Patient self‐disclosure: A review of the research

Farber, Barry A.

doi:10.1002/jclp.10161

Cited by 99 publications

(96 citation statements)

References 11 publications

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“…Previous studies have found that clients are generally reluctant to talk about hindering experiences to their therapists (Farber, 2003;Levitt, 2002;Regan & Hill, 1992;Rhodes, Hill, Thompson, & Elliott, 1994). Even though clients are aware of the finer aspects of the relationship with the therapist there are things concerning their experiences in therapy that they do not tell even if invited by the therapist to share experiences of dissatisfaction.…”

Section: Hindering Factorsmentioning

confidence: 98%

Therapy talk and talk about therapy : Client-identified important events in psychotherapy

Viklund¹

2014

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Capturing and studying the moments in psychotherapy that clients find most important can help us understand more about how psychotherapy works, what the curative ingredients are, and by what processes they are mediated. Qualitative research in this area has, so far, mainly focused on describing, and categorizing clients' experiences of important factors and events. The methods employed to analyse the data have been rather limited in variation and are usually based on a realist epistemology, according to which data are basically treated as reflections of the clients' actual experiences. This entails a risk of overlooking and obscuring other aspects of therapy and the therapy process that are equally important to explore, for example the microprocesses of interaction within important events, or how clients' accounts of their experiences are shaped and limited by the context in which they are produced. The overall aim of this licentiate thesis was to explore client-identified important events in psychotherapy with a focus on studying therapy talk and talk about therapy from a social constructionist point of view, which would allow a closer exploration of the understudied areas mentioned above.In Study I, Conversation Analysis was used to explore the interaction taking place between seven client-therapist dyads in 16 client-identified important events collected from their third sessions. The analysis identified that 12 of the events contained clients' expressions of disagreement. Three different ways that the therapists handled the disagreement were discerned: The first, and most common, way was to orient to the client's cues of disagreement by inviting the client to elaborate on his or her point of view and to establish a shared understanding acceptable to both participants. The second way was to orient to the client's disagreement cues but define the therapist's own point view as more relevant than the client's, and the third way was a single case in which the therapist did not in any way orient to the client's disagreement cues.In Study II, two qualitative methods based on different epistemologies were used to analyse the same set of eight clients' accounts of 18 important events. The aim was to first identify what types of events clients describe as important, and then explore how their accounts of these events were contextually shaped and organized, and the consequences of this. The first analysis, a content analysis, yielded descriptions of five different types of events, which were similar to the ones found in previous research on important events. The second analysis, a discourse analysis, demonstrated how clients' accounts were not only influenced by the participants' ability to accurately remember and report their experience, but also by what was sayable within the context of the research interview. In conclusion, the two studies demonstrate how qualitative methods based on a socialconstructive perspective can contribute to our understanding of clientidentified important events by highlighting and ...

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Section: Hindering Factorsmentioning

confidence: 98%

Therapy talk and talk about therapy : Client-identified important events in psychotherapy

Viklund¹

2014

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“…Hall has discovered through studies that scores of such items, "what visitor dislike or worry about", "some personal characteristics that are considered as barriers", "some characteristics of parents disliked", "hopeless, depressive or disappointing feeling", "angry with spouse or partners", etc. However, Farber (2003) discovered in researches that most visitors can disclose their personal experience deeply in the consultation, but they seldom disclose information about personal privacy, especially sex, frustration, as well as the failures.…”

Section: Contents In Self-disclosure Of Visitorsmentioning

confidence: 99%

“…If counselors can understand and accept well, they may tend to disclose larger and more important problems, and it is a gradual probing process. Farber (2003) discovered that visitors may have negative emotional experience before and during the disclosure, but they may have positive experience after the disclosure (release or pride, safety, true sense, etc.) In addition, self-disclosure is also related to attachment.…”

Section: Depth Of Self-disclosure Of Visitorsmentioning

confidence: 99%

Review on the Self-Disclosure of Visitors

Ben-you¹

2014

JEDP

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Chongqing Humanistic and Social Science focused research study base: Study on the current situation and countermeasures of mental health service system in colleges and universities of southwest China (09KB25). AbstractSelf-disclosure is a significant factor in psychological consulting and psychological therapy. There have already been studies dividing the self-disclosure according to the content features and emotional dimensionality. Visitors display higher self-disclosure in psychological consulting situation, and men disclose more than women. The self-disclosure of visitors is a process of gradual exploration with specific emotion, which is influenced by the psychological state, emotional experience, counselors and social culture. The self-disclosure of visitors is related to the psychological consulting process, strategy selection and effects. The features of self-disclosure, as well as its function in psychological consultation, shall be further explored.

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“…Clients who report not disclosing salient topics in psychotherapy also report less improvement and most often cite shame as the reason for nondisclosure 10 . Nondisclosure follows directly from shame; shame involves an urge to hide from others because of negative self-evaluation 9 and can potentially include nondisclosure to cancer physicians and partners about important needs.…”

Section: Introductionmentioning

confidence: 99%

Shame, Guilt, and Communication in Lung Cancer Patients and Their Partners

Dirkse

Lamont

et al. 2014

Current Oncology

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Lung cancer patients report the highest distress levels of all cancer groups. In addition to poor prognosis, the self-blame and stigma associated with smoking might partially account for that distress and prevent patients from requesting help and communicating with their partners. The present study used innovative methods to investigate potential links of shame and guilt in lung cancer recovery with distress and marital adjustment. A specific emphasis was an examination of the impact of shame on partner communication. Lung cancer patients (n = 8) and their partners (n = 8) completed questionnaires and interviews that were videotaped. We report descriptive statistics and Spearman correlations between shame and guilt, relationship talk, marital satisfaction, distress, and smoking status. We coded the interviews for nonverbal expressions of shame. Greater self-reported shame was associated with decreased relationship-talk frequency and marital satisfaction, and with increased depression and smoking behaviour. Nonverbal shame behaviour also correlated with higher depression and increased smoking behaviour. Guilt results were more mixed. More recent smoking behaviour also correlated with higher depression. At a time when lung cancer patients often do not request help for distress, possibly because of shame, our preliminary study suggests that shame can also disrupt important partner relationships and might prevent patients from disclosing to physicians their need for psychosocial intervention and might increase their social isolation. Even if patients cannot verbally disclose their distress, nonverbal cues could potentially give clinicians an opportunity to intervene.

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Patient self‐disclosure: A review of the research

Cited by 99 publications

References 11 publications

Therapy talk and talk about therapy : Client-identified important events in psychotherapy

Therapy talk and talk about therapy : Client-identified important events in psychotherapy

Review on the Self-Disclosure of Visitors

Shame, Guilt, and Communication in Lung Cancer Patients and Their Partners

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