PRIOR PRINTER'S NO. 1745                      PRINTER'S NO. 3294

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 1466 Session of 1987


        INTRODUCED BY DeWEESE, BLAUM, KOSINSKI, NOYE, KUKOVICH,
           LASHINGER, SWEET, HAGARTY, PISTELLA, WOGAN, SHOWERS, BUNT,
           MARKOSEK, KENNEY, TIGUE, TRUMAN, COHEN, YANDRISEVITS,
           PRESTON, BELARDI, VEON, DEAL, JACKSON AND O'BRIEN,
           JUNE 8, 1987

        AS REPORTED FROM COMMITTEE ON JUDICIARY, HOUSE OF
           REPRESENTATIVES, AS AMENDED, MAY 16, 1988

                                     AN ACT

     1  Providing a civil cause of action for sexual exploitation by
     2     psychotherapists; providing for liability of employers of
     3     psychotherapists; limiting the scope of discovery and
     4     admission of evidence; and providing a limitation period.

     5     The General Assembly of the Commonwealth of Pennsylvania
     6  hereby enacts as follows:
     7  Section 1.  Short title.
     8     This act shall be known and may be cited as the
     9  Psychotherapist Sexual Exploitation Act.
    10  Section 2.  Definitions.
    11     The following words and phrases when used in this act shall
    12  have the meanings given to them in this section unless the
    13  context clearly indicates otherwise:
    14     "Emotionally dependent."  The nature of the patient's or
    15  former patient's emotional condition and the nature of the
    16  treatment provided by the psychotherapist are such that the
    17  patient or former patient is unable to withhold consent to

