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Ethical issues in group therapy with family members are reviewed. The central focus is concentrated on (1) effects of this form of therapy on family solidarity and intrafamily relationships and (2) the special features in the doctor‐patient relationship. The paper also touches on relevant counter‐transference factors masked by some ethical objections.

A pilot telepsychiatry session was conducted with the US Department of Defense Satellite Communication System. The subjects were a family incompletely divorced many years before. There were two satellite interviews with this family. Bringing together all members of the original family so that questions could be addressed as to what happened when the children were very young unblocked a 13-year-old communication problem.