AbstractA sample of 46 private practitioners in psychiatry, psychology, social work, and marriage and family counseling practicing in Hawaii responded to an anonymous questionnaire designed to elicit their attitudes toward and use of the following techniques with clients: nonerotic contact, explicit sexual contact, sexual intercourse with clients, and partner surrogates. Sexual problems were found to be widespread among the clinicians' clientele. Results indicated some approval and no use of sexual intercourse, and majority approval and no use of partner surrogates. Nonerotic and explicit sexual contact were approved of by a majority and used by many of the therapists. A significant relationship between belief in the usefulness of these latter two techniques and several demographic and professional variables was found. The therapists also described the conditions under which they would make use, or make more use of, these techniques.