Client concealment and self-presentation in therapy: comment on Kelly (2000)

The authors disagree with A. E. Kelly's (2000) conclusions that clients conceal things from therapists primarily for self-presentational reasons and that client concealment is positively related to positive therapy process and outcome. They also disagree with A. E. Kelly regarding the implications of self-presentation theory for therapy. Their review of the research suggests that clients do not conceal much from therapists, that what they do conceal involves many different kinds of information hidden for many different reasons, that therapists have wide variability in being able to detect hidden client material, and that the relationship of client concealment and therapist awareness of client concealment with therapy process and outcome is not clear. Finally, the authors discuss their views about implications of client concealment and self-presentation for therapy.     

It’s not what you do,it’s why you do it: Motives for disclosure and concealment decisions among employees with depression

This multi-method study examined disclosure decisions made by employees with depression as well as their motives for those decisions. In Study 1, we conducted in-depth interviews with employees who had been diagnosed with depression to better understand why they chose to disclose or conceal their depression at work. Based on the results of the interviews, both approach and avoid motives for disclosure and concealment emerged in the analysis. Further, these motives were influenced by multiple organizational factors including social support, stigma, and diversity climate. In Study 2, we developed and validated a scale to measure approach and avoid motives for disclosure and concealement. In Study 3, we tested approach and avoid motives as mediators of the relationships between organizational factors and employee outcomes (i.e., engagement and presenteeism). We tested our model among 223 working adults with depression. Our results provided support for the hypothesized relationships among those who disclosed but not those who concealed, suggesting that when employees disclosed for approach reasons they were more likely to be engaged, and when they disclosed for avoid reasons they were more likely to engage in presenteeism. These findings provide both theoretical and practical contributions to the study of concealable identity management and to employees with mental illness.     

IS CHRISTIAN THEOLOGY WELL SUITED TO ENTER THE DISCUSSION BETWEEN SCIENCE AND HUMANISM?

The last several years have seen the emergence of increasing hostility from philosophers toward some pronouncements on human nature by the biological and cognitive sciences. Theology is also concerned about such matters, even if there have been, until now, few theologians involved in the discussion. This essay examines both the reasons that justify a neutral position of theology in the face of scientific disqualification of human uniqueness and the reasons to engage apologetically in such a debate on the side of humanists. Constructing a synthesis, I propose a greater theological involvement and concern in the discussion already underway, even if it means accepting some trade‐offs.     

Disclosing versus concealing distressing information: linking self-reported tendencies to situational behavior

We examined whether one's self-reported tendency to disclose versus conceal distressing information predicts actual disclosure and concealment behavior. Sixty-nine undergraduates who were pretested on a measure of disclosure versus concealment tendencies saw either a distressing or non-distressing film and we assessed their reactions to the film via a structured interview. Self-reports of disclosure versus concealment tendencies predicted the number of statements in which distressing emotions were acknowledged and independent observers' ratings of how much distress was expressed, but these relationships were not moderated by manipulated distress level. These findings support the use of self-reports of disclosure and concealment in research and clinical settings as predictors of observable disclosures of negative emotions.     

Reasons and impossibility

In this paper, I argue that a person can have a reason to do what she cannot do. In a nutshell, the argument is that a person can have derivate reasons relating to an action that she has a non-derivative reason to perform. There are clear examples of derivative reasons that a person has in cases where she cannot do what she (non-derivatively) has reason to do. She couldn’t have those derivative reasons, unless she also had the non-derivative reason to do what she cannot do. I discuss a number of objections to this view, in particular two: (1) The objection that if there were reasons to do what one cannot do, many of those would be ‘crazy reasons’, and (2) the worry that if there were such reasons, then agents would have reasons to engage in futile deliberations and tryings. I develop an explanation of ‘crazy reasons’ that shows that not all reasons to do the impossible are crazy and only those that are need to be filtered out, and, regarding the second objecting, I show that the reasons for trying as well as for taking the means to doing something—instrumental reasons in a broad sense—are different from the reasons for performing the action in the first place. They are affected by impossibility, and we can explain why that is so. The view I argue for is that a person may have a reason to do what she cannot do, but she does not have a reason to try to do so or to take means to realizing the impossible.     

