Sexual intimacies with a patient may include which of the following?

In the context of professional ethics and boundaries in psychology, all the mentioned actions—soliciting a date, self-disclosure of an erotic nature, and romantic communications—constitute sexual intimacies with a patient. These actions can blur the professional relationship between a therapist and a client, which is built on trust, respect, and a commitment to the client's well-being.

Soliciting a date introduces a dual relationship that can compromise therapeutic efficacy and can lead to exploitation. Self-disclosing information of an erotic nature disrupts the professional boundary and shifts the focus from patient care to personal feelings and desires. Romantic communications can create confusion about the nature of the therapist-patient relationship and can lead to significant ethical and professional dilemmas.

Because all these actions potentially compromise the necessary boundaries of the therapist-client relationship, they collectively illustrate why the correct understanding involves recognizing that all the options reflect sexual intimacies that are considered unethical within the realm of psychological practice.