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Related Experiment Videos

Client disclosure and psychotherapy session evaluations.

W B Stiles

    The British Journal of Clinical Psychology
    |November 1, 1984
    PubMed
    Summary
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    Higher client disclosure in psychotherapy did not correlate with perceived session depth or value. Instead, increased self-disclosure was associated with sessions rated as more difficult and unpleasant by clients, therapists, and external observers.

    Area of Science:

    • Psychotherapy research
    • Clinical psychology
    • Human communication

    Background:

    • Client disclosure is a key aspect of psychotherapy.
    • Understanding the relationship between client self-disclosure and session quality is crucial for therapeutic effectiveness.

    Purpose of the Study:

    • To investigate the correlation between the percentage of client disclosure and session evaluations.
    • To compare client, therapist, and external rater perceptions of session quality in relation to client disclosure.

    Main Methods:

    • Analysis of 43 psychotherapy sessions.
    • Quantitative comparison of client's first-person, subjective utterances (disclosure) against evaluative session ratings.
    • Inclusion of ratings from clients, therapists, and an independent external rater.

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    Main Results:

    • Client perceptions of session depth and value were not correlated with the percentage of client disclosure.
    • Sessions with higher-than-usual client disclosure were perceived by all raters (clients, therapists, external) as rough, unpleasant, difficult, and dangerous.
    • Discrepancy noted between observer perceptions and participant experiences regarding disclosure's impact.

    Conclusions:

    • Client self-disclosure, particularly when increased, may not directly translate to perceived session quality or depth.
    • Increased client disclosure can be associated with negative subjective experiences during psychotherapy sessions.
    • Therapeutic alliance and session dynamics warrant further investigation concerning the role of client disclosure.