It may be the intent of the authors of this rule to limit this regulation strictly to sexual violence and to keep the definition narrow.  However, intimate partner abuse, whether violent or not, is intrapsychically very damaging and the client/patient is just as vulnerable in a therapy relationship.  If the intent of this petition is to apply only to clinicians who are currently/recently treating survivors of sexual violence for those issues, then I would not suggest further clarficiation.  However, if this is to broadly apply, even if the clinican was not treating the patient for these issues, other clarification might be needed as suggested below. 

Increase the time limit for romantic or sexual relationships with patients from two years after termination to indefinite when the patient has ever been a victim of rape, incest, intimate partner abuse or sexual abuse even if these issues were never a focus of treatment.

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I concur with Ms. Eabon as to the additional clarification to the proposed rule.  Patients who have suffered this type of abuse are very vulnerable during and post terminiation.  It has been shown in numerous studies that there is a persistence of transference beyond termination.  These studies include:  Arnold Pfeffer (1963, 1993),  known as the "Pfeffer phonemenon".  Mental representations of the patient for the analyst remain indefinitely.  Nathan Schlessinger / Fred Robbins (1974) observed that many former patient make consistent use in fantasy of the "benign presence" of the analyst to faclilitate the solution of conficts after analysis.  A study by Buckley, Karasu, and Charles, (1981) found that thoughts for the analyst peaked 5-10 years after termination.  Rita Novey (1991) described a male patient that had terminated a full two years before encountering his female therapist and experinced intense erotic feeling toward her.  In a study by Haskell Norman, Kay Blacker, Jerome Oremland, and WIllima Barret (1976) had a study that concluded that "the transference neurosis remain as a latent structure which may, under certain conditions, be revived, repeated, and rapidly mastered". (p. 496)  Luborsky, Diguer, And Barer, (1994) supports the notion that the central transference paradigms emerging in the analytic process do not disapper. It has been suggested that Freud was correct when he noted in his 1912 paper, "The dynamics of Transference," that the transference is a lifelong template.   Jeseph Schachter (1992) noted that transference may not be resolved but is modulated to the point that patients can deal with them.  However, the transference wishes remain.  Finally, If transference makes analyst-patient sexual relations symbolically incestuous, potentially harmful, and clarly unethicaly during analysis, the some conserations hsould apply to posttermintation sex.  For example: Father-daughter incest is abhorrent not matter how much time has passed since the daughter live in the same household as the father.     In conclusion, no matter the abuse profile of the patient they are unusually at high risk to fall for a therapist that exposes love or makes sexual advances both during therapy and post termination.  Based on the transference studies mentioned above the patient can be vulnerable forever even if the patient thinks it is not transference but perhaps love.  

Taking in view about patient doctor relation it always better to put some law and regulise them.people may use such law if needed. todya in the virtual world everyone becoming lonely and rape and sexual harrasment rates are increasing. Recentaly I received a gmail which provided with ratio about rapes all over globe that happens in workplace......it sad to say a doctor can also look at his patient with bad thinking!!