The quote below was posted in another thread. It seems to me that if you replace the word "sexually" with the word "emotionally" the statement is just as relevant. And I wonder how many therapists would be willing to acknowledge that.

"I’ve seen too many patients badly damaged by therapists using them sexually. It’s always damaging to a patient. Therapists’ excuses are invariably patent and self-serving rationalizations..." -- Irvin Yalom

Isn't the core dynamic the same, on the same continuum? Where is the outrage over clients who are exploited or used emotionally?

I kinda think the core question is not whether therapy is fundamentally flawed, rather whether it is fundamentally abusive or exploitive for those with sufficient weakness, vulnerability, or desperation. A therapist doesn't have to commit some blatant "wrong", such as sexual misconduct, to damage or use the client.