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以身作则:治疗师分享生活经历可作为客户康复路径范例的实验证据。

Leading by example: Experimental evidence that therapist lived experience disclosures can model the path to recovery for clients.

作者信息

Robertson Alysia M, Cruwys Tegan, Stevens Mark, Platow Michael J

机构信息

School of Medicine and Psychology, The Australian National University, Canberra, Australian Capital Territory, Australia.

出版信息

Br J Psychol. 2025 May;116(2):409-431. doi: 10.1111/bjop.12759. Epub 2025 Jan 11.

DOI:10.1111/bjop.12759
PMID:39797543
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11984347/
Abstract

A common guideline for self-disclosure is that therapists should only share recovered personal experiences with clients (i.e., no longer distressing). However, theoretical rationale and empirical support for this claim is limited. Drawing on identity leadership theorizing, we investigated whether recovery disclosures are beneficial to the extent that they signal a therapist's aspirational prototypicality (i.e., embodiment of an aspirational identity for clients). Across two experimental studies (N = 545), we recruited clients, therapists and general population adults. Participants read a group therapy for depression vignette in which the therapist disclosed: nothing, professional experience with depression, current depression, recovered depression or recovered anxiety. Participants rated the prototypicality of the therapist, the extent to which they perceived the therapist positively, the therapist's expertness and the expected prognosis for therapy. Contrary to our hypotheses, the type of disclosure did not significantly affect positive perceptions, expertness or expected prognosis ratings. However, the therapist disclosing a recovered and relevant condition (recovered depression) was rated as significantly more aspirationally prototypical than the other therapists. Given prior evidence that group therapists are more effective when viewed as aspirationally prototypical, our findings suggest that recovery disclosures may represent one way therapists can signal their prototypicality and enhance their effectiveness.

摘要

自我表露的一个常见指导原则是,治疗师只应与来访者分享已康复的个人经历(即不再令人痛苦)。然而,这一说法的理论依据和实证支持有限。基于身份领导力理论,我们研究了康复经历的表露是否有益,前提是它们能表明治疗师理想中的典型性(即体现出来访者理想中的身份)。在两项实验研究中(N = 545),我们招募了来访者、治疗师和普通成年人。参与者阅读了一段关于抑郁症团体治疗的短文,其中治疗师表露了:无、治疗抑郁症的专业经验、当前的抑郁症、已康复的抑郁症或已康复的焦虑症。参与者对治疗师的典型性、他们对治疗师的积极认知程度、治疗师的专业性以及治疗的预期预后进行了评分。与我们的假设相反,表露的类型并未显著影响积极认知、专业性或预期预后评分。然而,表露已康复且相关状况(已康复的抑郁症)的治疗师被评为比其他治疗师更具理想中的典型性。鉴于先前的证据表明,当团体治疗师被视为具有理想中的典型性时会更有效,我们的研究结果表明,康复经历的表露可能是治疗师表明其典型性并提高其有效性的一种方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a931/11984347/52275bfaacb1/BJOP-116-409-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a931/11984347/52275bfaacb1/BJOP-116-409-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a931/11984347/52275bfaacb1/BJOP-116-409-g001.jpg

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Only Human: Mental-Health Difficulties Among Clinical, Counseling, and School Psychology Faculty and Trainees.《只是凡人:临床、咨询与学校心理学教职人员及实习生中的心理健康问题》
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