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PubMed2001

Gender, religion, and adolescent patterns of self-disclosure in the divided society of Northern Ireland.

Adolescence is a period when levels of self-disclosure are often lowest. While studies have revealed a clear preference for female targets of disclosure, little research has been carried out on the effects of religion upon disclosure. The impact of religion was of importance in this investigation, given that it was conducted in Northern Ireland, where religion affects almost every aspect of social life. The aim was to ascertain the effects of gender and religious affiliation on adolescent disclosure to friends and strangers. Results revealed that while females were significantly higher disclosers than were males, religion per se did not play a key role. This suggests that even in a highly polarized society, gender is the central determinant of disclosure and is even more important than political identity. The implications of these findings are discussed, particularly with regard to the difficulty young males have in terms of revealing personal information.

Adolescent↗
PubMed1989

Counselors' reports of their use of self-disclosure with clients.

Ninety-six counselors indicated the frequency of their use of 11 types of self-disclosure, which varied in intimacy from incidental information (age, race) to personal weaknesses. Positive emotional responses to clients were used most frequently, and opinions/attitudes were used least frequently. A factor analysis showed three factors to describe the data best. Factor 1 was represented by information related to the personal identify and experiences of the therapist. Factor 2 involved the emotional responses of the therapist to the client. Factor 3 was principally the disclosure of professional experiences and identity. Implications are considered.

Adult↗
PubMed1997

Extending the Benefits of Recategorization: Evaluations, Self-Disclosure, and Helping

The Common Ingroup Identity Model proposes that if members of different groups conceive of themselves more as a single group rather than as two separate groups, intergroup bias will be reduced through processes involving pro-ingroup favoritism. The present research extended work on this model by investigating the effects of recategorization on intergroup behavior, specifically helping and self-disclosure, as well as evaluations. Participants first worked as members of two three-person groups, and then the two groups interacted under conditions designed to enhance a two-group representation or recategorization with an inclusive one-group representation. As expected, the manipulation of the intergroup contact situation that created stronger impressions of one group reduced intergroup bias in evaluations, self-disclosure, and helping. Furthermore, ratings of the extent to which the six participants felt like one group mediated the reduction in bias, particularly for evaluative bias. Conditions facilitating the generalization of the benefits of recategorization to group members not present and to other groups are considered.

Journal Article↗
PubMed1979

Self-disclosure in therapy: marriage of the therapist.

The author presents how his interest on the general subject of self-disclosures in therapy evolved. Literature on this subject is reviewed with particular attention to intercurrent events in the therapist's life that may affect ongoing psychotherapy. Six clinical vignettes of psychotherapy cases illustrate varying reactions. The effects that planned disclosure of an intercurrent event (his marriage) had on this process are discussed.

Adult↗
PubMed1994

Self-disclosure of HIV infection to sexual partners after repeated counseling.

This study, with the objective of examining voluntary self-disclosure of HIV infection after repeated counseling, was conducted in a private setting, and designed to operate in conjunction with HIV testing. Counseling was provided at entry, and then at 3 months, 6 months, and every six months thereafter. The study was conducted among 129 HIV-positive adults; the primary risk factor was history of: males having sex with males (n = 104); injection drug use (n = 19); or heterosexual contact (n = 6). Results showed that after a mean of 2.3 years since initial HIV-positive notification, 29 percent of subjects had not disclosed the HIV infection to any present partner, and 30 percent to any past sex partner. Casual sex and lower perceived social support were significantly associated with nondisclosure. The authors conclude that even after repeated individual counseling and at least several months to inform others, about one-third of the sexually active subjects did not disclose their HIV infection to any present sex partner. Clinical and public health implications are covered.

Adolescent↗
PubMed1995

Self-disclosure of HIV infection among men who vary in time since seropositive diagnosis and symptomatic status.

OBJECTIVE: To assess self-disclosure of HIV-positive serostatus to family, friends, and intimate lovers among asymptomatic and symptomatic men who varied in length of time since HIV-seropositive diagnosis. Additionally, the study assessed the anticipated and actual interpersonal consequences of disclosure. METHODS: A multiethnic sample of 684 men with HIV/AIDS completed self-administered questionnaires at two HIV-outpatient clinics in Los Angeles. The cross-sectional analysis stratified the men by time since testing HIV-seropositive and symptomatic status. Disclosure to six significant others (intimate lover, close friend, mother, father, sister, brother) was examined in univariate and multivariate analyses. RESULTS: Men recently diagnosed HIV-seropositive (within 2-4 months) were more likely to have informed intimate lovers and friends than family members; disclosure to father was extremely low. Disclosure was generally lower among asymptomatic than symptomatic men; 21% of asymptomatic men who had tested HIV-seropositive in the previous year had not informed any of the six significant others considered in the study. Disclosure rates were higher among men diagnosed less recently. The interpersonal reactions of those informed were more favorable than the reactions non-disclosers anticipated; however, both actual and anticipated reactions were generally supportive. CONCLUSION: Many asymptomatic men inform few or no significant others of their HIV infection in the first few months after HIV diagnosis. Given the generally supportive reactions reported, HIV-seropositive men should be encouraged, when appropriate, to inform family, friends, and intimate lovers of their serostatus.

