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Politics in the Consulting Room
Eric M Plakun1, Thomas E Steele
1STEELE: Professor Emeritus, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, and Private Practice, Charleston, SC PLAKUN: Associate Medical Director, Director of Biopsychosocial Advocacy, Austen Riggs Center, Stockbridge, MA, and Leader, American Psychiatric Association Psychotherapy Caucus, Arlington, VA.
Clinicians often self-disclose political views, impacting patient relationships. This column explores the pros, cons, and effects of such disclosures in psychotherapy.
Area of Science:
- Psychiatry
- Psychotherapy
Background:
- Recent political campaigns and elections have significantly affected patients and clinicians.
- Self-disclosure by clinicians is an inevitable aspect of the therapeutic relationship.
Purpose of the Study:
- To examine the implications of clinicians self-disclosing their political perspectives.
- To discuss the advantages and disadvantages of political self-disclosure in psychotherapy.
Main Methods:
- This is a guest column, presenting a discussion rather than empirical research.
- The column synthesizes existing knowledge and clinical experience regarding clinician self-disclosure.
Main Results:
- Self-disclosure of political perspectives by clinicians can have varied impacts on patients.
- Potential benefits include enhanced therapeutic alliance, while risks involve alienating patients or compromising objectivity.
Conclusions:
- Understanding the nuances of political self-disclosure is crucial for maintaining effective therapeutic relationships.
- Clinicians must carefully weigh the potential consequences before disclosing personal political views.
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