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Sex, Dishonesty, and Psychotherapy

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서명/저자사항Sex, Dishonesty, and Psychotherapy.
개인저자Love, Melanie .
단체저자명Columbia University. TC: Clinical Psychology.
발행사항[S.l.]: Columbia University., 2019.
발행사항Ann Arbor: ProQuest Dissertations & Theses, 2019.
형태사항169 p.
기본자료 저록Dissertations Abstracts International 81-05A.
Dissertation Abstract International
ISBN9781088384244
학위논문주기Thesis (Ph.D.)--Columbia University, 2019.
일반주기 Source: Dissertations Abstracts International, Volume: 81-05, Section: A.
Advisor: Farber, Barry A.
이용제한사항This item must not be sold to any third party vendors.
요약Purpose: Honest disclosure about salient information is at the heart of the therapy process but sexual material has been found to be among the most frequently concealed types of content. Understanding why clients choose to be avoidant or explicitly dishonest about sexual topics may attune therapists to the types of concerns clients have when deciding whether or not to disclose this material, how non-disclosure or dishonesty about sex impacts therapy, and what would help clients be more honest about such material. This study directly queried clients who had been dishonest about four types of sexual content in order to learn how therapists can better promote honest disclosure about different domains of sex and sexuality.Method: As part of a comprehensive study of client "secrets and lies," a sample of 798 outpatient therapy clients rated their dishonesty or honesty about four sexually related topics ("details of my sex life," "my sexual desires or fantasies," "my sexual orientation," and "times I have cheated on a partner") and completed measures about attitudes toward disclosure along with ratings of the therapeutic alliance. Follow-up samples of clients who stated that a sexual topic had been hardest to talk about in therapy answered multiple-choice and open-text questions about their motivations for being dishonest with the therapist, how it impacted them in terms of therapy progress and feelings about the decision, and what they believed the therapist could do to help them be more honest about this topic.Results: Two types of sexual content - "details of my sex life" and "my sexual desires and fantasies" - were the most common topics of dishonesty across the whole sample. Dishonesty about sex tended to manifest in total avoidance of the topic in therapy. Approximately 80% of clients indicated that their motivation for dishonesty was to avoid shame or embarrassment, while smaller numbers reported concerns about how the therapist would react to the disclosure. These clients cited worries about being stigmatized or judged, or felt unsure that the therapist would understand or be able to help
일반주제명Clinical psychology.
Personality psychology.
Therapy.
Sexuality.
Counseling psychology.
Experimental psychology.
Behavioral psychology.
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