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PubMed2006

Sanctity of human life in war: ethics and post traumatic stress disorder.

This reflective paper focuses on the moral and ethical difficulties medical care providers meet in applying DSM-IV criteria of Post Traumatic Stress Disorder in therapy and in Compensation and Pension Examinations. Providers may be less interested in articulating a philosophy of life or their own ontology than about documenting care for the patient or providing effective management of symptoms of Post Traumatic Stress Disorder. The veteran comes for assessment or therapy after an embodiment of war conflicts. Examiners and therapists spend time in clinical judgments and ethical consideration. Ethical decisions involve the sanctity of human life and the distinction made between acceptable civil and war behavior. Insight into the conflicting values found in the veterans' struggle to cope with the stress of war is needed. The stress of sending young men into harm's way is an ethical issue for veterans and the society which sends them and thereby compromises the sanctity of human life. These ethical components require the doctor and the veteran to articulate their values within ontology or a personal philosophy of life. That exchange contributes to accurate assessment and adequate therapy. Not understanding the importance of personal ontologies in treatment may make the veteran's self-disclosure difficult. Self-disclosure of one's ontology is one side of coping with Post Traumatic Stress Disorder. The other side is for powerful decision-making groups to disclose to the young recruits the full and honest account of the human cost of war before sending them into harm's way.

Attitude↗
PubMed1976

Content analysis of verbal communication between spinal cord injured and nondisabled male college students.

Does the interaction between a disabled person and a nondisabled person differ in content and climate from the interaction between two nondisabled persons? The purpose of this study was to compare dyadic interaction behavior of traumatically disabled and nondisabled men paired in homogeneous or mixed dyads. Forty-five disabled and 45 nondisabled men, assigned to dyads consisting either of two disabled students, two nondisabled students, or one disabled and one nondisabled student, discussed a low, medium and high intimacy topic. A group of trials analysis of variance was used to assess the effects of dyad composition and topic intimacy on self-disclosure. Dyads consisting of two nondisabled partners exhibited the least self-disclosure at all levels of topic intimacy. Dyads in which both partners were disabled exhibited the most self-disclosure on low and medium intimacy topics and had the greatest frequency of disability related responses. The mixed dyads exhibited the most self-disclosure on the high intimacy topic. Disabled subjects in homogeneous dyads exhibited greater depth of self-disclosure than nondisabled subjects in homogeneous dyads. The implications of the results are discussed in terms of facilitating the acquisition of interaction skills for traumatically disabled persons, evaluating patient-staff communication and the role of peer counseling in rehabilitation settings.

Adolescent↗
PubMed1995

When infants wail: frustration and gender as variables in distress disclosure.

Gender and differences in self-disclosure following a frustrating event were investigated. The Emotional Self-Disclosure Scale assessed the extent to which 100 male college students and 100 female college students were willing to disclose their emotions. The frustrating stimulus presented was a tape of an infant crying, played at 85 dB for 10 min. Men exposed to the noxious stimulus were less willing to disclose than men who were not. All of the men were less willing than the women to disclose in either condition. Women in the two conditions showed no differences in disclosure. These findings are interpreted with respect to how disclosure is affected by the immediate environment and with respect to male-female differences.

Acoustic Stimulation↗
PubMed1990

A randomized clinical trial of cognitive marital therapy.

Thirty-three couples with severe marital discord referred to a psychiatric outpatient department were randomly assigned to Cognitive Marital Therapy or a control group. Cognitive Marital Therapy is a brief, structured couple therapy, which involves spouses in reciprocal self-disclosure of personal constructs. The control group received the same number of sessions of self-disclosure from a programmed marital enhancement text. Personal distress, marital adjustment, marital quality, and aspects of self-disclosure were measured before and after treatment. Symptoms of depression as well as somatic and compulsive complaints showed significant improvement in both groups. The wives exhibited a trend suggesting that they were making more self-disclosures to their spouses after counseling. No discernable differences in outcome were found between the marital therapy group and the control group. Marital intimacy and marital satisfaction did not improve significantly over the course of 10 therapy sessions. This study suggests that the role of self-disclosure in marital therapy needs further clarification.

