Self-Disclosure, Fair Process, and Confidentiality

Dorothy Kelly

doi:10.2469/cfm.v24.n4.20

Spotlight on the Clinician in the Life Participation Approach to Aphasia: Balancing Relationship-Centered Care and Professionalism

Perspectives of the ASHA Special Interest Groups ◽

10.1044/2019_persp-19-00025 ◽

2020 ◽

Vol 5 (2) ◽

pp. 414-424

Author(s):

Rochelle Cohen-Schneider ◽

Melodie T. Chan ◽

Denise M. McCall ◽

Allison M. Tedesco ◽

Ann P. Abramson

Keyword(s):

Social Workers ◽

Therapeutic Relationship ◽

Interprofessional Collaboration ◽

Opportunity To Learn ◽

Subjective Experiences ◽

Speech Language Pathologists ◽

Self Disclosure ◽

Centered Care ◽

High Standards ◽

Therapeutic Encounter

Background Speech-language pathologists make clinical decisions informed by evidence-based theory and “beliefs, values and emotional experiences” ( Hinckley, 2005 , p. 265). These subjective processes, while not extensively studied, underlie the workings of the therapeutic relationship and contribute to treatment outcomes. While speech-language pathologists do not routinely pay attention to subjective experiences of the therapeutic encounter, social workers do. Thus, the field of social work makes an invaluable contribution to the knowledge and skills of speech-language pathologists. Purpose This clinical focus article focuses on the clinician's contribution to the therapeutic relationship by surfacing elements of the underlying subjective processes. Method Vignettes were gathered from clinicians in two community aphasia programs informed by the principles of the Life Participation Approach to Aphasia. Results and Discussion By reflecting on and sharing aspects of clinical encounters, clinicians reveal subjective processing occurring beneath the surface. The vignettes shed light on the following clinical behaviors: listening to the client's “whole self,” having considerations around self-disclosure, dealing with biases, recognizing and surfacing clients' identities, and fostering hope. Speech-language pathologists are given little instruction on the importance of the therapeutic relationship, how to conceptualize this relationship, and how to balance this relationship with professionalism. Interprofessional collaboration with social workers provides a rich opportunity to learn ways to form and utilize the benefits of a strong therapeutic relationship while maintaining high standards of ethical behavior. Conclusion This clinical focus article provides speech-language pathologists with the “nuts and bolts” for considering elements of the therapeutic relationship. This is an area that is gaining traction in the field of speech-language pathology and warrants further investigation.

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Appropriate Targets for Search Advertising as Part of Online Gatekeeping for Suicide Prevention

Crisis ◽

10.1027/0227-5910/a000486 ◽

2018 ◽

Vol 39 (3) ◽

pp. 197-204 ◽

Cited By ~ 1

Author(s):

Hajime Sueki ◽

Jiro Ito

Keyword(s):

Suicide Prevention ◽

Daily Life ◽

Web Pages ◽

Service Users ◽

Online Questionnaire ◽

Consultation Service ◽

Self Disclosure ◽

Search Advertising ◽

Consultation Services ◽

Age Range

Abstract. Background: Gatekeeper training is an effective suicide prevention strategy. However, the appropriate targets of online gatekeeping have not yet been clarified. Aim: We examined the association between the outcomes of online gatekeeping using the Internet and the characteristics of consultation service users. Method: An advertisement to encourage the use of e-mail-based psychological consultation services among viewers was placed on web pages that showed the results of searches using suicide-related keywords. All e-mails received between October 2014 and December 2015 were replied to as part of gatekeeping, and the obtained data (responses to an online questionnaire and the content of the received e-mails) were analyzed. Results: A total of 154 consultation service users were analyzed, 35.7% of whom were male. The median age range was 20–29 years. Online gatekeeping was significantly more likely to be successful when such users faced financial/daily life or workplace problems, or revealed their names (including online names). By contrast, the activity was more likely to be unsuccessful when it was impossible to assess the problems faced by consultation service users. Conclusion: It may be possible to increase the success rate of online gatekeeping by targeting individuals facing financial/daily life or workplace problems with marked tendencies for self-disclosure.

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Initiating, Maintaining, or Breaking Up?

Social Psychology ◽

10.1027/1864-9335/a000200 ◽

2014 ◽

Vol 45 (5) ◽

pp. 408-420 ◽

Cited By ~ 7

Author(s):

Michela Menegatti ◽

Monica Rubini

Keyword(s):

Romantic Relationships ◽

Romantic Relationship ◽

Self Disclosure ◽

Level Of Abstraction ◽

Problematic Relationship ◽

Abstract Language ◽

Language Abstraction

Two studies examined whether individuals vary the level of abstraction of messages composed to achieve the relational goals of initiating, maintaining, and ending a romantic relationships when the goal of communication was self-disclosure or persuading one’s partner. Study 1 showed that abstract language was preferred to disclose thoughts and feelings about initiating a romantic relationship or to persuade the partner to consolidate a long-term one. Study 2 revealed that participants used abstract terms to persuade the partner to continue a problematic relationship and to disclose their thoughts on ending it. These results show that language abstraction is a flexible means to handle individuals’ goals and influence the course of romantic relationships.

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