Sylvia Olarte presented her research findings of a national survey of psychiatrists to document the prevalence of sexual misconduct. Of the respondents, 6.4% acknowledged sexual contact with their own patients, most within the dyad of female patient and male therapist. Gathering data from psychiatrists and abused patients, some of the themes include betrayal, exploitation, triumph over the therapist, increased depression, increased drug or alcohol abuse, worsening of intimate relationships, distrust, guilt, and shame. Most psychiatrists endorse absolute prohibition against sexual contact with patients. However the survey demonstrated considerable confusion over the appropriateness of sexual relationships