Why do those have to be mutually exclusive? Does the professional transaction negate the possibility of a genuine connection (albeit one that exists in a bounded space)?
The sort of relationship I have with a friend has an intrinsic mutuality to it that I'm never going to get out of a transactional relationship. With a friend I *do* care about their good opinion of me (and vice versa), but a therapist's opinion only matters via our interactions.
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To go back to your comparison with a coworker: It matters that I am friendly with a coworker, that we have a good working relationship, etc. but I don't really care what they think of my personal life unless we're actually to become friends outside of work.
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These are bounded and ultimately somewhat disposable relationships.
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