By Barry A. Farber PhD
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Additional resources for Self-Disclosure in Psychotherapy
But most nonverbal behaviors require careful attention to such contextual factors as the patient’s characteristic interpersonal style and the nature of the therapeutic relationship. A patient who rarely meets the therapist’s gaze during a session may be characterologically avoidant but may also “simply” be absorbed in thought, experiencing discomfort or anger with the therapist or the therapy process, or feeling comfortable enough in the room to allow his or her gaze to roam. Ultimately, in an undertaking as complex and interpersonally situated as therapy—and one in which agreement around the meaning of words and gestures is so very important—hypotheses based on nonverbal cues invariably require further testing in the verbal realm.
Some come to therapy expressly for this reason—to speak of what has been previously unspeakable, to unburden themselves of long-kept secrets. All therapists have observed the great anxiety in new patients as they sit down for the first session and begin revealing the details of experiences or feelings that have been kept private for so long. And all have also witnessed the great relief many of these patients experience, even with little or no intervention on the therapist’s part (save perhaps for active listening).
What could it even mean? At any given moment, there are myriad choices of what to address, including feelings about one’s therapist, thoughts about last week’s session, dreams, events that occurred in one’s childhood, and the latest fight or misunderstanding with one’s spouse, boss, friend, child, or parent. Inevitably, the patient must choose what to disclose and, in doing so, he or she necessarily chooses not to disclose the infinite universe of other thoughts and feelings. The theoretical model adopted by the therapist exerts a considerable influence on the process and content of patient disclosure.
Self-Disclosure in Psychotherapy by Barry A. Farber PhD