scholarly journals The Patients' Practises Disclosing Subjective Experiences in the Psychiatric Intake Interview

2021 ◽  
Vol 12 ◽  
Author(s):  
Enikö Èva Savander ◽  
Jukka Hintikka ◽  
Mariel Wuolio ◽  
Anssi Peräkylä
Keyword(s):  
Conversation Analysis ◽  
Local Control ◽  
Subjective Experience ◽  
The Self ◽  
Subjective Experiences ◽  
Negative Experience ◽  
Self Disclosure ◽  
Specific Symptom ◽  
Diagnostic Interviews ◽  
Intake Interview

In psychiatric diagnostic interviews, a clinician's question designed to elicit a specific symptom description is sometimes met with the patient's self-disclosure of their subjective experience. In shifting the topical focus to their subjective experiences, the patients do something more or something other than just answering the question. Using conversation analysis, we examined such sequences in diagnostic interviews in an outpatient clinic in Finland. From 10 audio-recorded diagnostic interviews, we found 45 segments where medical questions were met with patients' self-disclosures. We show four sequential trajectories that enable this shift of topic and action. There are four possible trajectories: (1) the patient first answers the medical question and the clinician acknowledges this answer, whereupon the patient shifts to a self-disclosure of their subjective experience; (2) the patient first gives the medical answer but shifts to self-disclosure without the clinician's acknowledgement of that answer; (3) the patient produces an extensive answer to the medical question and, in the course of producing this, shifts into the self-disclosure; (4) the patient does not offer a medical answer but designs the self-disclosure as if it were the answer to the medical question. We argue that in the shifts to the self-disclosure of their subjective negative experience, the patients take local control of the interaction. These shifts also embody a clash between the interactional projects of the participants. At the end of the paper, we discuss the clinical relevance of our results regarding the patient's agency and the goals of the psychiatric assessment.

scholarly journals Peer responses to self-disclosures in group counseling

2019 ◽  
Vol 39 (5) ◽  
pp. 613-647 ◽  
Author(s):  
Aija Logren ◽  
Johanna Ruusuvuori ◽  
Jaana Laitinen
Keyword(s):  
Social Support ◽  
Conversation Analysis ◽  
Group Counseling ◽  
Healthy Lifestyle ◽  
The Self ◽  
Individual Experience ◽  
Self Disclosure ◽  
Health Counseling ◽  
Group Members ◽  
Peer Responses

Abstract Drawing on conversation analysis, this study examines how peers respond to each other’s self-disclosures in group counseling interaction. Responses that display sharing and recognition of the experience normalize the experience and build an alliance among group members. This way, responses bring about social support. In addition, responses can offer a different perspective on the views presented in self-disclosures. The responses endorse or challenge the claims that are made and the stance taken in the initial self-disclosure, and link the personal, individual experience to general axioms. The implicit ways of responding to a self-disclosure allow a person to participate in a conversation about intimate and potentially delicate topics without revealing private details. Through self-disclosures and responses to them, participants talk into being the ideals of health counseling and healthy lifestyle: What kind of activities are considered eligible and attainable. The relation of these practices to the institutional goal is intricate. It builds on, first, the stance taken in the self-disclosure toward the institutional goal and the sociocultural values pertaining to it, and second, the responses’ alignment with that stance and what kind of values and ideals it further evokes.

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

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.

Limitations of the Self-Persuasion Effect Produced by Subjective Experience

1973 ◽  
Author(s):  
Howard Leventhal ◽  
Donald H. Brown ◽  
George Klemp
Keyword(s):  
Subjective Experience ◽  
The Self

Fast Foes: The affective consequences of interacting in a negative self-disclosure situation.

2020 ◽  
Author(s):  
Jonathan Gordils ◽  
Jeremy Jamieson
Keyword(s):  
Social Interactions ◽  
Social Life ◽  
Large Body ◽  
Cardiovascular Responses ◽  
Social Contexts ◽  
Subjective Experiences ◽  
Self Disclosure ◽  
Negative Behaviors ◽  
Nuanced Understanding ◽  
Affective Consequences

Background and Objectives: Social interactions involving personal disclosures are ubiquitous in social life and have important relational implications. A large body of research has documented positive outcomes from fruitful social interactions with amicable individuals, but less is known about how self-disclosing interactions with inimical interaction partners impacts individuals. Design and Methods: Participants engaged in an immersive social interaction task with a confederate (thought to be another participant) trained to behave amicably (Fast Friends) or inimically (Fast Foes). Cardiovascular responses were measured during the interaction and behavioral displays coded. Participants also reported on their subjective experiences of the interaction. Results: Participants assigned to interact in the Fast Foes condition reported more negative affect and threat appraisals, displayed more negative behaviors (i.e., agitation and anxiety), and exhibited physiological threat responses (and lower cardiac output in particular) compared to participants assigned to the Fast Friends condition. Conclusions: The novel paradigm demonstrates differential stress and affective outcomes between positive and negative self-disclosure situations across multiple channels, providing a more nuanced understanding of the processes associated with disclosing information about the self in social contexts.

