Ethics and Self-Disclosure
Michelle Creed
National University
This paper is being submitted to Steven Mendoza, Ph.D., MSCP in partial fulfillment of the requirements for Law and Ethics, PSY627, on January 24, 2015.
Correspondence concerning this article should be addressed to Michelle Creed, College of Letters and Sciences, National University San Bernardino Campus, 804 East Brier Drive, San Bernardino, CA 92408. Email: mcreed3701@gmail.com
Abstract
This paper begins with a general idea of self-disclosure by therapists and the importance of keeping the client’s needs first. It covers many aspects of self-disclosure including ethically what to look for in the motives of using self-disclosure with a client. There are other aspects of self-disclosure which include transference and countertransference which are issues which need to be attended to immediately for the therapist to remain objective and not react to a client. Therapists must be cautious in disclosing information and make sure it is relevant to treatment. Beneficence and nonmaleficence are important things to consider when self-disclosing and the therapist must be educated, well trained, and have experience before considering self-disclosure. Also included in this paper are different orientations in relation to self-disclosure. Those orientations include Adlerian therapy, cognitive behavioral therapy, feminist therapy, and relational therapy. Although these are only a few orientations,
Some of our service users have profound learning disabilities and their level of comprehension and understanding is very limited, however they communicate constantly.
Another issue in Anna’s circumstances is of trust. Bond (2015) reminds that a good therapeutic relationship requires a high level of confidence between the client and counsellor. A counsellor is always striving to provide conditions where the client feels safe enough to disclose their concerns and to encourage that trust and the therapeutic relationship (Bond, 2015). There is a possibility that Anna might not reveal because she does not trust the counsellor; therefore, Anna’s counsellor will need to work with her to build up the confidence. Flatley (2016) found that victims of abuse do not disclose being abused due to humiliation and fearing no one will believe them. The counsellor needs to work with Anna to overcome barriers to building trust.
Remley and Herlihy (2016) defines confidentiality as an ethical concept which refers to the counselor 's obligation to respect the client 's privacy and in session discussion will be protected from disclosure without their consent (p.108). The receptionist never disclosed what was being discussed in wife A session; however, her inadvertent breach of confidentiality occurred the moment she divulged the fact that wife A is a patient at a mental health facility. An important premise to understanding the ethical principle of confidentiality is base that a counselor respects the client 's right to privacy (Remley & Herlihy, 2016; Quigley, 2007). Premise one states the "counselor honor the rights of clients to decide who knows what information about them and in what circumstances" (p.110).
How Therapist Self-Disclosure And Non-Disclosure Affects Clients”, stated that, “The study results suggest that therapist self‐disclosure has both positive and negative treatment implications.” It depends on how therapeutic the self-disclosure would benefit the client in that given situation, and the client’s receptiveness to what information is given to them; for example, one patient may respond positively to a therapist’s self –disclosure that reveals another safe point of view of an issue, while another patient might feel that therapist’s has over stepped their boundaries. Madill et al. stated that, “These were sometimes attributed to inexperience and sometimes the characteristics of the total situation, such as events from the therapist's personal life” (13). There are times when sharing something from the therapist can help explain an issue that is present during the time of that therapy appointment. Another problem with a therapist’s self-disclosure is that after years of treatment, the therapist can run out of examples to use to clarify a point made during the appointment. Years and years of treatment sometimes cover issues where the therapist, will add something about himself or herself. People who tend to talk for a very long time during therapy can relate on a level that is not crossing the boundaries. In addition, self –disclosure may be a major problem for therapists who live and work in rural communities, because
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He believes that therapist transparency can lead to "here-and-now activation and process illumination" (p. 218). In addition, it seems that Yalom believes that by being authentic the therapist can decentralize her role, and can “foster a deeper exploration on the client’s part" (p. 218). Meanwhile mixed results have been reported regarding self-disclosure (Audet, 2011), I find Yalom’s argument compelling as he asserts the following: “I am advocating that therapists relate authentically to clients in the here-and-now of the therapy hour, not that they reveal their past and present in a detailed manner” (p. 223). He goes on to explain that he doesn’t believe it is helpful when therapists talk about ways they have overcome personal challenges, indicating appropriate boundaries when it comes to transparency, and clients’ wellbeing in mind. I agree that certain forms of self-disclosure can pose ethical concerns, as Epstein (1994) indicates; however, some clients will benefit from the therapist’s disclosure (Audet & Everall, 2003), and their curiosity does not come from intentionally breaking boundaries, and a therapist’s rigid standpoint could hinder the relationship. I have seen therapists have a strong reaction when clients asked a personal question, however, I believe that it makes sense that some clients would need to feel connected by knowing something about the therapist for their comfort level to
Goldfried, M.R., Burckell, L.A., & Eubanks-Carter, C. (2003). Therapist self-disclosure in cognitive-behavior therapy. Journal of Clinical Psychology, Special Issue: In Session, 59(5), 555-568.