Self regard and concealment of homosexuality as predictors of CD4+ cell count over time among hiv seropositive gay men

Living with HIV can challenge core features of a person’s sense of identity and ultimately lead to a diminished sense of self regard. Self-regard has been defined as the extent to which a person experiences an integrated sense of identity. Gay men with HIV may also face struggles related to their identity in deciding whether to disclose or conceal their homosexuality. This study examined whether concealment of homosexuality and a person’s sense of self regard would be associated with CD4+ cell count over time among HIV seropositive gay men. 53 HIV seropositive gay men completed questionnaires at one time point. CD4+ cell counts were measured at the time of questionnaire completion and 24 months later. Greater self regard at baseline was associated with higher CD4+ counts at 24 months. The association between baseline self regard and CD4+ count at 24 months was strongest among persons with less concealment of homosexuality.     

The Chilling Effect and Family Secrets

Two studies were conducted to test a theoretical model of the psychological and communicative links that mediate the impact of the chilling effect on the continued concealment of secrets in families. More specifically, we argued that individuals' continued concealment of a secret from aggressive family members would be mediated by the desire for protection (both of self and others). It was also hypothesized that the need for protection would negatively influence whether people felt that they had the communication efficacy to reveal their secret to these family members, which would also foster continued concealment. The results from Study One suggested that protection mediated the connection between family members' aggression and individuals' concealment of secrets from them. In addition, regardless of whether people believed they could communicate the secret to aggressive family members or not, they were likely to continue to conceal the secret if they were afraid that it would either hurt themselves or others. Results from follow up interviews in Study Two verified the model and also elaborated on the role of communication efficacy in this process.     

Bodily Thought and the Corpse Problem

Abstract: A key consideration in favour of animalism—the thesis that persons like you and me are identical to the animals we walk around with—is that it avoids a too many thinkers problem that arises for non‐animalist positions. The problem is that it seems that any person‐constituting animal would itself be able to think, but if wherever there is a thinking person there is a thinking animal distinct from it then there are at least two thinkers wherever there is a thinking person. Most find this result unacceptable, and some think it provides an excellent reason for accepting animalism. It has been argued, however, that animalists face an analogous problem of too many thinkers, the so‐called corpse problem, as they must accept both 1) that we are distinct from our bodies, as our bodies can and we cannot persist through death as corpses and 2) that our bodies can think. I argue that the best reasons animalists have for accepting the two claims that generate the distinctness part of the problem double up as reasons to reject the claim that our bodies can think, and vice versa. I argue further that Lockeans cannot similarly get around their problem of too many thinkers.     

Public Reason, Religious Restraint and Respect

In recent years liberals have had much to say about the kinds of reasons that citizens should offer one another when they engage in public political debates about existing or proposed laws. One of the more notable claims that has been made by a number of prominent liberals is that citizens should not rely on religious reasons alone when persuading one another to support or oppose a given law or policy. Unsurprisingly, this claim is rejected by many religious citizens, including those who are also committed to liberalism. In this paper I revisit that debate and ask whether liberal citizens have a moral obligation not to explain their support for existing or proposed laws on the basis of religious reasons alone. I suggest that for most (ordinary) citizens no such obligation exists and that individuals are entitled to explain their support for a specific law and to persuade others of the merits of that law on the basis of religious reasons alone (though there may be sound prudential reasons for not doing so). My argument is grounded in the claim that in most instances advocating laws on the basis of religious reasons alone is consistent with treating citizens with equal respect. However, I acknowledge an exception to that claim is to be found when using religious reasons to justify a law also implies that the state endorses those reasons. For this reason I argue that there is a moral obligation for some (publicly influential) citizens, and especially those who hold public office, to refrain from explaining their support for existing or proposed laws on the basis of religious reasons. I conclude by suggesting that this understanding of the role of religion in public political discourse and the obligations of liberal citizens is a better reflection of our experience of liberal citizenship than that given in some well-known accounts of liberalism.     

