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心理治疗师的自我表露:伦理和临床方面的考虑。

Psychotherapist self-disclosure: ethical and clinical considerations.

机构信息

Department of Psychology, Loyola University Maryland. 4501 N.Charles Street, Baltimore, MD 21201, USA.

出版信息

Psychotherapy (Chic). 2011 Dec;48(4):315-21. doi: 10.1037/a0026056.

Abstract

Self-disclosure is an ever present and unavoidable aspect of psychotherapy. But, why, how, and when it is done requires careful forethought. The use of self-disclosure is discussed in the context of boundaries, highlighting its ethical and appropriate use in psychotherapy. Rather than avoiding self-disclosure out of a fear of violating ethical and professional standards, a thoughtful approach to addressing self-disclosure is presented. Recommendations for the ethical and effective use of self-disclosure are provided to include the use of ethical decision-making models and thoughtful consideration of contextual factors that include the psychotherapist's motivations, the client's treatment needs and personal history, the psychotherapist's theoretical orientation, and individual differences to include each aspect of the client's and psychotherapist's diversity. Recommendations for psychotherapists considering the use of self-disclosure with clients are made along with specific recommendations for the profession of psychology to provide greater guidance on the ethical, effective, and clinically appropriate use of self-disclosure.

摘要

自我表露是心理治疗中始终存在且不可避免的一个方面。但是,为什么、如何以及何时进行自我表露需要仔细考虑。本文将在边界的背景下讨论自我表露的使用,突出其在心理治疗中的伦理和适当应用。本文不是因为担心违反伦理和专业标准而回避自我表露,而是提出了一种深思熟虑的方法来处理自我表露。本文提供了关于自我表露的伦理和有效使用的建议,包括使用伦理决策模型和深思熟虑地考虑包括心理治疗师的动机、客户的治疗需求和个人历史、心理治疗师的理论取向以及个体差异在内的情境因素,这些因素包括客户和心理治疗师的多样性的各个方面。本文还为考虑与客户进行自我表露的心理治疗师提出了建议,并为心理学专业提供了具体建议,以提供关于自我表露的伦理、有效和临床适当使用的更大指导。

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