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“我认为它确实能敞开心扉,而且……你不再隐瞒了”:实习临床心理学家自我披露心理健康问题的经历。

'I think it does just opens it up and … you're not hiding it anymore': Trainee clinical psychologists' experiences of self-disclosing mental health difficulties.

作者信息

Turner Kellie, Moses Jenny, Neal Adrian

机构信息

Adult Weight Management Service, Aneurin Bevan University Health Board, St Cadoc's Hospital, Newport, UK.

South Wales Doctoral Programme in Clinical Psychology, Cardiff University; Cardiff and Vale University Health Board, Cardiff, UK.

出版信息

Clin Psychol Psychother. 2022 Mar;29(2):733-743. doi: 10.1002/cpp.2667. Epub 2021 Oct 2.

DOI:10.1002/cpp.2667
PMID:34486785
Abstract

Self-disclosure of experiences of mental health difficulties is a complex process, particularly within the workplace. Research shows that a significant number of trainee clinical psychologists have lived experience of mental health difficulties and thus face the dilemma of whether to disclose and how to manage self-disclosure during doctoral training. Grounded theory methodology was used to explore trainee experiences of self-disclosure of mental health difficulties during training. Twelve trainee clinical psychologists from accredited doctoral programmes in the United Kingdom participated in semi-structured interviews about their experiences of disclosure. Six core categories emerged relating to 'motivations', 'enablers', 'barriers', 'features of disclosure', 'responses' and 'impact', each of which were comprised of several further sub-categories. The model that emerged is largely consistent with research on disclosure in healthcare professions and has implications for training programmes, supervisors and trainees when engaging in conversations about lived experience.

摘要

心理健康问题经历的自我披露是一个复杂的过程,在工作场所尤为如此。研究表明,大量实习临床心理学家有心理健康问题的亲身经历,因此在博士培训期间面临是否披露以及如何管理自我披露的困境。扎根理论方法被用于探索培训期间心理健康问题自我披露的实习经历。来自英国认可博士项目的12名实习临床心理学家参与了关于他们披露经历的半结构化访谈。出现了六个核心类别,分别与“动机”、“促成因素”、“障碍”、“披露特征”、“反应”和“影响”相关,每个类别又由几个进一步的子类别组成。所形成的模型在很大程度上与医疗保健行业的披露研究一致,并且对培训项目、督导和实习生在进行关于亲身经历的对话时有启示意义。

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