道德失调的自我调节策略

个体因为自己或内群体成员的不道德行为而面临道德失调,为了维持积极的道德自我形象,不得不采取一系列道德自我调节策略以减少道德失调。在道德决策阶段,通过道德许可来缓冲预期的道德失调。在行为评价和责任归因阶段,通过道德规范的动机性遗忘来避免道德觉察,也可以通过道德切换、去道德化、道德推脱等认知策略将不道德行为合理化。在反馈调节阶段,通过道德补偿、道德清洗等行为策略以恢复道德自我形象或通过道德掩饰来避免道德形象损失。最后探讨了道德自我调节过程的系统性、灵活性特点及其不利后果,并提出了未来可能的研究方向。     

Antecedents and Outcomes of Perceived Locus of Causality: An Application of Self-Determination Theory

We extended self-determination theory by examining personality antecedents and self-regulatory consequences of perceived locus of causality (PLOC), which is the extent to which individuals perceive their actions as caused by internal or external reasons. We theorized that personality would influence PLOC and that individuals with internal PLOC would engage in more self-regulatory activities, which would in turn predict performance and enjoyment. We used structural equation modeling with data collected from 260 students at 4 time points to test our hypotheses. The model fit the data well. Although personality had direct effects on the self-regulatory activities of effort and meta-cognitive strategies, in addition to the indirect effects via PLOC, tests confirmed that including the indirect effects produced the best-fitting model.     

Consequences of teenage pregnancy and motherhood

In the past 15-20 years there has been a significant increase in sexual activity among teenagers as well as an increase in the rate of pregnancy. Teenage pregnancy has many social, psychological, economic and health consequences. Although there has been a significant increase in the use of abortion since the early 1970s among white teenagers, the majority of pregnant teenagers opt to carry their pregnancy to term and raise their child themselves. This review of the literature concerns itself with some of the variables associated with adolescent sexual behavior focusing on teenage pregnancy and the consequences of motherhood on child development. Suggestions are made for strategies that may be effective in ameliorating some of the problems as well as the research required for evaluating such strategies.     

A Conceptual Framework for Understanding the Stigmatization of Children of Incarcerated Parents

Stigmatization is often listed as one of the adverse consequences of parental incarceration; yet, there is very little research on this phenomenon. We address this knowledge deficit by providing a conceptual model of stigmatization and describing how it may apply to children with parents in jail or prison. This model helps to explain why families conceal the fact that a child’s parent is incarcerated; the potentially protective function of social withdrawal; possible links between stigmatization and childhood emotional and behavioral problems; how fear of stigmatization may impede help seeking; and the possibility for research and advocacy to contribute to the stigmatization of children who experience parental incarceration. It also helps to define specific aspects of stigmatization requiring further study.     

The Affective Style Questionnaire: Development and Psychometric Properties

Affective style is an individual difference variable that refers to tendencies for regulating emotions. The emotion research literature has consistently identified three general strategies to handle emotional reactions: some strategies are aimed at re-adjusting affect to adapt successfully to situational demands; other strategies are intended to conceal or suppress affect; and a third approach is to tolerate and accept emotions, including unwanted and aversive reactions. We conducted two studies to develop a self-report measure to assess these affective styles. In the first study (n = 434), a list of 127 items related to this construct was administered. A factor analysis supported three factors: habitual attempts to conceal or suppress affect (Concealing subscale; 8 items), a general ability to manage, adjust, and work with emotions as needed (Adjusting subscale; 7 items), and an accepting and tolerant attitude toward emotions (Tolerating subscale; 5 items). The scale showed satisfactory internal consistency. Furthermore, the respective subscales showed different patterns of relations with existing instruments measuring similar constructs. Findings were cross-validated in an independent sample (n = 495). The factor structure and results of psychometric analyses were replicated. The final 20-item Affective Style Questionnaire is a brief instrument to measure individual differences in emotion regulation.     

Strategies of Character Attack

Why are personal attacks so powerful? In political debates, speeches, discussions and campaigns, negative character judgments, aggressive charges and charged epithets are used for different purposes. They can block the dialogue, trigger value judgments and influence decisions; they can force the interlocutor to withdraw a viewpoint or undermine his arguments. Personal attacks are not only multifaceted dialogical moves, but also complex argumentative strategies. They can be considered as premises for further arguments based on signs, generalizations or consequences. They involve tactics for arousing emotions such as fear, hate or contempt, or for ridiculing the interlocutor. The twofold level of investigation presented in this paper is aimed at distinguishing the different roles that ad hominem have in a dialogue and bringing to light their hidden dimensions. The reasoning structure of each type of attack will be distinguished from the tactics used to increase its effectiveness and conceal its weaknesses.     

