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Therapist self‐disclosure in teletherapy early in the COVID‐19 pandemic: Associations with real relationship and traumatic distress.

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Title: Therapist self‐disclosure in teletherapy early in the COVID‐19 pandemic: Associations with real relationship and traumatic distress.
Authors: Luo, Xiaochen (AUTHOR), Aafjes‐van Doorn, Katie (AUTHOR), Békés, Vera (AUTHOR), Prout, Tracy A. (AUTHOR), Hoffman, Leon (AUTHOR)
Source: Clinical Psychology & Psychotherapy. Jan2024, Vol. 31 Issue 1, p1-11. 11p.
Subjects: Mental orientation, Telepsychology, Physician-patient relations, Quantitative research, Self-disclosure, Descriptive statistics, Chi-squared test, Logistic regression analysis, COVID-19 pandemic, Psychological distress
Abstract: The usefulness of therapists' self‐disclosure (TSD) in psychotherapy remains controversial, and little is known regarding the potential risks and benefits of TSD in times of global crisis such as the COVID‐19 pandemic and in teletherapy. We examined two independent samples of therapists (N = 1705; Study 1) and patients (N = 772; Study 2) on their perceptions of increases in TSD during the transition to teletherapy early in the COVID‐19 pandemic (spring 2020). Approximately 20% of therapists and 14% of patients reported perceptions of definite increases in TSD. Therapists' top reasons for increased TSD were therapists' heightened distress and an effort to connect with patients in teletherapy. Importantly, therapist perceptions of their increased TSD were positively related to subjective vicarious trauma, real relationship, psychodynamic theoretical orientation and negatively with humanistic orientation, but not with age, race/ethnicity, length of clinical experience, working alliance, or professional self‐doubt. Patients' perceptions of increased TSD were positively related with patient pandemic‐related traumatic distress and their own self‐disclosure, but not with patient‐reported therapeutic relationship variables. Longitudinally, patients' perceptions of TSD increases predicted higher pandemic‐related traumatic distress at 3‐month follow‐up, after controlling for their baseline traumatic distress and other variables. These results highlighted that increased TSD in teletherapy may be a potential marker for heightened distress in both patients and therapists during a global crisis and a transition to teletherapy. The findings also contrasted the literature and emphasized that therapists, but perhaps not patients, may have considered increased TSD as a reflection of genuine therapeutic connection. [ABSTRACT FROM AUTHOR]
Copyright of Clinical Psychology & Psychotherapy is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Therapist self‐disclosure in teletherapy early in the COVID‐19 pandemic: Associations with real relationship and traumatic distress.
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  Data: <searchLink fieldCode="JN" term="%22Clinical+Psychology+%26+Psychotherapy%22">Clinical Psychology & Psychotherapy</searchLink>. Jan2024, Vol. 31 Issue 1, p1-11. 11p.
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  Data: <searchLink fieldCode="DE" term="%22Mental+orientation%22">Mental orientation</searchLink><br /><searchLink fieldCode="DE" term="%22Telepsychology%22">Telepsychology</searchLink><br /><searchLink fieldCode="DE" term="%22Physician-patient+relations%22">Physician-patient relations</searchLink><br /><searchLink fieldCode="DE" term="%22Quantitative+research%22">Quantitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Self-disclosure%22">Self-disclosure</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Chi-squared+test%22">Chi-squared test</searchLink><br /><searchLink fieldCode="DE" term="%22Logistic+regression+analysis%22">Logistic regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22COVID-19+pandemic%22">COVID-19 pandemic</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+distress%22">Psychological distress</searchLink>
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  Data: The usefulness of therapists' self‐disclosure (TSD) in psychotherapy remains controversial, and little is known regarding the potential risks and benefits of TSD in times of global crisis such as the COVID‐19 pandemic and in teletherapy. We examined two independent samples of therapists (N = 1705; Study 1) and patients (N = 772; Study 2) on their perceptions of increases in TSD during the transition to teletherapy early in the COVID‐19 pandemic (spring 2020). Approximately 20% of therapists and 14% of patients reported perceptions of definite increases in TSD. Therapists' top reasons for increased TSD were therapists' heightened distress and an effort to connect with patients in teletherapy. Importantly, therapist perceptions of their increased TSD were positively related to subjective vicarious trauma, real relationship, psychodynamic theoretical orientation and negatively with humanistic orientation, but not with age, race/ethnicity, length of clinical experience, working alliance, or professional self‐doubt. Patients' perceptions of increased TSD were positively related with patient pandemic‐related traumatic distress and their own self‐disclosure, but not with patient‐reported therapeutic relationship variables. Longitudinally, patients' perceptions of TSD increases predicted higher pandemic‐related traumatic distress at 3‐month follow‐up, after controlling for their baseline traumatic distress and other variables. These results highlighted that increased TSD in teletherapy may be a potential marker for heightened distress in both patients and therapists during a global crisis and a transition to teletherapy. The findings also contrasted the literature and emphasized that therapists, but perhaps not patients, may have considered increased TSD as a reflection of genuine therapeutic connection. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Clinical Psychology & Psychotherapy is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – SubjectFull: Physician-patient relations
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      – SubjectFull: COVID-19 pandemic
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      – SubjectFull: Psychological distress
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              Text: Jan2024
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