A self-presentational view of psychotherapy: reply to Hill, Gelso, and Mohr (2000) and to Arkin and Hermann (2000)

The self-presentational view of psychotherapy challenges current assumptions about the benefits of high levels of clients' openness in therapy (A. E. Kelly, 2000). The author responds to questions about whether clients' discretion really is linked to favorable therapy process ratings and outcomes. She also addresses problems that may emerge if readers apply a narrow definition of self-presentation as a form of deliberate manipulation, rather than the intended definition of consciously or unconsciously showing oneself to be a particular kind of person for audiences. A brief review of the evidence on the role of audience feedback in self-concept change is offered, along with suggestions for explaining self-concept change to clients. The author concludes by clarifying and reasserting her suggestion that it is acceptable for clients to reveal the themes as opposed to details of their problems that seem particularly heinous or humiliating.