Reasons for substance use among people with psychotic disorders: method triangulation approach

Substance use disorders (SUD) are common among people with psychotic disorders and are associated with many negative consequences. Understanding the reasons for substance use in this population may allow for the development of more effective prevention and intervention strategies. We examined reasons for tobacco, alcohol, or cannabis use among people with psychotic disorders. Sixty-four participants with a diagnosed psychotic disorder completed a self-report reasons for use questionnaire. A subset of eight participants completed semi-structured qualitative interviews. Both the qualitative and quantitative data indicated that reasons for use of tobacco, alcohol, and cannabis differed considerably. Tobacco was primarily used for coping motives, alcohol for social motives, and cannabis for pleasure enhancement motives. Prevention and intervention strategies targeting coexisting psychotic disorders and SUD may improve in effectiveness if they address the perceived beneficial effects of tobacco use, the strong social pressures influencing alcohol use and if they encourage cannabis users to seek alternative pleasurable activities.     

Intra- and interpersonal consequences of experimentally induced concealment

Secrecy, concealment, and thought suppression are assumed to be important aspects of psychopathology. However, most studies address these from an intrapersonal perspective. This study investigates both the intra- as well as the interpersonal consequences of experimentally induced concealment. Two experiments are described in which non-clinical participants were given a concealment instruction (i.e. avoid talking about a certain topic) in a conversation with an interviewer. In the neutral condition there was no such restraint. Interviewees were more tense and more aware during the concealment condition than during the neutral condition, whereas the interviewers were not aware of the participants' avoidance of the concealment topic. The second counterbalanced experiment replicated the results from the initial experiment. The hypotheses were supported that concealment can be induced experimentally leading to thought suppression and elevated levels of discomfort in the concealing individuals, without their conversation partners noticing. Implications for clinical practice are discussed.     

THE DISJUNCTION EFFECT IN CHOICE UNDER UNCERTAINTY

Abstract —One of the basic axioms of the rational theory of decision under uncertainty IS Savage's (1954) sure-thing principle (STP) It states that if prospect x is preferred to y knowing that Event A occurred, and if x IS preferred to y knowing that A did not occur, then x should be preferred to y even when it is not known whether A occurred We present examples in which the decision maker has good reasons for accepting x if A occurs, and different reasons for accepting X if A does not occur Not knowing whether or not A occurs, however, the decision maker may lack a clear reason for accepting X and may opt for another option We suggest that, in the presence of uncertainty, people are often reluctant to think through the implications of each outcome and, as a result, may violate STP This interpretation is supported by the observation that STP is satisfied when people are made aware of their preferences given each outcome     

From the “reel” world to the “real” world: subjective experiences of violent fictional entertainment

Fictional violence holds strong appeal for a wide audience. Given this appeal and the public’s concern about it, researchers have extensively investigated whether there is a direct effect of exposure to fictional violence on individuals’ aggressive behaviours. In the present research, we aimed to contribute to the comparatively smaller body of research concerned with factors that motivate individuals to engage with fictional violence. We interviewed 10 adults about their own subjective understanding of the reasons why they engage with fictional violence. We used thematic analysis to explore participants’ talk about their subjective experiences of their motivations. We interpret our findings to indicate that individuals make sense of their engagement with fictional violence as a means to understand the real world, to regulate arousal, and to experience a just world. We discuss the practical implications of these findings and directions for future research.     

The impact of pressured information management on boys' and girls' psychological functioning

This study involving 463 adolescents examined the impact of pressured information management with mothers on boys' and girls' subsequent psychological functioning. This novel concept of pressured information management involved both pressured secrecy and disclosure and was defined as the degree to which adolescents feel they have no choice but to engage in these strategies. While pressured secrecy was especially aversive for girls, yielding associations with both depression and anxiety, it was related to stress only in boys. Pressured disclosure was less detrimental, and in fact, had a positive influence on girls' anxiety over time. Alternate models for these effects were considered but not supported by the data. Together, these findings highlight the importance of considering teens' reasons for engaging in different information management strategies and suggest adolescents who feel they have no choice but to keep secrets or disclose information to mothers may experience psychological consequences that are gender-specific.