible and deprive patients of treatment without opportunity for accessible alternatives. The practitioner must exercise both special sensitivity and special attentiveness to ethical issues. Several cases are discussed.