In the following article, we will explore the nature of the therapeutic relationship as it relates to batterers' treatment programs. We will consider the impact of obligations created by forces outside the relationship, such as those imposed by legal proceedings. We will discuss the concepts of confidentiality, privilege, and agency and their impact on the therapeutic relationship and the extent to which the therapists' understanding of the role these concepts play may be altered by court orders that impose treatment on a client/patient. Finally, we examine the issues and choices a therapist must make when engaging in court-ordered treatment of batterers, and the implications of those choices for both therapist and client; we will also suggest guidelines to help therapists sort through the often conflicting goals of therapy and the legal process.

Aggression in adult, intimate relationships is a significant problem with far reaching effects on victims, perpetrators, their families, and society. Recognizing the import of the problem, the U.S. Department of Justice has established a Violence Against Women office, and many states have enacted legislation to protect victims and deal with perpetrators. It is urgent that we understand the dynamics of relationship aggression so that effective interventions and preventive programs can be developed. This article reviews the current status of research on relationship aggression and identifies several omissions, most notably, ignorance of the potential contributions of biological factors. Recent research regarding the relevance of biological factors is reviewed and a Biopsychosocial model is presented. Finally, some suggestions are made for future research.