Acquired Immunodeficiency Syndrome↗
PubMed1977

Ratings of client self-disclosure and improvement as a function of sex of client and therapist.

This study examined the effects of client and therapist sex on client self-disclosure and improvement from individual psychotherapy. Based upon closing summary data collected at a college psychological counseling center, it was found that clients were more likely to be rated as low disclosers by female than by male therapists. Males viewed more clients as improved than did females (74% vs. 50%).

Attitude of Health Personnel↗
PubMed1987

Psychophysiological reactivity and speech behavior during the Structured Type A Interview and a self-disclosure monologue.

Speech characteristics and the simultaneously recorded psychophysiological reactivity were compared between two tape-recorded speech tests, the Structured Type A Interview (SI) and a standardized 'self-disclosure' monologue (SD) as a non-social speech test. The SD started with a 5-min mental preparation interval followed by 3 subsequent self-reports each lasting 1.5 min. The 26 students used as subjects showed in all cardiovascular parameters (interbeat interval, pulse transit time to the earlobe, finger plethysmographic amplitudes and blood pressure) strong and similar reactivity to both tests. The individual rankings of physiological reactivity turned out to be remarkably constant over all experimental periods, but this reactivity was neither correlated with the Type A scores nor with sex. Modest correlations between the SI and SD test were obtained for word rate, expiratory sighs, and silent latent pauses. Thereby, some speech variables tended to be affected by the Type A behavior, and, to a somewhat stronger extent, by sex. The desirability of a non-social speech test for assessing Type A behavior is discussed.

Adult↗
PubMed2004

The interpersonal process model of intimacy: the role of self-disclosure, partner disclosure, and partner responsiveness in interactions between breast cancer patients and their partners.

This study evaluated H. Reis and P. Shaver's (1988) interpersonal process model of intimacy in a sample of 98 women with breast cancer and their partners. Couples engaged in two discussions and rated self- and partner disclosure, perceived partner responsiveness, and intimacy experienced. A mediational model was tested in which partner responsiveness mediated the association between disclosure and intimacy. For patients, perceived responsiveness partially mediated the association between partner disclosure and intimacy, but self-disclosure was not significantly associated with responsiveness or intimacy. For partners, perceived responsiveness mediated the association between self-disclosure and perceived partner disclosure and intimacy. For breast cancer patients, partner disclosure predicted patient feelings of intimacy, because this type of disclosure was associated with greater feelings of acceptance, understanding, and caring. These findings may have implications for interventions to improve relationship closeness among couples coping with breast cancer.

Adult↗
PubMed1998

Preventive counseling of HIV-positive men and self-disclosure of serostatus to sex partners: new opportunities for prevention.

This study examined whether preventive counseling of HIV-positive men (N = 255) was associated with self-disclosure of serostatus to sex partners. Men who reported being counseled at posttest and at their current HIV clinic to disclose their serostatus to partners were more likely to have done so than men counseled only at posttest, only at the HIV clinic, or not counseled at either site. Disclosure increased with the number of times counseled at the HIV clinic. These patterns held for HIV-negative partners, but not for HIV-positive or HIV-unknown partners. Disclosure to HIV-negative partners was associated with safer sexual practices. The findings suggest that counseling interventions for HIV-positive men, when delivered by multiple sources, may provide an effective means of increasing disclosure to sexual partners.

Adult↗
PubMed1989

Effects of therapist's self-disclosure and a physical barrier on subjects' perceptions of the therapist: an analogue study.

This analogue study was designed to assess the effects of a therapist's self-disclosure and a physical barrier between therapist and client on subjects' perceptions of the therapist. College students viewed one of four videotaped therapy interactions during which an actor, playing the role of a therapist, did or did not disclose, and where a barrier was or was not present. Students rated the mock therapist on expertness, trustworthiness, and attractiveness. Analysis showed that students rated him higher on trustworthiness and attractiveness when he disclosed than when he did not disclose. Moreover, the mock therapist's disclosure had more effect on students' ratings when a barrier was present than when no barrier was present.

Adult↗
PubMed2004

Self-disclosure of HIV serostatus in recently diagnosed patients with HIV in South Africa.