     1  sexual exploitation by the psychotherapist.
     2     "Former patient."  A person who was given psychotherapy
     3  within two years prior to sexual exploitation by the              <--
     4  psychotherapist, whether or not that person was charged for the
     5  services.
     6     "Patient."  A person who seeks or obtains psychotherapy,
     7  whether or not that person is charged for the services. A person
     8  is a patient of a psychotherapist for the period commencing with
     9  the first therapy session and continuing up to and including the
    10  last therapy session.
    11     "Psychotherapist."  Includes, but is not limited to, a
    12  physician, psychologist, clergyman, drug and alcohol abuse
    13  counselor, mental health counselor, social worker, nurse,
    14  marriage counselor, family counselor, crisis intervention
    15  counselor, rehabilitation counselor, pastoral counselor,
    16  psychoanalyst, or other person, whether or not licensed by the
    17  Commonwealth, who practices or purports to practice
    18  psychotherapy.
    19     "Psychotherapy."  The professional treatment, assessment or
    20  counseling of a mental or emotional illness, symptom or
    21  condition by psychological means.
    22     "Sexual exploitation."  Sexual                                 <--
    23         (1)  SEXUAL contact which includes any of the following    <--
    24     actions, whether or not occurring with the consent of a
    25     patient or former patient:
    26         (1) (I)  Sexual intercourse, cunnilingus, fellatio, anal   <--
    27     intercourse or any intrusion, however slight, into the oral,
    28     genital or anal openings of the patient's or former patient's
    29     body by any part of the psychotherapist's body or by any
    30     object used by the psychotherapist for this purpose, or any
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     1     intrusion, however slight, into the oral, genital or anal
     2     openings of psychotherapist's body by any part of the
     3     patient's or former patient's body or by any object used by
     4     the patient or former patient for this purpose, if agreed to
     5     or not resisted by the psychotherapist.
     6         (2) (II)  Kissing of, or the intentional touching by the   <--
     7     psychotherapist of, the patient's or former patient's genital
     8     area, groin, inner thigh, buttocks or breast, or of the
     9     clothing covering any of these body parts.
    10         (3) (III)  Kissing of, or the intentional touching by the  <--
    11     patient or former patient of, the psychotherapist's genital
    12     area, groin, inner thigh, buttocks or breast, or of the
    13     clothing covering any of these body parts, if the
    14     psychotherapist agrees to the kissing or intentional
    15     touching.
    16  The term includes requests by the psychotherapist for conduct     <--
    17  described in paragraph (1), (2) or (3).
    18         (2)  REQUESTS BY THE PSYCHOTHERAPIST FOR CONDUCT           <--
    19     DESCRIBED IN PARAGRAPH (1).
    20         (3)  THE OBSERVATION BY A THERAPIST OF A PATIENT ENGAGING
    21     IN SELF-STIMULATION OF ANY OF THE ANATOMICAL AREAS MENTIONED
    22     IN PARAGRAPH (1), IF SUCH STIMULATION OCCURS AT THE REQUEST
    23     OR DIRECTION OF THE THERAPIST.
    24     "Therapeutic deception."  A representation by a
    25  psychotherapist that sexual contact between the psychotherapist
    26  and a patient is consistent with or part of the patient's or
    27  former patient's treatment.
    28  Section 3.  Cause of action for sexual exploitation.
    29     Any person who, as a patient or former patient of a
    30  psychotherapist, is sexually exploited by his psychotherapist,
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     1  may file a cause of action, in the court of common pleas of the
     2  county in which the alleged sexual exploitation occurred,
     3  against that psychotherapist for mental or physical injury
     4  caused by the sexual exploitation and for damages., if the        <--
     5  sexual exploitation occurs:
     6         (1)  during the period of time the patient receives
     7     psychotherapy from the psychotherapist, such period of time
     8     commencing with the beginning of the first therapy session
     9     and continuing up to and including the last therapy session;
    10     or
    11         (2)  after the period the patient receives psychotherapy
    12     from the psychotherapist if:
    13             (i)  the former patient is emotionally dependent on
    14         the psychotherapist; or
    15             (ii)  the sexual exploitation occurs by means of
    16         therapeutic deception.
    17  Section 4.  Prohibited defenses.
    18     The defendant psychotherapist is prohibited from using any of
    19  the following defenses to the action:
    20         (1)  That the sexual exploitation occurred outside a
    21     psychotherapy or treatment session or that it occurred off
    22     the premises regularly used by the psychotherapist for
    23     psychotherapy or treatment sessions.
    24         (2)  That the length of the period during which the
    25     patient was under treatment by the psychotherapist was too
    26     short for the patient to become emotionally dependent upon
    27     the psychotherapist.
    28         (3)  THAT THE PATIENT WAS NOT TREATED BY THE THERAPIST ON  <--
    29     A CONTINUOUS BASIS OR THAT THERE WAS A BREAK IN THE PATIENT'S
    30     THERAPY.
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     1         (3) (4)  That the patient consented to the sexual          <--
     2     exploitation. EXPLOITATION OR INITIATED THE SEXUAL CONTACT.    <--
     3         (5)  THAT THE SEXUAL CONTACT WAS PART OF THE THERAPY OR
