Literature DB >> 22247813

Should psychiatrists self disclose?

Edmund Howe1.   

Abstract

The extent to which psychiatrists disclose personal information about their feelings, their pasts, and themselves to their patients has always been an important ethical and clinical question. In the past, psychiatrists tended to believe they should not self disclose personal information to their patients, mainly to help patients by exploring their transference. More recent work has suggested that self disclosing by the psychiatrist may benefit some patients and cause harm to other patients. This article presents the author's present understanding of some of the core pros and cons of self disclosing by the psychiatrist, as well as some specific contexts in which self disclosure is indicated or should be avoided.

Entities:  

Keywords:  Ethics; Marsha Linehan; being “real,”; gay patients; gay psychiatrists; harm; hope; intrusive; minority groups; normalization; patient trust; psychiatrists; psychiatrists and divorce; psychiatrists and pregnancy; psychiatrists who are ill; psychiatrists’ feelings; self disclosure; shame; the internet; transference

Year:  2011        PMID: 22247813      PMCID: PMC3257982     

Source DB:  PubMed          Journal:  Innov Clin Neurosci        ISSN: 2158-8333


  8 in total

1.  Self-disclosure in psychoanalytic-existential therapy.

Authors:  Jesse D Geller
Journal:  J Clin Psychol       Date:  2003-05

2.  Therapist self-disclosure: research-based suggestions for practitioners.

Authors:  Sarah Knox; Clara E Hill
Journal:  J Clin Psychol       Date:  2003-05

Review 3.  The role of therapist self-disclosure in psychotherapy: a qualitative review.

Authors:  Jennifer R Henretty; Heidi M Levitt
Journal:  Clin Psychol Rev       Date:  2010-02

Review 4.  Misuses and misunderstandings of boundary theory in clinical and regulatory settings.

Authors:  T G Gutheil; G O Gabbard
Journal:  Am J Psychiatry       Date:  1998-03       Impact factor: 18.112

5.  Criteria for therapist self-disclosure.

Authors:  J C Simon
Journal:  Am J Psychother       Date:  1988-07

Review 6.  Reexamination of therapist self-disclosure.

Authors: 
Journal:  Psychiatr Serv       Date:  2001-11       Impact factor: 3.084

7.  Professional boundaries in the physician-patient relationship.

Authors:  G O Gabbard; C Nadelson
Journal:  JAMA       Date:  1995-05-10       Impact factor: 56.272

Review 8.  The concept of boundaries in clinical practice: theoretical and risk-management dimensions.

Authors:  T G Gutheil; G O Gabbard
Journal:  Am J Psychiatry       Date:  1993-02       Impact factor: 18.112

  8 in total

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