Abstract

Purpose

Oncology social workers are increasingly finding themselves diagnosed with or caring for a loved one with cancer. Self-disclosure may be useful for building a therapeutic alliance. Yet, practice-informed guidelines for psychosocial oncology providers do not exist.

Research Approach

Twenty-three psychosocial oncology providers diagnosed with and/or providing care to someone with cancer completed semi-structured interviews eliciting attitudes and utilization regarding self-disclosure.

Methodological Approach

Interviews were digitally recorded and transcribed verbatim. Using grounded theory’s constant comparative method, researchers conducted open and theoretical coding.

Findings

Participants expressed consensus in defining, and reported a range of evolving practices regarding, self-disclosure. Recommendations for responsible self-disclosure included self-awareness, ongoing assessment, supervision, and enhanced educational programming.

Interpretation and Implication

Therapeutic tools must evolve as core features of psychosocial oncology care. A flexible and context-specific framework for clinician self-disclosure related to personal experiences with cancer can guide oncology social work practice.

中文翻译：

---

在肿瘤学社工的帮助关系中定义个人癌症应对经验的自我披露：当癌症“回家”时

摘要

目的

肿瘤学社会工作者越来越多地发现自己被诊断出患有癌症或正在照顾患有癌症的亲人。自我披露可能有助于建立治疗联盟。然而，不存在针对心理社会肿瘤学提供者的以实践为依据的指南。

研究方法

23 名被诊断患有癌症和/或为癌症患者提供护理的心理社会肿瘤学提供者完成了半结构化访谈，以了解有关自我披露的态度和利用情况。

方法论

采访被数字记录并逐字转录。使用扎根理论的恒定比较方法，研究人员进行了开放和理论编码。

发现

参与者在定义自我披露方面表达了共识，并报告了一系列不断发展的自我披露实践。负责任的自我披露的建议包括自我意识、持续评估、监督和加强教育计划。

解释和暗示

治疗工具必须发展成为心理社会肿瘤学护理的核心特征。与个人癌症经历相关的临床医生自我披露的灵活且针对具体情况的框架可以指导肿瘤学社会工作实践。