Transparency and self-disclosure in family therapy: dangers and possibilities

Therapy is a paid intimate relationship that thrusts clients and therapists into navigating personal and professional boundaries. When, where, why, and how is it appropriate and ethical for family therapists to be transparent, and when is it damaging? Theorists take varied stances from Haley's position of tight boundaries around therapist disclosure—whether in treatment or training—to the narrative viewpoint that therapists should be transparent about models of therapy, personal values, and life experiences that inform their practice and beliefs. However, these positions are not research based, and theorists who support disclosure offer few guidelines other than general statements. This article examines the history of ideas about disclosure in six major family therapy models, and the dangers and possibilities of transparency. It looks at the research on self‐disclosure in individual therapy and whether and how it could apply to family therapy. Guidelines are proposed that take into account the multiple social identities of therapists and clients, and issues of safety and transparency.     

Ethical issues in therapy: therapist self-disclosure of sexual feelings

Although therapist sexual attraction to clients is common, and therapist self-disclosure is an often-used intervention, therapist self-disclosure of sexual feelings to clients is an understudied phenomenon. In this article, I critically review the small base of literature on therapist self-disclosure of sexual feelings, including information on prevalence rates, empirical research, and case studies. By incorporating these findings with information from relevant sections of the American Psychological Association (2002) Ethics Code, my intent is to evaluate different aspects of therapist self-disclosure of sexual feelings and arrive at conclusions regarding therapists' use of these disclosures. It appears that direct, explicit disclosure of sexual feelings can run the risk of harming clients and may therefore be unethical. Therefore, the use of this technique is discouraged. I discuss the issue of using less explicit interventions.     

Academic self-disclosure in adolescence

Adolescents' dialogues with friends and classmates about their academic performance constitute a central arena of self-disclosure for developing teenagers. Yet researchers have generally limited the range of their study of academic self-disclosure to gifted students. This study brings together the literature on self-disclosure, academic achievement, and adolescent development to elucidate the overlapping elements at play in adolescents' everyday decisions to talk about their academic performance. With an ethnically diverse sample of San Francisco Bay Area ("Silicon Valley") 10th and 12th graders, the authors developed a 12-scenario instrument specifying both interpersonal context (attraction/friendship) and relative-intelligence relationship (more, less, or equally smart), querying degrees of academic self-disclosure associated with these contexts. The results indicated that self-disclosure was highly (positively) influenced by the achievement level of both the discloser and listener, modestly influenced by friendship versus romantic interest, and influenced in anticipated directions by gender and age.     

Bullying as a group process: Participant roles and their relations to social status within the group

Bullying was investigated as a group process, a social phenomenon taking place in a school setting among 573 Finnish sixth-grade children (286 girls, 287 boys) aged 12–13 years. Different Participant Roles taken by individual children in the bullying process were examined and related to a) self-estimated behavior in bullying situations, b) social acceptance and social rejection, and c) belongingness to one of the five sociometric status groups (popular, rejected, neglected, controversial, and average). The Participant Roles assigned to the subject were Victim, Bully, Reinforcer of the bully, Assistant of the bully, Defender of the victim, and Outsider. There were significant sex differences in the distribution of Participant Roles. Boys were more frequently in the roles of Bully, Reinforcer and Assistant, while the most frequent roles of the girls were those of Defender and Outsider. The subjects were moderately well aware of their Participant Roles, although they underestimated their participation in active bullying behavior and emphasized that they acted as Defenders and Outsiders. The sociometric status of the children was found to be connected to their Participant Roles. © 1996 Wiley-Liss, Inc.     

Sex differences in preadolescent self-disclosure

Both amount and content of self-disclosure may vary with sex role. Both adult and preadolescent females have been reported as engaging in greater amounts of self-disclosure than males; the present study attempted to replicate these findings with preadolescents, and to investigate sex differences in the content of self-disclosure. A self-disclosure questionnaire covering a wide range of subjects was administered to 307 urban children. The sex difference on the total number of items revealed to a friend closely approached significance, with girls showing greater disclosure. When only intimate content items were examined, the sex difference reached clear significance. Content analysis showed that girls were more willing to reveal items related to emotionality, anxiety, and dependence.     

The process-observer in group therapy

This case study describes the inclusion of a nonverbal, trained process-observer into therapy groups for parents having severely disturbed family systems. The observer remained nonverbal during the sessions while taking notes to be used in writing a one-page clinical summary, which was mailed to each group member. The process-observer was included to improve the clients' initial involvement in dealing with personal problems and as a catalyst for group development. Among the important functions of the written summaries were: reduction of initial anxiety, focusing the group on important issues, enhancement of continuity across sessions, and promoting therapeutic work between sessions. The observer was also valuable in providing feedback to the therapists. Specific guidelines for the use of a process-observer are provided.     

Gender and self-disclosure revisited: personal and contextual variations in self-disclosure to same-sex acquaintances.

Male and female American students who differed in masculinity and in femininity self-disclosed to a same-sex stranger in contexts that made either social/expressive motives or instrumental motives salient. The results were consistent with the primary assertion that measures of sex role identity are better predictors of contextual variations in self-disclosure than is sex per se. Sex consistently failed to predict subjects' willingness to self-disclose, both within and across contexts, whereas femininity promoted self-disclosure in the context that was clearly social and expressive in character. Although masculinity failed to exert the expected facilitative impact on self-disclosure within the instrumental context, it nonetheless influenced the results; androgynous subjects, who scored high in both masculinity and femininity, were more self-revealing across contexts than was any other group.     

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.