Revelation, Tradition, and Inspiration

2018 ◽  
Author(s):  
Gerald O’Collins, SJ
Keyword(s):  
New Testament ◽  
Old Testament ◽  
Holy Spirit ◽  
The Self ◽  
Divine Revelation ◽  
Self Disclosure ◽  
Present Experience ◽  
Living Tradition ◽  
The Church

This chapter spells out the complex interrelationship between the divine self-revelation, the tradition that transmits the prophetic and apostolic experience of that revelation, and the writing of the inspired Scriptures. Primarily, revelation involves the self-disclosure of the previously and mysteriously unknown God. Secondarily, it brings the communication of hitherto unknown truths about God. Revelation is a past, foundational reality (completed with the missions of the Son and Holy Spirit), a present experience, and a future hope. Responding with faith to divine revelation, the Old Testament (prophetic) and then New Testament (apostolic) witnesses initiated the living tradition from which came the inspired Scriptures. Tradition continues to transmit, interpret, and apply the Scriptures in the life of the Church.

Field Dependence and Self-Disclosure

1973 ◽  
Vol 36 (3) ◽  
pp. 735-738 ◽  
Author(s):  
Joaquin F. Sousa-Poza ◽  
Robert Rohrberg ◽  
Ernest Shulman
Keyword(s):  
Social Behavior ◽  
Field Dependence ◽  
The Self ◽  
Social Stimuli ◽  
Self Disclosure ◽  
Field Independent ◽  
The Social ◽  
Field Dependent ◽  
Personality Theories

Some characteristics of the social behavior of field-dependents as well as their superior recognition of ambiguous social stimuli led to the hypothesis that they would show greater self-disclosure than field-independents. This hypothesis was tested by administering the 60-item Jourard Self-disclosure Questionnaire (JSDQ) to 13 field-dependent and 13 field-independent Ss. In terms of total self-disclosure scores, field-dependents showed significantly (.025) higher levels than field-independents. Results are discussed in light of personality theories which emphasize the role of self-conceptual transactions in the development of the self.

The bird dancer and the warrior king: Divergent lived experiences of Tourette syndrome in Bali

2017 ◽  
Vol 54 (4) ◽  
pp. 540-561 ◽  
Author(s):  
Robert Lemelson ◽  
Annie Tucker
Keyword(s):  
Lived Experience ◽  
Tourette Syndrome ◽  
Subjective Experience ◽  
Influential Factors ◽  
Treatment Modalities ◽  
Visual Anthropology ◽  
Subjective Experiences ◽  
Term Outcome ◽  
Long Term Outcome

In the past two decades, ethnographic, epidemiological and interdisciplinary research has robustly established that culture is significant in determining the long-term outcomes of people with neurodevelopmental, neuropsychiatric and mood disorders. Yet these cultural factors are certainly not uniform across discrete individual experiences. Thus, in addition to illustrating meaningful differences for people with neuropsychiatric disorder between different cultures, ethnography should also help detail the variations within a culture. Different subjective experiences or outcomes are not solely due to biographical idiosyncrasies—rather, influential factors arising from the same culture can have different impacts on different people. When taking a holistic and intersectional perspective on lived experience, it is crucial to understand the interaction of these factors for people with neuropsychiatric disorders. This paper teases apart such interactions, utilizing comparative case studies of the disparate subjective experiences and illness trajectories of two Balinese people with Tourette syndrome who exhibit similar symptoms. Based on longitudinal person-centered ethnography integrating clinical, psychological, and visual anthropology, this intersectional approach goes beyond symptom interpretation and treatment modalities to identify gendered embodiment and marital practices as influenced by caste to be significant determinants in subjective experience and long-term outcome.

scholarly journals THE NEED FOR INFORMATION AND THE ATTITUDE TOWARDS DIGITAL TECHNOLOGIES AS FACTORS OF CRITICAL AND UNCRITICAL DISSEMINATION OF PANDEMIC NEWS

2021 ◽  
pp. 170-195
Author(s):  
Elena I. Rasskazova ◽  
Galina V. Soldatova ◽  
Yulia Y. Neyaskina ◽  
Olga S. Shiriaeva
Keyword(s):  
Subjective Experience ◽  
New Technologies ◽  
Modern Society ◽  
Sociodemographic Factors ◽  
Subjective Experiences ◽  
Individual Level ◽  
Related Information ◽  
Digital World ◽  
The Individual ◽  
The Relationship