Adaptation, Psychological↗
PubMed2001

The lived experience of college student lesbians' encounters with health care providers. A preliminary investigation.

The purpose of this preliminary study was to explore the lived experience of four self-identified college student lesbians coming out and their encounters with health care providers. This study used a qualitative method of phenomenology for data collection and analysis. Results of the study revealed a phenomenological model that embodied the core theme of navigating self-disclosure. Two major themes stemming from the core theme were also uncovered. Navigating self-disclosure in homophobic waters and navigating self-disclosure encounters with health care providers unveiled a continuum of self-disclosure to nondisclosure experiences encountered by lesbians. Strategies are offered to enhance interactions between lesbians and health care providers in primary and acute care settings.

Adult↗
PubMed1993

Earvin "Magic" Johnson's HIV serostatus disclosure: effects on men's perceptions of AIDS.

The effects of celebrity self-disclosure of human immunodeficiency virus (HIV) seropositivity on perceptions of HIV and Acquired Immunodeficiency Syndrome (AIDS) were investigated. AIDS-related interest and knowledge measures were collected from 468 men before and after basketball star Earvin "Magic" Johnson's self-disclosure of HIV seropositivity. Increased interest in AIDS paralleled media coverage of the announcement, with the most substantial effects occurring within 2 weeks. Perceived impact of the disclosure was greatest among African-American men and men who had not previously known someone with HIV-AIDS. Celebrity self-disclosure appears to affect perceptions through mechanisms similar to those involved in personally knowing someone infected with HIV.

Acquired Immunodeficiency Syndrome↗
PubMed1991

Development of a self-theory and measurement scale.

In this study, we examined a theoretical model of self-development and a scale to measure 12 aspects of the self. The theory, called developmental self-theory, proposes a hierarchical arrangement of dimensions of the self. The 12 scales are collectively called the Omnibus Self-Test and measure Self-Esteem, Positive Self-Regard, Moral Self-Concept, Self-Confidence, Self-Reliance, Self-Control, Selfishness, Self-Disclosure, Self-as-Agent, Self-Critical, Self-Identity, and Self-Reflection. Preliminary data on the reliability and validity of the Omnibus Self-Test is reported along with intercorrelations among the scales.

Adult↗
PubMed2001

Is psychotherapy more effective when therapists disclose information about themselves?

Theorists have long debated the wisdom of therapists disclosing personal information during psychotherapy. Some observers have argued that such therapist self-disclosure impedes treatment, whereas others have suggested that it enhances the effectiveness of therapy. To test these competing positions, therapists at a university counseling center were instructed to increase the number of self-disclosures they made during treatment of one client and refrain from making self-disclosures during treatment of another client. Analyses revealed that clients receiving psychotherapy under conditions of heightened therapist disclosure not only reported lower levels of symptom distress but also liked their therapist more. Such findings suggest that self-disclosure by the therapist may improve both the quality of the therapeutic relationship and the outcome of treatment.

Adolescent↗
PubMed1997

The effects of pretraining on group psychotherapy for incest-related issues.

The effects of written, cognitive pretraining on self-reported self-disclosure and cohesion in group psychotherapy were studied. Subjects were members of time-limited psychotherapy groups that focused on incest-related issues. The experimental groups were given written cognitive pretraining designed to increase self-reported self-disclosure and cohesion. The control groups received general group information. Subjects in the pretrained groups reported higher levels of self-perceived self-disclosure than the control groups after sessions 4 (p = 0.003) and 8 (p = 0.003). Self-reported self-disclosure did not increase over time for pretrained or nonpretrained subjects. Cohesion did not differ across groups, but increased over time for experimental subjects (p = .008), and not for control subjects.

