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Therapist self-disclosure and the problem of shared-decision making
Henrik Berg1, Jone Bjornestad2, Eystein Victor Våpenstad3
1Centre for the Study of the Sciences and the Humanities, University of Bergen, Bergen, Norway.
Therapist self-disclosure is a controversial topic in psychotherapy. This paper examines its relationship with shared-decision making, using disclosure as an example to illustrate shared-decision making principles and challenges.
Area of Science:
- Psychotherapy
- Clinical Psychology
- Counseling Practice
Background:
- Therapist self-disclosure is a historically debated practice in psychotherapy.
- The nature of the psychotherapist-patient interaction is central to these discussions.
- Shared-decision making offers a new framework for the expert-patient relationship.
Purpose of the Study:
- To explore the connection between therapist self-disclosure and shared-decision making.
- To use therapist self-disclosure as a case study for shared-decision making.
- To highlight principles and practical issues within shared-decision making.
Main Methods:
- Literature review
- Conceptual analysis
- Case illustration
Main Results:
- Therapist self-disclosure presents complex dynamics within shared-decision making.
- The application of shared-decision making requires careful consideration of therapist transparency.
- Potential challenges include boundary issues and impact on therapeutic alliance.
Conclusions:
- Shared-decision making offers a valuable framework for navigating therapist self-disclosure.
- Understanding the interplay between self-disclosure and shared decision-making is crucial for effective psychotherapy.
- Further research is needed to refine guidelines for ethical and effective practice.
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