Ethical issues in the conduct of research at a multidisciplinary clinic.

We describe the process our interdisciplinary clinic used to create an institutional policy regarding research participant recruitment from among our client base. We demonstrate how certain elements of the client-clinician relationship can lead to inadvertent ethical quandaries in research recruitment, including implicit coercion and fostering of "therapeutic misconception." Our internal policy deliberations focused on five central dilemmas, each requiring a careful evaluation of ethical principles.