ABSTRACT

This study explored the nature of disclosure in psychotherapy among respondents who reported particular difficulty being honest in psychotherapy about their self-harm, substance abuse, or disordered eating. Differences in overall honesty in psychotherapy (across 33 topics) and distress disclosure were examined between clients who reported most difficulty being honest about one of these three forms of self-destructive behavior (n = 79) and the balance of the overall sample (n = 719). A one-way ANOVA revealed a significant main effect, with the balance of the sample indicating greater overall honesty in psychotherapy than the self-destructive behavior group. The findings suggest that extra attention to issues of disclosure may be necessary in working clinically with individuals with specific forms of self-destructive behaviors.

摘要

本研究探讨了在心理治疗中特别难以坦诚自我伤害、药物滥用或饮食失调的受访者在心理治疗中披露的性质。在报告对这三种形式的自毁行为之一（n = 79）和总体样本的平衡（n= 719）。单向方差分析显示了显着的主效应，样本的平衡表明心理治疗的整体诚实度高于自我毁灭行为组。研究结果表明，在与具有特定形式的自我毁灭行为的人进行临床工作时，可能需要特别注意披露问题。