Interviewee disclosure as a function of interpersonal trust, task modeling, and interviewer self-disclosure.
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1. Lesbian nurses must decide whether to share information about lesbian culture with their nursing colleagues. 2. Making calm rejoinders to homophobic remarks, using policies on minority status and affirmative action, promoting competitive liberalism between institutions, and using marketing techniques can aid lesbian self-disclosure to individuals and institutions. 3. Nurses who are open about being lesbian can provide healthy role models for their colleagues and patients.
Psychology students were randomly assigned to a condition in which they had to write for 20 min on 3 days or for 3 min on 1 day a factual description of disclosed traumas, undisclosed traumas, or recent social events. In the case of undisclosed traumatic events, intensive writing about these events showed a beneficial effect on affect and on the affective impact of remembering the event and appraisal. Participants who wrote briefly about an undisclosed traumatic event showed a more negative appraisal. Participants who wrote intensively about a traumatic event and had a dispositional deficit in self-disclosure, measured by a Toronto Alexithymia Scale subscale, showed a positive effect on self-reported measures of affect. Difficulty in describing feelings, an alexythimia dimension, correlated with psychological health problems, emotional inhibition, and a less introspective content of written essays about the emotional events.
Recent research has demonstrated a positive relationship between private self-consciousness and the tendency to self-disclose. These studies have relied exclusively upon self-reports of disclosure. In the present study, Kenny's Social Relations Model (Kenny & La Voie, 1984) was employed to examine the relationship between a subject's self-reports and others' reports of a subject's level of self-disclosure and the relationship of these reports to private self-consciousness, as well as the other traits measured by the self-consciousness scale: public self-consciousness and social anxiety. Unacquainted college women (N = 102) participated in one-on-one interactions in a round-robin design. Subject's self-reports of disclosure and their levels of private self-consciousness correlated positively. The partners' reports of an individual's disclosure, however, were not related to the individual's level of private self-consciousness. The discrepancy between these correlations emphasizes the necessity to ground research in personal relationships on interacting pairs and not only on the self-reports of one member. Future research that would explore this difference is discussed. The examination of the self- and partner reports and subjects' levels of public self-consciousness and social anxiety demonstrated that these two traits significantly influence the acquaintance process. Public self-consciousness related positively to subjects' beliefs that they had created consistent impressions upon their partners. Social anxiety correlated negatively with partners' reports of a subject's dyadic involvement and openness.
Medical errors cause 44,000 to 98,000 deaths per year, which is due, in part, to the lack of privileged self-reporting systems. Such systems are of great value to the medical community, especially to new doctors and to medical students. Nonetheless, because documents produced for self-reporting conferences and statements made against self-interest are admissible in court, many observers believe that doctors are discouraged from self-reporting errors. The author proposes the creation of a new medical self-disclosure privilege to protect and promote self-reporting systems, which will lead to a reduction in medical errors.
Disclosure in psychotherapy may be considered from multiple perspectives: therapist to patient, patient to therapist, trainee to supervisor, and supervisor to trainee. Individuals in each of these roles must decide if, when, and how they should articulate certain thoughts or feelings to their therapeutic counterpart. Multicultural considerations may well influence these decisions. The articles in this issue, including two that are research reviews, question the value and parameters of self-disclosure in each of these contexts; they speak to the inevitable tension within psychotherapeutic dyads between the demands of open and honest disclosures and the equally potent countervailing forces of shame, tact, and appropriateness.
Within a boundary management framework, this study explored how physicians manage self-disclosure regarding medical mistakes amidst boundary constraints imposed by risk management, legal mandate, and the medical culture. Descriptive statistics from questionnaires and exemplars from accompanying narratives showed that the 39 internists and family physicians in this study chose to control their own boundaries by revealing errors most often to other physicians to facilitate learning. Although risk management and the medical culture do not appear to deter physicians from disclosing errors at a superficial level, physicians maintain tight personal boundaries at the emotional level. Perhaps if physicians could disclose errors at the emotional level, their mental energies could be more positively channeled to patients' needs, resulting in improved patient care.
Thirty-three lesbians ranging in age from 18-68 participated as respondents in this qualitative, theory-generating study. Data were obtained through a written demographic questionnaire and in-depth taped interviews. Findings revealed a two-phase basic social process (BSP) identified as personal risking that is used by lesbians to secure their physical and/or psychological safety within the health care system. In the anticipatory phase, the risk of self-disclosure is calculated using both imaginative and cognitive strategies to determine a disclosure stance. In the interactional phase, scanning and monitoring enable the lesbian client to reevaluate the stance assumed. The data confirm that lesbians are uncomfortable in many health care situations and suggest provider responses to improve their comfort and the level of health care they receive.
The authors analyzed the suprasegmental (temporary) vocal profiles of 19 young men (not married) during their seductive interaction with 19 young women (not married) whom they had not known previously. The aim of the research was to verify the specificity, the sequential temporal stream, and the efficacy of the acoustical features of the seducer's voice during seductive interaction. In an ecological laboratory situation, the male participants were asked to meet their female partners. Participant-by-participant analysis showed that the male seductive voice is characterized by strong variations during the course of the seductive sequence. At the beginning of the sequence it had a higher pitch and an elevated intensity, as well as a faster rate of articulation than it did during normal speech (the exhibition voice). In the following phases it became gradually lower, weaker, and warmer (the self-disclosure voice). The modulation and variability of the vocal profiles during the seductive interaction were significantly stressed in the 9 successful seducers (those who succeeded in arranging a subsequent meeting with the partner), compared with the 10 unsuccessful seducers. The results have been interpreted as an ability to perform an effective local management of seductive communication.
The intersection of psychodynamic psychotherapy and religious beliefs may present technical challenges for the psychotherapists; particularly if patients request to know more about the therapist's religious beliefs. Contrary to a recent technical recommendation for therapists to self-disclose personal religious beliefs when asked to do so, I suggest that such a request is complex and requires a thoughtful grounding in psychotherapeutic theory. Disclosing personal beliefs to patients runs the risk of being off-task as well as holding oneself out as an exemplar for the patient. Rather than adopt a formulaic response to requests for information, to deepen the understanding of the patient and the work of therapy, the therapist needs a complex understanding based on a careful diagnostic assessment of the patient, as well as an assessment of the current status of the psychotherapeutic venture. The workings of patients' particular transferences are often evident in requests for personal information and require careful evaluation and consideration. Likewise, countertransference elements may influence the type of response offered by the therapist. Using ethical principles as a guide is different from using them as a rule. The nexus of religious belief, psychosocial context, psychotherapy, and self-disclosure provides a potentially rich source of understanding when explored in the psychotherapeutic situation.
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Two procedures to experimentally induce negative and neutral emotional states are compared: self-referent emotional statements (Velten, 1968) presented alone vs. combined with music. For female subjects selected according to their baseline mood, it could be shown that negative statements alone induced anger whereas in combination with music they evoked sadness, i.e. dependent on the procedure applied, the quality of the induced negative emotion changed. For the induction of a neutral state the combined procedure proved to be superior, especially to reduce a positive baseline mood.
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