Adult↗
PubMed1990

Perceived intimacy of expressed emotion.

Research on norms for emotional expression and self-disclosure provided the basis for two hypotheses concerning the perceived intimacy of emotional self-disclosure. The first hypothesis was that the perceived intimacy of negative emotional disclosure would be greater than that of positive emotional disclosure; the second was that disclosures of more intense emotional states would be perceived as more intimate than disclosures of less intense emotional states for both negative and positive disclosures. Both hypotheses received support when male students in Canada rated the perceived intimacy of self-disclosures that were equated for topic and that covered a comprehensive sample of emotions and a range of emotional intensities. The effects were observed across all the topics of disclosure examined.

Adolescent↗
PubMed1985

Influence of self-monitoring on heterosexual conversational behaviors of head trauma youth.

This study evaluates the impact of self-monitoring on three heterosexual conversational behaviors of head trauma youths. Two 5-minute audiotaped conversations occurred daily between the youths and unfamiliar female confederates. Two conversations occurring on alternate days in clinical and natural conversational settings were scored for the frequency of compliments, questions, and self-disclosures. A multiple baseline analysis with alternating treatments for "instructions to self-monitor" and "no instructions to self-monitor" revealed (a) self-monitoring had an accelerative effect on compliments and questions and a decelerative effect on self-disclosure; (b) self-monitoring effects were maintained despite transferring from a mechanical counter to an unspecified covert monitoring procedure; (c) self-monitoring had a comparable effect whether employed in a clinical or functional communication setting; (d) performance of the target behavior was most strongly influenced under the "instructions to self-monitor condition;" (e) once intervention was directed to another response, the rate under the instructions and no instruction conditions became equivalent; and (f) the results maintained over a 1-month follow-up for one youth available for observation. Finally, social comparison and subjective evaluation data supported the importance of intervention.

Adult↗
PubMed1977

A personal construct approach to perception of disclosure targets.

Investigating the perception of targets for self-disclosure from the perspective of the psychology of personal constructs, it was predicted that respondents from a mixed-nationality group would (a) characterize friends more than acquaintances in terms of 'superordinate' personality-descriptive dimensions, (b) 'differentiate' friends more than acquaintances by extensive application of constructs to them, and (c) 'polarize' targets for high disclosure by construing them sharply and meaningfully in terms of personally significant dimensions of meaning. All predictions received significant support for 34 college students (Mdnage 22 yr.) who responded in writing to a questionnaire. The results suggest the fruitfulness of further examining self-disclosure and friendship formation from a vantage point which emphasizes the perceptual and interpretive framework of an adult person.

Adolescent↗
PubMed2006

Improving well-being through psycho-education among voluntary counseling and testing seekers in Nigeria: a controlled outcome study.

The present study evaluated the efficacy of an individualized psycho-education (PE) program in reducing psychological distress and risky sexual behavior and enhancing self-disclosure associated with an HIV diagnosis among attendees of a walk-in non-governmental voluntary counseling and testing (VCT) center in Nigeria. Ninety-four consecutive individuals were asked to complete a pre-counseling, baseline questionnaire detailing their sociodemographic characteristics, psychopathology, sexual practices, self-disclosure intention and coping behaviors. They were screened for HIV and post-test counseled. Sixty-seven individuals (72.2%) who tested positive were consecutively randomly assigned to one of two groups: a PE program (four 60-minute weekly manual driven sessions) (N=34) and a wait-list (WL) control group (N=33). The major outcome measures used were the Crown Crisp Experiential Index (CCEI), the Beck Depression Inventory (BDI) (Beck et al., (1961), self-report sexual practices in past three months, self-disclosure intention and the brief COPE. At four weeks post-intervention, significant reductions on all measures as well as reduction in risky sexual practices were observed in the treatment group compared with the wait-list group. Treatment group members were also significantly more likely to disclose their serostatus and accept their HIV status as a way of coping, compared with the wait-list group. Overall, support was found for the efficacy of a manual-driven PE program for self-disclosure, reduction of depression and improvement in safe sexual practices.

