Therapist self-disclosure and the therapeutic alliance in the treatment of eating problems

Simonds, Laura M. and Spokes, Naomi (2017) Therapist self-disclosure and the therapeutic alliance in the treatment of eating problems. Eating Disorders . pp. 1-14. ISSN 1064-0266

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Abstract

Evidence is mixed regarding the potential utility of therapist self-disclosure. The current study modelled relationships between perceived helpfulness of therapist self-disclosures, therapeutic alliance, patient non-disclosure, and shame in participants (n = 120; 95% women) with a history of eating problems. Serial multiple mediator analyses provided support for a putative model connecting the perceived helpfulness of therapist self-disclosures with current eating disorder symptom severity through therapeutic alliance, patient self-disclosure, and shame. The analyses presented provide support for the contention that therapist self-disclosure, if perceived as helpful, might strengthen the therapeutic alliance. A strong therapeutic alliance, in turn, has the potential to promote patient disclosure and reduce shame and eating problems.

Item Type: Article
Subjects: Disabilities & Disorders (mental & physical) > Eating Disorders
Department/People: Adult and Forensic Services
URI: https://repository.tavistockandportman.ac.uk/id/eprint/1501

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