     4     TREATMENT OF THE PATIENT.
     5  Section 5.  Liability of employer.
     6     (a)  Failure or refusal to take action or make inquiries.--An
     7  employer of a psychotherapist may be IS liable under section 3    <--
     8  if the employer:
     9         (1)  fails or refuses to take reasonable action when he
    10     knows or has reason to know that the psychotherapist engaged
    11     in sexual exploitation of the plaintiff or any other patient
    12     or former patient of the psychotherapist; or
    13         (2)  fails or refuses to make inquiries of an employer or
    14     former employer, whose name and address have been disclosed
    15     to him and who employed the psychotherapist as a
    16     psychotherapist within the last five years, concerning the
    17     known occurrence of sexual exploitation by the
    18     psychotherapist with patients or former patients of the
    19     psychotherapist.
    20     (b)  Failure or refusal to disclose information.--An employer
    21  or former employer of a psychotherapist may be IS liable to the   <--
    22  patient under section 3 if the employer or former employer:
    23         (1)  knows of the occurrence of sexual exploitation by
    24     the psychotherapist with patients or former patients of the
    25     psychotherapist;
    26         (2)  receives a specific written request by another
    27     employer or prospective employer, regarding the past
    28     experiences of the psychotherapist engaged in the business of
    29     psychotherapy, concerning the existence or nature of the
    30     sexual exploitation; and
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     1         (3)  fails or refuses to disclose to the prospective
     2     employer the occurrence of the sexual exploitation.
     3     (c)  Proximate and actual cause.--An employer or former        <--
     4  employer may be liable under section 3 only to the extent that
     5  the failure or refusal to take any action required by subsection
     6  (a) or (b) was a proximate and actual cause of any damages
     7  sustained.
     8     (d)  Immunity.--Any employer or former employer complying in
     9  good faith and without malice with the requirements as set forth
    10  in this section shall have immunity from any liability, civil or
    11  criminal, that might otherwise result by reason of such actions.
    12     (C)  IMMUNITY.--ANY EMPLOYER OR FORMER EMPLOYER COMPLYING      <--
    13  WITH THE REQUIREMENTS OF THIS SECTION SHALL HAVE IMMUNITY FROM
    14  CIVIL OR CRIMINAL LIABILITY ON ACCOUNT OF SUCH COMPLIANCE UNLESS
    15  THE ACTIONS OF THE EMPLOYER OR FORMER EMPLOYER WERE TAKEN IN BAD
    16  FAITH OR WITH A MALICIOUS PURPOSE.
    17  Section 6.  Scope of discovery and admission of evidence.
    18     (a)  General rule.--Evidence of the sexual, personal or
    19  medical history of the plaintiff or the plaintiff's spouse is
    20  not subject to discovery or admissible evidence in actions for
    21  sexual exploitation by a psychotherapist unless the plaintiff or
    22  the plaintiff's spouse claims damage to sexual functioning or
    23  unless:
    24         (1)  the defendant requests a hearing prior to discovery
    25     and/or trial and makes an offer of proof of the relevancy of
    26     the history; and
    27         (2)  the court finds that the history is relevant and
    28     that the probative value of the history outweighs its
    29     prejudicial effect.
    30     (b)  Limitation by court.--The court shall allow the
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     1  discovery or admission into evidence only of specific
     2  information or examples of the sexual, personal or medical
     3  history of the plaintiff or the plaintiff's spouse that are
     4  determined by the court to be relevant. The court's order shall
     5  detail the information or conduct that is subject to discovery
     6  or which is admissible, and no other such evidence may be
     7  introduced. ALL ARGUMENTS, OFFERS OF PROOF OR OTHER PROCEEDINGS   <--
     8  TO DETERMINE THE RELEVANCY OF SEXUAL, PERSONAL OR MEDICAL
     9  HISTORY OR CONDUCT OF THE PLAINTIFF SHALL BE HELD IN CAMERA.
    10  Section 7.  Limitation period.
    11     An action for sexual exploitation by a psychotherapist shall
    12  be commenced within ten years after the cause of action arises.   <--
    13  FIVE YEARS AFTER THE LAST INCIDENCE OF SEXUAL EXPLOITATION HAS    <--
    14  OCCURRED.
    15  SECTION 8.  ELECTION OF REMEDIES NOT REQUIRED.
    16     A PATIENT INJURED BY PSYCHOTHERAPIST SEXUAL EXPLOITATION AS
    17  SET FORTH IN THIS ACT NEED MAKE NO ELECTION OF REMEDIES OR
    18  ACTIONS AGAINST THE PSYCHOTHERAPIST, BUT MAY PURSUE RIGHTS UNDER
    19  THIS ACT AS WELL AS THROUGH THE PROFESSIONAL LICENSING BOARD
    20  WITH WHICH THE PSYCHOTHERAPIST IS REGISTERED AND ANY
    21  PROFESSIONAL ORGANIZATION WITH WHICH THE PSYCHOTHERAPIST IS
    22  AFFILIATED.
    23  Section 8 9.  Severability.                                       <--
    24     The provisions of this act are severable. If any provision of
    25  this act or its application to any person or circumstance is
    26  held invalid, the invalidity shall not affect other provisions
    27  or applications of this act which can be given effect without
    28  the invalid provision or application.
    29  Section 9 10.  Applicability.                                     <--
    30     This act shall apply to causes of action arising on or after
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     1  the effective date of this act.
     2  Section 10 11.  Effective date.                                   <--
     3     This act shall take effect in 60 days.


















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