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020 ▼a 9781088384244
035 ▼a (MiAaPQ)AAI22616281
040 ▼a MiAaPQ ▼c MiAaPQ ▼d 247004
0820 ▼a 371
1001 ▼a Love, Melanie .
24510 ▼a Sex, Dishonesty, and Psychotherapy.
260 ▼a [S.l.]: ▼b Columbia University., ▼c 2019.
260 1 ▼a Ann Arbor: ▼b ProQuest Dissertations & Theses, ▼c 2019.
300 ▼a 169 p.
500 ▼a Source: Dissertations Abstracts International, Volume: 81-05, Section: A.
500 ▼a Advisor: Farber, Barry A.
5021 ▼a Thesis (Ph.D.)--Columbia University, 2019.
506 ▼a This item must not be sold to any third party vendors.
520 ▼a Purpose: 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
590 ▼a School code: 0054.
650 4 ▼a Clinical psychology.
650 4 ▼a Personality psychology.
650 4 ▼a Therapy.
650 4 ▼a Sexuality.
650 4 ▼a Counseling psychology.
650 4 ▼a Experimental psychology.
650 4 ▼a Behavioral psychology.
690 ▼a 0622
690 ▼a 0384
690 ▼a 0211
690 ▼a 0212
690 ▼a 0625
690 ▼a 0603
690 ▼a 0623
71020 ▼a Columbia University. ▼b TC: Clinical Psychology.
7730 ▼t Dissertations Abstracts International ▼g 81-05A.
773 ▼t Dissertation Abstract International
790 ▼a 0054
791 ▼a Ph.D.
792 ▼a 2019
793 ▼a English
85640 ▼u http://www.riss.kr/pdu/ddodLink.do?id=T15493374 ▼n KERIS ▼z 이 자료의 원문은 한국교육학술정보원에서 제공합니다.
980 ▼a 202002 ▼f 2020
990 ▼a ***1008102
991 ▼a E-BOOK