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Sex Stratified Neuronal Cultures to Study Ischemic Cell Death Pathways
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Let's not talk about sex.

Melanie Love1, Barry A Farber1

  • 1Teachers College, Columbia University.

Journal of Clinical Psychology
|October 19, 2017
PubMed
Summary

Clients often avoid discussing sexual topics with therapists due to shame, which impedes therapy progress. Therapists asking directly can foster greater honesty and improve clinical outcomes.

Area of Science:

  • Psychology
  • Psychotherapy
  • Clinical Psychology

Background:

  • Understanding client perspectives on sexual disclosure in therapy is crucial for effective treatment.
  • Previous research has not fully explored client-driven reasons for withholding sexual information.

Observation:

  • A case study illustrated a gay client's difficulty disclosing sexual experiences to a heterosexual female therapist.
  • A survey of 798 outpatient clients revealed common motives for sexual topic avoidance, such as shame and fear of judgment.

Findings:

  • Clients perceive that avoiding sexual topics impedes clinical progress.
  • Shame is a primary motive for clients withholding sexual information.
  • Clients desire therapists to "just ask" to facilitate open dialogue.
Keywords:
dishonestypsychotherapy processpsychotherapy relationshipsexsexualitytherapist training

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Implications:

  • Therapists should proactively create a safe environment for discussing sexual concerns.
  • Directly asking about sexual material can enhance therapeutic alliance and progress.
  • Addressing client shame is key to improving sexual disclosure in psychotherapy.