Predictors of the change in self-stigma following a single session of group counseling

One of the major obstacles to seeking psychological help is the stigma associated with counseling and therapy. Self-stigma, the fear of losing self-respect or self-esteem as a result of seeking help, is an important factor in the help-seeking process. In the present study, college students meeting a clinical cutoff for psychological symptoms participated in 1 session of group counseling that either contained therapist self-disclosure or did not. In general, participants reported significantly less self-stigma following the session. Working alliance-bond and session depth significantly predicted the change in self-stigma. Furthermore, self-stigma (as well as bond, depth, psychological symptoms, and being female) predicted the intention to seek help following the session. Self-stigma and session depth also predicted interest in continuing with counseling. The therapist self-disclosure condition, however, had no effect on the change in self-stigma, intentions to seek help, or interest in continuing with group counseling.     

Love styles, shyness, and patterns of emotional self-disclosure

Previous research has shown a relationship between love styles and shyness. This study explored the possibility that this effect may be due to differences in patterns of self-disclosure associated with shyness. University student participants (N = 143) completed the Love Attitudes Scale, the Emotional Self-Disclosure Scale, and the Revised Cheek and Buss Shyness Scale. Correlations between the measures were calculated and significant results ranged from r = .18 to .30. Findings supported previous research in showing significant relationships between shyness and love styles; self-disclosure showed no relationship with shyness but did show some direct associations with love style scores. Results are discussed in relation to the importance of self-disclosure in relationship development.     

Help-seeking atititudes among Israeli adolescents

This study investigated the willingness of Israeli adolescents to seek help for emotional and health problems, and their preference for various helping agents. Nearly fifteen hundred students in grades 7-12 participated in a comprehensive survey of attitudes, health status, and concerns, and the data were analyzed. Gender and age were identified as factors associated with help-seeking attitudes. Females reported a higher level of distress and greater willingness to seek help than did males. Younger adolescents tended to state that they would turn to parents for help, whereas older adolescents increasingly preferred peers. In general, the adolescents preferred to seek help from family and peers for emotional and social problems, rather than turning to professionals. Adolescents in grades 9-10 reported the highest level of distress and were least willing to seek help for interpersonal problems and depressed mood. Overall, level of distress was not directly related to willingness to seek help. In subgroups of depressed and suicidal adolescents, an inverse relationship was found between willingness to seek help and levels of depression and suicidal ideation. Recommendations for health care services and counseling programs are discussed.     

Mothers’ and Fathers’ Reluctance to Seek Psychological Help for Their Children

We investigated the gap between parents’ willingness to seek help for their children and their willingness to refer other parents to help, and the relationship of this gap to gender. Two hundred and eleven parent couples with elementary-school children reported their willingness to seek help from professional and informal sources for a hypothetical problem with their child, and their willingness to refer a friend’s child with an identical problem to similar help. Attitudes toward help seeking and parental behaviors were also measured. Findings revealed that parents were more willing to refer a friend’s child to professional help than they were to seek such help for their own child, although no gap was found regarding informal help. No gender differences were found regarding willingness to seek help or to refer another, although gender was related to variables that predicted help seeking.     

Emotional competence and willingness to seek help from professional and nonprofessional sources

We sought to determine the relationship between emotional competence and willingness to seek help for emotional problems and suicidal ideation. A survey of 300 university undergraduates assessed emotional competence (skill at emotion perception, managing self-relevant emotions, and managing others' emotions), hopelessness, willingness to seek help from health professionals (e.g. counsellor) and nonprofessionals (friends, family), and perceived usefulness of past help-seeking experience. Those who reported feeling less skilled at managing emotions were less willing to seek help from family and friends for both emotional problems and suicidal ideation and less willing to seek help from health professionals for suicidal ideation. These relationships held even after controlling for hopelessness, sex, and past help-seeking experience. Mediational analysis suggested that people low in managing others' emotions were less willing to seek help from professionals because they had had poorer experiences with mental health professionals in the past. There was no significant relationship between emotion perception skill and willingness to seek help. People most likely to be in need of help (those poor at managing emotions) were the least willing to seek it, and if they did seek it, were the least likely to benefit from it.     

Cramer's model of willingness to seek counseling: a structural equation model for counseling students

The author tested how well K. M. Cramer's model of willingness to seek counseling fit for master's level counseling students. Counseling students (N = 519) from across the United States completed a survey. Using structural equation modeling, the author found that Cramer's model fit with counseling students. Counseling students were most likely to report being willing to seek counseling if they had a positive attitude toward counseling, low level of self-concealment, high level of distress, and low social support.     