The purpose of this memo is to provide an outline of the topics I plan to conduct further research on and compile that research in a formalized report over the specifics of those topics. The final result will be a proposed program, backed with modern research sourcing, ready for completion.
When self-disclose was first introduced, I thought it was something that never should be done within the therapeutic relationship. In the Gift of Therapy, three types of therapist self-disclosure are the mechanisms of therapy, here-and-now feelings, and the therapist’s personal life. Mechanisms of therapy and here-and-now feelings are self-disclosures that should be expressed to the client because they both enhance the quality of therapy. According to Yalom (2003) “The establishment of an authentic relationship with patients, by its very nature, demands that we forgo the power of the triumvirate of magic, mystery, and authority” (P. 84). In order for the client to experience comfort in session the therapeutic process needs to be explained and
The same rule applies to employees; employees have the right to examine their personnel files, and no information can be disclosure without the consent of employees. Also, HIM employees are responsible for preventing accidental disclosure; a supervisor has an obligation to safeguard all personal health information against accidental disclosure. All the privacy and confidentiality rules that apply to patients are pertinent to employees as well.
Additionally Savin-Williams (2001) stated, Youths do not usually come out to their father because they do not feel close to him and they fear his negative reactions. The feeling that the present time is not the right developmental time in their relationship with their father to come out is another reason that youths have for withholding information. The sons often feel that they do not have a loving and supportive father. They long for intimacy and are saddened that they lack it. The fathers probably are simply clueless or unable to provide intimacy. The belief that the present is not the most opportune time to disclose is often rooted in the trepidation that the development of the gay child’s relationship with his father will be negatively affected by the disclosure. Issues of moral condemnation and eternal
“Boundaries provide structure to the counseling relationship and serve to protect the welfare of clients who are in a vulnerable position in the relationship” (Herlihy & Corey, 2015). With any situation Self disclosure is always an issue because if you reveal
I think Self Disclosure is a slippery slope because if we let to much about ourselves we can experience a role reversal and if we do not disclose enough we may loose the client. I do think that drawing this line is difficult because as counselors we know the importance of connecting with the client and a shared personal experience is like creating an instant connection with another person. Our experiences give us the ability to empathize more deeply then just trying to put ourselves in someone else situation. I think I would have the most problem with self disclosure because I tend to be very open about my life, and things I have gone through I do not shy from sharing a personal experience. I like to help and
I am a very outgoing person, and seem to self-disclose information to others, on a regular basis. “To develop relationships, we must be willing to self-disclose about our personal lives” (Shelley, p. 1). Self-disclosing information helps strengthen or weaken the duos interpersonal relationship. I regret the day when I self-disclosed information to my new boyfriend.
In the world of psychology therapist raise a question whether or not they should “disclose personal information during psychotherapy. Several therapists “have suggested that therapist self-discloser can have a positive impact on treatment. From this view, self-discloser by the therapists may elicit greater discloser by the client enhancing the possibilities for client self-exploration”(e.g., Bugental, 1965, chap. 7; Jourad, 1971, chap. 17; Strassberg, Roback, D’Antonio & Gable, 1977). In addition, “self-discloser is thought to encourage an atmosphere of honesty and understanding between client and therapist, fostering a stronger and more