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Self-disclosure in psychotherapy practice and supervision: an introduction
1Program in Clinical Psychology, Teachers College, Columbia University, New York, NY 10027, USA. Farber@tc.columbia.edu
Journal of Clinical Psychology
|April 16, 2003
Summary
Psychotherapy self-disclosure involves complex decisions for patients, therapists, trainees, and supervisors. Cultural factors and the balance between openness, shame, tact, and appropriateness shape these disclosures.
Area of Science:
- Psychology
- Psychotherapy Research
- Clinical Psychology
Background:
- Self-disclosure is a key element in psychotherapeutic relationships.
- Decisions regarding disclosure occur across various roles: therapist-patient, patient-therapist, trainee-supervisor, and supervisor-trainee.
- Multicultural factors can significantly impact disclosure dynamics.
Purpose of the Study:
- To explore the multifaceted nature of self-disclosure in psychotherapy.
- To examine the decision-making processes influencing disclosure in different therapeutic roles.
- To investigate the interplay between cultural considerations and self-disclosure.
Main Methods:
- Review of existing literature on psychotherapy disclosure.
- Analysis of research examining therapist, patient, trainee, and supervisor disclosure.
- Exploration of the tension between open disclosure and factors like shame and appropriateness.
Main Results:
- Self-disclosure is context-dependent and influenced by role dynamics.
- Cultural sensitivity is crucial for effective and ethical disclosure.
- Psychotherapeutic dyads navigate a balance between honesty and potential negative consequences of disclosure.
Conclusions:
- Understanding the nuances of self-disclosure is vital for effective psychotherapy.
- Therapeutic guidelines should consider cultural variations and the inherent tensions in disclosure.
- Further research is needed to refine best practices for self-disclosure in diverse clinical settings.
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