Love Melanie, Farber Barry A
Teachers College, Columbia University.
J Clin Psychol. 2017 Nov;73(11):1489-1498. doi: 10.1002/jclp.22530.
This article uses both a case illustration and data from a large-scale survey of outpatient clients (N = 798) to understand the client's perspective about avoiding or being dishonest with his or her therapist about sexual topics. The case study, of a gay young man working with a heterosexual female therapist, explores this client's experience of what happens when it feels impossible to be forthcoming about sex and sexuality. Based on the findings of our study, we note clients' motives for avoiding these intimate yet important areas (e.g., shame), their perception of how this impacts the therapy process (e.g., impedes clinical progress), and their sense of therapist responses and attitudes that could increase their ability to be more honest ("just ask"). We discuss ways in which therapists can facilitate a more open dialogue about sexual material while attending to clients' concerns about doing so.
本文采用了一个案例说明以及对门诊患者（N = 798）进行的大规模调查数据，以了解患者对于在性话题上回避或对治疗师不坦诚的看法。该案例研究的对象是一名与异性恋女性治疗师合作的年轻同性恋男子，探讨了这名患者在感觉无法坦诚谈论性与 sexuality 时的经历。基于我们的研究结果，我们指出了患者回避这些私密却重要领域的动机（例如羞耻感）、他们对这如何影响治疗过程的认知（例如阻碍临床进展），以及他们对治疗师哪些反应和态度能够增强其更坦诚交流能力（“直接询问”）的感受。我们讨论了治疗师在关注患者对此担忧的同时，可以促进关于性相关内容进行更开放对话的方式。