Relevance. The modern society creates the image of a successful person as actively interacting with different information flows, including an impressive stream of news content. This paper assumes that there is a personal need for tracking and spreading news that develops in the interaction between person and digital world. The individual level of this need could explain the interaction with information (its critical and uncritical dissemination) and the subjective experience of its redundancy and inaccuracy, including those experiences and actions in a pandemic situation. The aim of the study was to reveal the relationship of the subjective need for news with personal values, beliefs about technologies (“technophilia”) and the dissemination of news about the pandemic. Method. 270 people (aged 18 to 61) filled out The short (Schwartz) Portrait Values Questionnaire (PVQ), Beliefs about New Technologies Questionnaire, Monitoring of Information about Coronavirus Scale as well as items on the subjective need for receiving and disseminating news, readiness for critical and non-critical dissemination of news about pandemics, subjective experiences of redundancy and distrust of pandemic-related information. Results. According to the results, the Need for News Scale allows assessing the subjective importance of receiving news and discussing them with other people and is characterized by sufficient consistency and factor validity. The need for regular news is more pronounced among men, older people, people with higher education, married people, people who have children, while the need to discuss news is not related to sociodemographic factors. For people, who are more prone to technophilia, it is more important to regularly receive and discuss news information with others, which, in turn, mediates the relationship between technophilia and monitoring news about coronavirus. The need for news dissemination mediates the relationship between technophilia and readiness for critical and non-critical dissemination of information about the pandemic.

scholarly journals Instagram dan Self Disclosure dalam Perspektif Komunikasi Antarpribadi terhadap Siswa - Siswi SMA Santo Kristoforus II

Koneksi ◽  
2020 ◽  
Vol 3 (2) ◽  
pp. 328
Author(s):  
Jovita Clarissa ◽  
H.H. Daniel Tamburian
Keyword(s):  
Social Media ◽  
High School Students ◽  
Digital Media ◽  
Interpersonal Communication ◽  
Communication Theory ◽  
Personal Information ◽  
The Self ◽  
School Students ◽  
Self Disclosure ◽  
Digital Era

Humans are social beings who need other individuals to group. In interacting with others, individuals will convey information and usually begin with an introduction relates to self disclosure, which is the type of individual communication disclosing information about himself is commonly concealed. Social media is a medium on the Internet that allows users to represent themselves, share, communicate with others and create virtual social ties. This research was intended to examine Instagram and Self Disclosure in an interpersonal communication perspective on the Santo Kristoforus II high school students to find out the activities of students on Instagram social media. Research based on Self-Disclosure theory, communication theory in the Digital Era, social media, and Instagram. Research uses a qualitative approach with case study methods. The results is that the self disclosure conducted by the informant is about daily activities, and the self disclosure is on Instagram involving several Self-Disclosure processes. In the process of Self-Disclosure, informants usually provide personal information such as feelings, thoughts and experiences, and they are also careful enough in uploading information to social mediaManusia disebut makhluk yang memerlukan seseorang untuk saling berhubungan timbal balik. Dalam berinteraksi dengan orang lain, individu akan menyampaikan berbagai informasi dan biasanya diawali dengan perkenalan mengenai dirinya, hal tersebut berkaitan dengan self disclosure, yakni jenis komunikasi individu mengungkapkan informasi tentang dirinya sendiri yang biasa disembunyikan. Media sosial saat ini digunakan penggunanya untuk berkomunikasi, membentuk relasi dengan orang lain secara virtual. Sehingga penelitian ini dimaksudkan untuk meneliti Instagram dan Self Disclosure dalam Perspektif Komunikasi Antarpribadi terhadap Siswa-Siswi SMA Santo Kristoforus II untuk mengetahui aktivitas siswa-siswi di media sosial Instagram. Penelitian berlandaskan teori Self-Disclosure, Teori Komunikasi di Era Digital, Media Sosial, dan Instagram. Penelitian menggunakan pendekatan kualitatif dengan metode studi kasus. Hasil penelitian menunjukkan bahwa pengungkapan diri yang dilakukan oleh informan berisi tentang aktivitas sehari-hari yang dilakukan, dan pengungkapan diri tersebut dilakukan dalam media sosial Instagram yang melibatkan beberapa proses pengungkapan diri. Dalam proses pengungkapan diri, informan biasanya memberikan informasi pribadi seperti perasaan, pikiran dan pengalaman. Dengan banyaknya informasi yang diberikan, tidak menutup kemungkinan mereka juga cukup berhati-hati dalam mengunggah informasi ke media sosial

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