Department of Psychology, University of Maryland, College Park.
Department of Counseling, Higher Education, and Special Education, University of Maryland, College Park.
J Couns Psychol. 2019 Jan;66(1):70-82. doi: 10.1037/cou0000311. Epub 2018 Oct 8.
We investigated how concealment and disclosure of secrets, two related but distinct processes, unfolded over the course of open-ended therapy for 39 clients and 9 therapists, using hierarchical linear modeling to identify longitudinal patterns and investigate relationships with working alliance and session quality. Results indicated that over the course of therapy, 85% of clients disclosed at least one secret and 41% concealed at least one secret, with 18% of sessions including a disclosure and 4% of sessions including concealment. Over time, clients were less likely to disclose secrets, and the secrets they chose to conceal were rated as less significant. Clients rated the working alliance lower after sessions when they disclosed secrets versus when they did not disclose, although the working alliance was not rated as poorly when the disclosed secrets were viewed as significant. Clients rated session quality higher after sessions when they disclosed secrets versus when they did not disclose, particularly when they disclosed preoccupying secrets. Clients tended to feel neutral or positive about their disclosures. Implications for practice and research are discussed. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
我们调查了 39 名客户和 9 名治疗师在开放式治疗过程中秘密隐瞒和披露这两个相关但不同的过程是如何展开的，使用分层线性建模来识别纵向模式，并研究与工作联盟和治疗次数质量的关系。结果表明，在治疗过程中，85%的客户至少透露了一个秘密，41%的客户至少隐瞒了一个秘密，18%的治疗次数包括了一个披露，4%的治疗次数包括了隐瞒。随着时间的推移，客户不太可能透露秘密，他们选择隐瞒的秘密被认为不太重要。与客户未透露秘密相比，当他们透露秘密时，他们对工作联盟的评价较低，尽管当被认为重要的秘密被披露时，工作联盟的评价并不差。与客户未透露秘密相比，当他们透露秘密时，他们对治疗次数的评价较高，尤其是当他们透露困扰他们的秘密时。客户对他们的披露往往持中立或积极的态度。讨论了对实践和研究的影响。(PsycINFO 数据库记录(c) 2019 APA，保留所有权利)。
