“…I also review the controversy (see Kelly, 1998Kelly, , 2000 regarding the potentially deleterious effects of patient disclosure. In regard to this last point: While Freud, a product of the enlightenment, merged his faith in self-awareness with a belief in the mutative value of disclosure to another, a number of writers (e.g., D.H. Lawrence, 1921;Dostoevsky) philosophers (e.g., Neitzche), and contemporary researchers (e.g., Bonanno, Breznitz, Taylor) have challenged this perspective. Collectively, they argue that the high price (e.g., emotional pain) of awareness and disclosure may not be worth the gains.…”