Adaptation, Psychological↗
PubMed2005

The interpersonal process model of intimacy in marriage: a daily-diary and multilevel modeling approach.

This study used daily reports of interactions in marriage to examine predictions from the conceptualization of intimacy as the outcome of an interpersonal process. Both partners of 96 married couples completed daily diaries assessing self-disclosure, partner disclosure, perceived partner responsiveness, and intimacy on each of 42 consecutive days. Multivariate multilevel modeling revealed that self-disclosure and partner disclosure both significantly and uniquely contributed to the contemporaneous prediction of intimacy. Perceived partner responsiveness partially mediated the effects of self-disclosure and partner disclosure on intimacy. Global marital satisfaction, relationship intimacy, and demand-withdraw communication were related to daily levels of intimacy. Implications for the importance of perceived partner responsiveness in the intimacy process for married partners are discussed.

Adult↗
PubMed1996

[The relation of age, gender and sex-role identity to role expectation in same-sex friends].

The purpose of this study was to examine the relation of age, gender, and sex-role identity to role expectation in same-sex friends (SSF). Role expectation in SSF consisted of ten categories (Wada, 1993): Cooperation, information, similarity, self-enhancement, sensitivity, companionship, authenticity, self-disclosure, respect, and interdependence. Subjects were 129 (67 male and 62 female) junior high school, 243 (118 male and 125 female) senior high school, and 168 (88 male and 80 female) college students. Major findings were as follows: Senior high school and undergraduate students expected more self-enhancement from SSF than junior high students. Junior and senior high school students expected more companionship than undergraduates. Undergraduates expected more authenticity and less self-disclosure than junior high school students. And male students expected more companionship, information, and similarity, but less self-disclosure, self-enhancement, and respect from SSF than female. Clear results of the relationship between sex-role identity and role expectation in SSF weren't found.

Adolescent↗
PubMed1993

In-session change in emotionally focused therapy.

This article presents 3 different studies of in-session changes in emotionally focused couples therapy (EFT). Studies of in-session conflict events demonstrate both that couples' conflict interaction at the end of treatment is more affiliative and interdependent than at the beginning of treatment and that peak session conflict interaction is deeper in level of experience and more affiliative than the interaction in poor session conflict episodes. In addition, events beginning with intimate, affective self-disclosure by one partner were found to involve greater affiliation in spouses' responses to the self-disclosure than in a control event not involving self-disclosure. The possible change processes in EFT are discussed in light of these results.

Adult↗
PubMed1976

Psychotherapy sabotage revisited: the better half of individual psychotherapy.

This study examined the amount of actual client self-disclosure emitted and the pattern of its occurrence within and across individual therapy sessions. An earlier finding showed that many clients avoided self-disclosure until the session's closing minutes early in therapy. These data revealed that in the middle stages of short-term therapy for a university population (N = 26) clients continue to engage in the highest proportion of self-disclosure during the latter half of the therapy hour. The position that there are ways in which psychotherapy sabotage can be reduced was discussed.

Adult↗
PubMed2003

The process of sharing social support in cyberspace.

Mutual support is an interactional communication process. Taking an interactional approach to support requires group participants be viewed not only as targets and recipients but also as sources and providers of various types of support. An analysis was performed on the interactions of a group listserve and model of online interactional support. The aim was to explore the communication process children follow. The analysis revealed self-disclosure was used in the support group in three distinct ways. Its function for the support recipient is to initiate a transactional relationship with another member for the purpose of attracting social support through the open expression of concerns and frustrations. It is then used by the support provider to demonstrate that coping is possible for the recipient through the reciprocal self-disclosure of similar concerns and situations with which the member has successfully dealt. The third use of self-disclosure was to share reciprocal social companionship relationships.

Adolescent↗