The traditional cliche disclaiming niceness is, perhaps appropriately, sex typed. The tradition in marital and family therapy, psychotherapy, and mental health treatment in general, is that professionals are nice. Except for inconvenient "doctor's dilemma" problems, that is, having to choose whom to benefit most, the most fundamental ethical principle has been to help, not to harm (Siporin, 1982). Benevolence and nonmalevolence (the inclination to help and not harm), and beneficence and nonmaleficence (helping and not harming) are central ethical concepts. They are expected by both therapists and consumers of psychotherapy (Margolin, 1982; Siporin, 1982; Wendorf & Wendorf, 1985; Zygmond & Boorhem, 1989).