In part II of our interview with Pam Fitch we explore ethical dilemmas and what makes them complicated. Specifically, we discuss issues related to “power”. Although massage therapists hold positions of responsibility, they may not feel particularly powerful and able to manage the therapeutic relationship. When that happens, they discover the cost of “being nice” instead of professionally responsible and this often results in challenging ethical dilemmas. At the same time, when therapists exploit their positions of responsibility and power, clients are at risk.