The Reluctance to Self-Disclose: Reflexive or Reasoned?

Sugarman, Alan

doi:10.1002/j.2167-4086.2012.tb00512.x

Cited by 3 publications

(5 citation statements)

References 42 publications

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“…3 Despite this, there is an increasing consensus in both the psychotherapy and medical literatures of the additional therapeutic benefit of judicious, deliberate self-disclosure. 1,3,5 an important caveat is that this is of secondary importance to the primary task of careful active listening with respect and empathy.…”

Section: Unavoidable Self-disclosurementioning

confidence: 99%

Doctor self-disclosure in the consultation

Mann¹

2018

J Prim Health Care

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Doctors' self-disclosures to patients are an important dynamic in consultations. These can be categorised as unavoidable, inadvertent or deliberate. It is important in facilitating therapeutic outcomes to reflect on the types of messages unavoidably communicated by the doctor's appearance, speech and practice and consulting room environments, and to recognise self-disclosures caused by disruptive doctor transferences, so these transferences can be processed and minimised. Deliberate choices by doctors to disclose personal information and experiences are common. Without awareness and understanding, this can be unhelpful. Guidelines are provided to facilitate self-disclosures that build the doctor-patient relationship and improve therapeutic outcomes.

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Section: Unavoidable Self-disclosurementioning

confidence: 99%

Doctor self-disclosure in the consultation

Mann¹

2018

J Prim Health Care

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“…Despite this endless debate, I find that clinical discussions in study groups and case presentations reveal that most analysts who emphasize insight still perceive interventions that use the analytic relationship to influence the patient to be regrettable, and/or as leading to change that is less comprehensive or sturdy than analytic change brought about primarily by insight. This idea, in part, contributes to reservations about implementing more contemporary analytic techniques such as self-disclosure (Sugarman, 2012a). Freud's (1919Freud's ( /1955 well known reservations about the role of suggestion and identification with the analyst are not central to the focus of this paper.…”

Section: The Continuing Debatementioning

confidence: 99%

The place of internalization of the analyst in analyses that emphasize the mutative priority of insight: A developmental perspective.

Sugarman¹

2018

Psychoanalytic Psychology

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Despite the extensive debate about the role that internalization of the analyst plays in analyses conducted from a more traditional perspective, and the increasing acknowledgment that both insight and the relationship with the analyst are important and coexisting mutative factors, most analysts who value insight continue to see interventions that influence the patient via the relationship as lamentable and leading to less stable change than insight alone. This continued belief ignores all that we have learned about the role that interaction and identification play in the development and modification of psychic structure throughout the developmental process. The historical origin of this belief is reviewed along with the evolution of views in analysts prioritizing verbal interpretation leading to insight as a mutative element. This paper also reviews the role of internalization in the formation and transformation of psychic structure during development. Finally, that role is applied to understanding the role of insight in therapeutic action in order to demonstrate that internalization is a crucial part of insight. Its importance is based on a recasting of insight as a process so that patients learn to observe and understand their mental processes, not just to decode latent mental content.

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“…The mandate not to divulge personal therapist information has been a traditional hallmark of the profession, so the centrality of self-disclosure in Celebrating the Wounded Healer Psychotherapist merits more discussion. A continued caution and reluctance for therapists to disclose persists due to theoretical guidance, a desire not to influence the patient, personality traits of the therapist, or a preference for an expert based distance (Sugarman, 2012). While many tout the "need of the patient" as the necessary guideline around whether or not to disclose (Knox & Hill, 2003;Richards, 2018), in recent years the profession has increasingly tolerated and explored the value of self-disclosure in the treatment room (Hill, Knox, & Pinto-Coelho, 2018;Knox & Hill, 2003;Lee, 2014;Richards, 2018;Sugarman, 2012;West, 2017).…”

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confidence: 99%

“…A continued caution and reluctance for therapists to disclose persists due to theoretical guidance, a desire not to influence the patient, personality traits of the therapist, or a preference for an expert based distance (Sugarman, 2012). While many tout the "need of the patient" as the necessary guideline around whether or not to disclose (Knox & Hill, 2003;Richards, 2018), in recent years the profession has increasingly tolerated and explored the value of self-disclosure in the treatment room (Hill, Knox, & Pinto-Coelho, 2018;Knox & Hill, 2003;Lee, 2014;Richards, 2018;Sugarman, 2012;West, 2017). Both dangers and benefits are present when a therapist chooses to engage in self-disclosure with a client (Berg, Antonsen, & Binder, 2017;Sugarman, 2012).…”

mentioning

confidence: 99%

“…While many tout the "need of the patient" as the necessary guideline around whether or not to disclose (Knox & Hill, 2003;Richards, 2018), in recent years the profession has increasingly tolerated and explored the value of self-disclosure in the treatment room (Hill, Knox, & Pinto-Coelho, 2018;Knox & Hill, 2003;Lee, 2014;Richards, 2018;Sugarman, 2012;West, 2017). Both dangers and benefits are present when a therapist chooses to engage in self-disclosure with a client (Berg, Antonsen, & Binder, 2017;Sugarman, 2012). West (2017) appeals to therapists to reflect upon self-disclosing in particular cases, rather than relying unthinkingly on tradition.…”

mentioning

confidence: 99%

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Celebrating the Wounded Healer Psychotherapist: Pain, Post-Traumatic Growth and Self-Disclosure

McCarthy

2018

Smith College Studies in Social Work

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In Celebrating the Wounded Healer Psychotherapist: Pain, post-traumatic growth and self-disclosure, Sharon Klayman Farber (2017) takes the atypical step of focusing on the pain of therapists rather than the distress of clients. For a profession so conditioned to minimize therapist vulnerability or need, this book challenges the reader to recognize the reality that many therapists carry their own histories of trauma, grief, and mental illness, even while treating clients. This book demands that the reader face the primary danger in therapeutic work (both individually and in our collective professional consciousness), the error of minimizing how therapists are affected by the past in ways both beneficial and problematic (Farber, 2017).Farber divides the work into two sections: background information describing the concept of wounded healers and a space for invited therapists to share their own stories.In the first half of the book, Farber context for acknowledging that personal pain may be woven into the history of the therapist. She begins by tracing the long tradition of the wounded healer, across spiritual and cultural conceptualizations, adding gravitas to the role of the current day therapist and justification of the book's investigation. Farber notes the risks to wellness experienced by therapists: distress from containing another person's traumatic experiences, from working with folks who could be harmful, or from one's own personal history of loss, abuse, or struggle. Within this longstanding tradition of healers who carry their own burdens, Farber recognizes that clients might benefit or be harmed from the distress of their therapists.

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The Reluctance to Self-Disclose: Reflexive or Reasoned?

Cited by 3 publications

References 42 publications

Doctor self-disclosure in the consultation

Doctor self-disclosure in the consultation

The place of internalization of the analyst in analyses that emphasize the mutative priority of insight: A developmental perspective.

Celebrating the Wounded Healer Psychotherapist: Pain, Post-Traumatic Growth and Self-Disclosure

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