Failure of people living with HIV/AIDS to disclose their HIV serostatus can place their sexual partners at risk. The current study examined HIV serostatus disclosure and its relationship to risky sexual behaviours in 69 sexually active, heterosexual, married (62%) or cohabiting (38%) patients recently diagnosed as HIV positive. Results show that 78% had not disclosed their HIV serostatus to their sexual partners and 46% had no knowledge of their sexual partner's serostatus. Compared to those who disclosed their serostatus, those who did not disclose were more likely to be male (chi2 = 7.02, p = 0.00), to have not used a condom during their last sexual encounter (chi2 = 29.64, p = 0.000), to have used alcohol heavily before sex (chi2 = 6.79, p = 0.00), to have multiple sexual partners (t = 3.01, p = 0.05), and to have engaged more frequently in sexual intercourse in the six months preceding the study (t = 8.21, p = 0.00). Logistic regression analysis show that being in a married relationship (OR = 0.86, 95% CI = 0.65, 1.15), being male (OR = 1.48, 95% CI = 0.24, 1.99), having more than two multiple partners (OR = 2.03, 95% CI = 1.11, 3.68) and non-use of condom at last sex (OR = 1.53, 95% CI = 0.83, 1.88) were significantly associated with non-disclosure of HIV serostatus. Preventive strategies among HIV-positive patients should place emphasis on the management of self-disclosure and its importance in safe sexual behaviour.

AIDS Serodiagnosis↗
PubMed2005

Evaluation of HIV counselling and testing, self-disclosure, social support and sexual behaviour change among a rural sample of HIV reactive patients in South Africa.

The aim of this study was to evaluate HIV counselling and testing, self-disclosure, social support and sexual behaviour change among HIV reactive patients among a rural sample of HIV reactive patients in South Africa. The sample consisted at the post-test counselling exit interview of 55 participants (41 women and 14 men) who tested HIV-positive conveniently selected from a rural hospital and at five months follow-up at their homes 47. Results indicated that most patients had an HIV test because of medical reasons. At follow-up only 36% had disclosed their HIV status and half of the participants had had sex without condoms in the past three weeks. Major reason for not disclosing of their HIV status were being afraid of negative reactions, fear of discrimination, fear of violence, concerns about confidentiality and not yet ready. Social support was found to be significantly related to disclosure of HIV status, while counselling context and content and counselling satisfaction were not related with HIV disclosure.

Adolescent↗
PubMed2005

Transparency and self-disclosure in family therapy: dangers and possibilities.

Therapy is a paid intimate relationship that thrusts clients and therapists into navigating personal and professional boundaries. When, where, why, and how is it appropriate and ethical for family therapists to be transparent, and when is it damaging? Theorists take varied stances from Haley's position of tight boundaries around therapist disclosure--whether in treatment or training--to the narrative viewpoint that therapists should be transparent about models of therapy, personal values, and life experiences that inform their practice and beliefs. However, these positions are not research based, and theorists who support disclosure offer few guidelines other than general statements. This article examines the history of ideas about disclosure in six major family therapy models, and the dangers and possibilities of transparency. It looks at the research on self-disclosure in individual therapy and whether and how it could apply to family therapy. Guidelines are proposed that take into account the multiple social identities of therapists and clients, and issues of safety and transparency.

Emotions↗
PubMedDate not supplied

Mental health nursing students' rationales for self-disclosure: 2.

This is the second of two articles that consider the findings of a study exploring mental health nursing students' reasons for their use and non-use of self-disclosure in their relationships with patients. The first article (Vol 12(20): 1220-7) described the background to the deployment of this skill within therapeutic approaches, the paucity of literature discussing its use within nursing, the methods employed in this study and the findings for mental health nursing students' reasons for using the skill. This second article focuses on student's reasons for not deploying this skill, which are discussed in the following categories: 'crossing the line', 'unhelpful', 'name, rank and serial number' and 'students' vulnerability'. A discussion of the findings from both articles and their implications is offered.

Humans↗
PubMed2006

Computing latent taxonomies from patients' spontaneous self-disclosure to form compatible support groups.

A growing number of Internet sites provide patients with an opportunity to share experiences about their illness. Unfortunately, it depends on the luck of the draw whether patients find compatible others for mutual support. To improve this situation, this paper demonstrates how tools from Information Retrieval can be deployed to discover patients with compatible stories more systematically. We show how finding compatible support is like finding relevant documents on the Internet, and also in what way it is different. We designed an algorithm to produce a 'latent' taxonomy over patients' self-disclosures to aid them in forming support groups. At the end we briefly consider the result of this taxonomy based on only the patients' stories, with one based on explicit questionnaires.

Humans↗
PubMed1988

Effects of intimacy of therapist's self-disclosure and formality on perceptions of credibility in an initial interview.

A therapist's expertness, trustworthiness, empathy, and attractiveness were evaluated by 300 subjects after viewing a 5-min. videotape of a therapist-client interaction. Therapist's level of self-disclosure and formality were the independent variables. Ratings of trustworthiness were highest when the therapist was informal. Therapist's high disclosure of depression yielded decreased ratings of attractiveness, empathy, and expertness in comparison with no disclosure by the therapist.

Adult↗