Secrets versus privacy in group psychotherapy

Secrets lead to subgroup formation and premature termination in group psychotherapy. Privacy is the right of each individual to choose the appropriate time and manner in which he or she reveals intimate knowledge about him/herself. Secrets are the conscious or unconscious withholding of information, often as a protective mechanism to avoid fear and shame. Holding secrets is a form of acting out in groups. When secrets are revealed, working through occurs and shame is overcome. This occurs when boundaries are maintained and safety develops as a result of acceptance within the group.