China
Africa
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Introduction
Published in Joi Andreoli, The Recovery Cycle, 2023
You as a clinician may be the first guide for your client. Although this book asks you to go on the journey with your client, you are the guide—it is all about them. Therefore (as you must already know), self-disclosure can come in small doses, if at all (depending on your theoretical orientation), and only if clinically relevant. If you have any confusion about this, seek supervision.
Chronic Pain Is a Family Problem
Published in Michael S. Margoles, Richard Weiner, Chronic PAIN, 2019
If all you can do is moan about your pain problem, then you risk the loss of your friends. However, there are ways of communicating pain other than moaning, and for those patients who are overly independent, it is permissible to occasionally moan to close friends, thereby increasing vulnerability, self-disclosure, and intimacy (Patel, 1989).
Oh Doctor, Doctor, What Can I Do? Becoming a Patient
Published in Johanna Shapiro, Howard F Stein, The Inner World of Medical Students, 2018
Johanna Shapiro, Howard F Stein
This is perhaps not surprising, given that the idea of learning directly from patients threatens the supremacy of the physician as sole source of knowledge (and therefore power) by placing him or her more in the role of guide and interpreter of information and experience exchanged between patient and student. A groundbreaking medical school in the UK has adopted the radical approach of prioritizing the formation of a direct, collaborative relationship between student and patient across multiple learning contexts, emphasizing the production of collaborative knowledge between student and patient.38 Other scholars have pointed out that the traditional method of taking the patient history and establishing the chief complaint in many ways discourages patient self-disclosure and the kind of patient-centered medicine that allows patients to share their real concerns and give students a glimpse into their lives.39 Rita Charon has provided a strong theoretical argument as to why narrative medicine should play a central role in medical training,40 and recently Kumagai has contributed additional theoretical work drawing on both theories of empathy and moral development to expand these arguments.24 I have also attempted to theorize as to why it is necessary to change or at least expand some of the philosophical premises on which medicine is based in order to make empathy a more accessible response for learners.41
Defining self-disclosure of personal cancer coping experiences in oncology social workers’ helping relationships: When cancer “hits home”
Published in Journal of Psychosocial Oncology, 2022
Kimberly Lawson, Allison Werner-Lin, Frances Fitzgerald, James Robert Zabora
Overall, participants articulated great consensus over what constitutes self-disclosure. This included “any statement where I identify myself as having been a cancer patient” (Jason) or caregiver. Together, participants defined self-disclosure as sharing personal information with current clients regarding experiences, reflections, and information about being, or having been, a cancer patient and/or cancer caregiver. For example, “You're telling a client something personal that has the ability to impact them, positive or negative. Sharing a personal story, a personal situation, a personal feeling…” (Stephanie). Such disclosures were largely voluntary, though a few participants were identified, or “outed”, as having been cancer patients or caregivers by coworkers. Participants expressed consensus that self-disclosure must have direct and immediate benefit for the client and/or advance the therapeutic relationship.
Chinese mothers’ intent to disclose the HIV status to their children: the role of outcome expectations and self-efficacy
Published in AIDS Care, 2022
Qian Wang, Zixin Wang, Xiaomeng Ma, Polin Chan, Joseph T. F. Lau, Phoenix K.H. Mo
Self-disclosure refers to a process of one’s sharing of personal, intimate information that are previously concealed and potentially stigmatizing about oneself to others (Derlega et al., 1993). The World Health Organization (WHO) recommends that HIV-infected parents disclose age-appropriate information about their infection to their children of school age and partial disclosure (e.g., Telling the children about themselves being ill without disclosing the name of the illness) can be made for younger children as deemed appropriate for their cognitive skills and emotional maturity (World Health Organization, 2011). Maternal HIV disclosure to children is associated with numerous benefits to both mothers and children including decrease in maternal psychological distress and parenting stress, improvement in social support and health of mother, improvement in parent–child relationship and communication, facilitation of long-term adjustment and future planning for the child, and reduction in child emotional and behavioral problems (Bernier et al., 2018; Conserve et al., 2014; Conserve & King, 2014; Hawk, 2007; Krauss et al., 2013; Murphy, 2008; Murphy et al., 2006; Rochat et al., 2015; Tenzek et al., 2013).
Provider Practices and Perspectives regarding Collection and Documentation of Gender Identity
Published in Journal of Homosexuality, 2021
Lauren E. Nadler, Shannon N. Ogden, Kathryn L. Scheffey, Peter F. Cronholm, Melissa E. Dichter
Other providers indicated that, without provider inquiry, patients may prompt the disclosure themselves and they had varying views on the benefits and drawbacks of relying on patient self-disclosure. Some providers thought that patients might feel uncomfortable due to not being asked: I don’t have a good way of asking about gender identity. Usually that will be something the patient will bring up to me. I’m sure there’s times where a patient might feel uncomfortable because I haven’t asked. [IM2]