归因、自我效能和社会容认度对心理求助行为的影响

在江光荣心理求助行为的“阶段-决策模型”框架下,探查处于第三阶段的被试的求助行为,侧重研究⑴对心理问题的归因、⑵作为心理咨询当事人的自我效能和⑶心理求助行为的社会容认度这三个变量对实际求助行为的影响,同时探讨变量之间的作用机制。结果表明,这三个变量对求助行为均有预测作用。其中心理求助行为的社会容认度除了对求助行为有直接作用外,还以作为心理咨询当事人的自我效能为中介变量间接影响求助行为。整个模型对求助行为解释的变异量达到26％     

Cultural influences on willingness to seek treatment for social anxiety in Chinese- and European-heritage students

We examined culture-related influences on willingness to seek treatment for social anxiety in first- and second-generation students of Chinese heritage (Ns=65, 47, respectively), and their European-heritage counterparts (N=60). Participants completed measures that assessed their willingness to seek treatment for various levels of social anxiety. Results showed that participants were similar on willingness to seek treatment at low- and high-severity levels of social anxiety; however, at moderate levels, first-generation Chinese participants were significantly less willing to seek treatment compared to their European-heritage counterparts. The reluctance of first-generation Chinese participants to seek treatment was associated with greater Chinese-heritage acculturation, and was not related to perceiving symptoms of social anxiety as less impairing. The findings support the general contention that Asians in North America tend to delay treatment for mental health problems.     

Testing Two Theoretical Explanations for the Attraction-Enhancing Effects of Self-Disclosure

The study investigated the differential ability of similarity theory and social exchange theory to predict the effects of self-disclosure in a counseling versus a friendship encounter The participants were 80 undergraduates. A 2 (counseling or friendship) × 2 (positive or negative disclosure) × 2 (relevant or irrelevant disclosure) design was used in which participants rated the videotaped self-disclosure of an individual in an initial dyadic encounter. Unequivocal support was not obtained for either of the theories, but relationship context (counselor vs. peer) influenced the effects of disclosure as measured on counselor-peer and relationship characteristics. A unique feature of the study was the use of the Client Reactions System (CRS) to measure participants' immediate reactions to self-disclosure. The CRS demonstrated both relationship context and valence of disclosure (positive or negative) effects.     

Post-traumatic stress and self-disclosure

Post-traumatic stress (PTS) is a significant clinical problem in the general population. However, only a portion of those exposed to trauma develop PTS. Patterns of emotional self-disclosure have the potential to explain some of the individual differences in the development and continuation of symptoms. In this study, the authors investigated the links between emotional self-disclosure, as measured by the Emotional Self-Disclosure Scale (ESDS; W. E. Snell, R. S. Miller, & S. S. Belk, 1988). and a post-trauma psychological state, as measured by the Trauma Symptom Inventory (TSI; J. Briere, 1995). Their results showed that, in general, men engaged in less emotional self-disclosure than did women, and as TSI scores increased, the men were significantly less willing to disclose emotions of happiness. For women, as TSI scores increased they were significantly more willing to engage in talk about emotions related to anxiety but less willing to talk about emotions related to fear. The authors considered these data within current understandings of the role of emotional self-disclosure in the processing of traumatic experiences.     

Patterns of self-disclosure in homosexual and heterosexual college students

Two hypotheses concerning self-disclosure were investigated and confirmed in the present study, comparing homosexual and heterosexual college students. The first hypothesis was that self-disclosure, as measured by the Jourard Self-Disclosure Questionnaire, would be positively correlated with psychological femininity. The second hypothesis was that homosexual males and heterosexual females would exhibit similar patterns of high disclosure and femininity. No significant differences were found in total disclosure between homosexuals and heterosexuals, although homosexuals disclosed less to father, and more to friends than to parents. The conclusion was that psychological femininity and masculinity are more important than biological sex in determining self-disclosure.     

COMPARISON OF FEMINIST VERSUS PSYCHOANALYTIC/DYNAMIC AND OTHER THERAPISTS ON SELF-DISCLOSURE

The Feminist Self-Disclosure Inventory (FSDI) was developed to assess principles of therapist self-disclosure as described in the feminist therapy literature. This 18-item Likert-type scale was completed in a mailed survey by women psychotherapists (i.e., 41 self-identified feminist therapists, 34 psychoanalytic/dynamic, and 68 other therapists). Results indicated that the FSDI was comprised of five factors [i.e., Therapist Background (TB), Promotes Liberatory Feelings (PLF), Promotes Egalitarianism (PE), Therapist Availability (TA), and Empowering Client (EC)], and that the overall scale had excellent internal consistency and very satisfactory test-retest reliability. Also, feminist therapists endorsed FSDI factors significantly more than psychoanalytic/dynamic and other therapists with the greatest differences on items reflecting overall use of self-disclosure, disclosing sexual orientation, using disclosure to create egalitarianism, and encouraging the client's choice of a role model in the therapeutic relationship.     

