Self-disclosure by adolescents in therapy for eating difficulties: A Q-Methodology study.
| Autor: | Dunlop R; Department of Psychological Interventions, University of Surrey, UK.; Solent East CAMHS Eating Disorder Service, Solent NHS Trust, UK., Simonds LM; Department of Psychological Interventions, University of Surrey, UK., John M; Department of Psychological Interventions, University of Surrey, UK. |
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| Jazyk: | angličtina |
| Zdroj: | Clinical child psychology and psychiatry [Clin Child Psychol Psychiatry] 2024 Jan; Vol. 29 (1), pp. 90-102. Date of Electronic Publication: 2023 Oct 25. |
| DOI: | 10.1177/13591045231209648 |
| Abstrakt: | Facilitating client self-disclosure is essential to therapeutic effectiveness. Given the long-term consequences of eating difficulties for adolescents, there is a need for more research on self-disclosure in this group. This study investigated factors likely to influence adolescents' decisions to self-disclose during psychological therapy for eating difficulties using Q-methodology. Participants ( n = 28), recruited through child and adolescent mental health services in the UK, completed a task that involved sorting 47 statements to represent their viewpoint on self-disclosure. The 28 completed sorts were subjected to a by-participant factor analysis in order to identify distinct viewpoints in the sample. Three distinct factors were extracted. One factor emphasised the importance of therapist self-disclosure on decisions to disclose. In contrast, another factor placed more emphasis on the influence of eating disorder identity and readiness to change on disclosure decisions. The third factor placed emphasis on the quality of the therapeutic relationship and readiness to change as having most influence. Given the absence of a unifying factor representing what influences the decision to disclose, clinicians should ensure they explore with young people what might influence their decision to disclose. Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Databáze: | MEDLINE |
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