The impact of gender role conflict and counseling technique on psychological help seeking in men

We hypothesized that men's gender role conflict would predict attitudes towards psychological help-seeking after viewing counseling that focused on either client feelings or client cognitions. The sample was made up of 164 male undergraduates: 115 White, 13 African-American, 13 Hispanic, 18 Asian, 2 Portuguese, and 3 of unspecified ethnicity. Participants completed the Gender Role Conflict Scale (GRCS), viewed a videotape of a 10-minute counseling session that used interventions that were either emotion-focused or cognition-focused, and completed a measure of their attitudes towards seeking psychological help. Results indicated that men scoring high on gender role conflict who viewed the session that focused on feelings were least likely to indicate a willingness to seek psychological help compared to men in each of the three other conditions. We discuss implications for counseling interventions for men who adopt the traditional male gender role.A version of this paper was presented at the 101st Annual Meeting of the American Psychological Association, Toronto, Canada. We would like to thank Bob Cournoyer and Piet Lammert for portraying the counselor and client in the study.     

Adolescent males' view on the use of mental health counseling services

This study investigated adolescent males' view on mental health counseling. Additionally, participants were asked if they had ever used mental health counseling services, if they expected to use such services in the future, and what types of services/activities would constitute a successful counseling experience. The participants' responses indicated that they associated mental health counseling with mental illness and pathology. Eighty-eight percent of the participants reported having never used mental health counseling services. Surprisingly, 69% reported a willingness to use mental health counseling services for life's concerns. Finally, the participants identified a preference for action-oriented counseling strategies. Implications for mental health counseling practice are discussed.     

Culture and attitudes toward psychological help-seeking influence clients’ self-disclosure

Cultural factors are known to influence aspects of psychotherapy. The influence of cultural values on self-disclosure was explored through surveys of Greek migrants to Australia (n?=?106), native Greek Cypriots (n?=?189), and Australians (n?=?35) on individualism–collectivism, attitudes toward seeking professional psychological help, and measures of self-disclosure. It was hypothesized that more collectivist participants would have less positive attitudes regarding self-disclosure. Against our predictions, all three groups showed highly similar attitudes toward seeking help and self-disclosure that were not related to the predicted links with individualism–collectivism.     

Randomized trial of a calling-infused career workshop incorporating counselor self-disclosure

A randomized controlled trial was used to test (1) the efficacy of a two-session career development workshop for college student participants; (2) the effect of counselor self-disclosure on outcomes; and (3) the effect of infusing calling and vocation concepts on outcomes. Both standard (person-environment fit) and calling/vocation-infused interventions improved career decision self-efficacy relative to a wait-list control. Counselor self-disclosure also increased participant career decision self-efficacy in both conditions and increased appraisals of meaning in life for participants in calling/vocation-infused workshops. Incorporating considerations of calling and vocation neither detracted from nor added to workshop effectiveness. Career development workshops were supported, as was the use of moderate counselor self-disclosure. Suggestions for career counseling practice and intervention research are discussed.     

“Don't Tell Me,I Don't Want to Know”: Understanding People's Reluctance to Obtain Medical Diagnostic Information1

Prominent theories of health‐protective behavior predict increasing information seeking as a function of increasing disease severity, yet diagnostic screens for serious diseases are notoriously underutilized. We suggest that in addition to severity, disease treatability impacts people's willingness to submit to medical tests. In two studies, participants were relatively likely to seek a diagnostic test for a disease they believed to be serious and treatable (Study 1) and to avoid a test for a disease they believed to be serious but untreatable (Study 2). Implications for health‐behavior models and persuasive health communication are discussed.     

Asian Australian acculturation and attitudes toward seeking professional psychological help

Research with 112 Asian Australian university students found that adherence to Asian cultural values inversely predicted attitudes toward seeking professional psychological help. Students completed demographic questions, the Asian Values Scale, the Suinn – Lew Asian Self‐Identity Scale, (which is a measure of acculturation), and the Attitudes Toward Seeking Professional Psychological Help Scale. There was a significant positive relationship between the Asian Australian students' level of behavioural acculturation and their attitudes toward seeking professional psychological help. Significant differences were found between male and female participants in their attitudes, with female participants indicating greater willingness to seek help. Results also demonstrated a significant difference in gender on acculturation level as well as a significant difference in generational status and acculturation level.     

Is Self-Disclosure Part of the Genetic Counselor's Clinical Role?

The role of genetic counselor self-disclosure in clinical practice is unclear as there are few published investigations of this issue. In the present study, 11 genetic counselors who previously received genetic services were interviewed about their opinions and use of disclosure. Several themes were extracted from their responses. All participants reportedly disclosed to patients; however, not all disclosed their receipt of genetic services. Patient requests for self-disclosure influenced many participants’ disclosure decisions. Opinions regarding potential benefits of disclosure varied. Nearly all participants stressed the importance of self-disclosing judiciously, stating that it may be counterproductive to client goal attainment. Four individuals with expertise in genetic counseling and psychotherapy were invited to react to these themes and to provide their opinions of self-disclosure. Their views are compared to those of the present sample, and practice and research recommendations are given.