Clients' perceptions of therapist dishonesty.

IF 3 1区 心理学 Q2 PSYCHOLOGY, CLINICAL
Catherine Crumb, Barry A Farber, Hannah Ades
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引用次数: 0

Abstract

Objective: Although honesty is valued highly within psychotherapeutic work, therapists, like individuals in any interpersonal situation, are occasionally dishonest. The primary objective of this study was to explore clients' perceptions of therapist dishonesty, including their views on whether and under what circumstances therapist dishonesty is acceptable.

Methods: Participants (N = 566) were clients currently engaged in psychotherapy who completed an online Qualtrics survey (Clients' Assessment of Tact, Concealment, and Honesty; CATCH) and the Working Alliance Inventory.

Results: Most clients perceived their therapists to have been somewhat dishonest at least once during their treatment and believed it acceptable for their therapists to be dishonest about several topics, including their frustration or disappointment in clients. Clients who had a stronger working alliance perceived less therapist dishonesty and were more likely to view dishonesty as acceptable; these findings did not vary significantly by age, gender, race, or education level.

Conclusion: Clinical education on the varied nature and ethics of therapist dishonesty is indicated and ought to include discussion of instances in which less-than-complete honesty may be advisable, as well as its potential detrimental effects. Clinical training might well focus on beginning therapists' awareness of how their occasional dishonesty, including therapeutic tact, affects clients.

来访者对治疗师不诚实的看法。
目的:虽然诚实在心理治疗工作中受到高度重视,但治疗师,就像任何人际关系中的个体一样,偶尔也会不诚实。本研究的主要目的是探讨来访者对治疗师不诚实的看法,包括他们对治疗师不诚实是否可以接受以及在什么情况下可以接受的看法。方法:参与者(N = 566)是目前正在接受心理治疗的患者,他们完成了在线素质调查(客户对机智、隐藏和诚实的评估;CATCH)和工作联盟量表。结果:大多数来访者认为他们的治疗师在治疗过程中至少有一次不诚实,并且认为他们的治疗师在一些话题上不诚实是可以接受的,包括他们对来访者的沮丧或失望。有更强的工作联盟的来访者认为治疗师不诚实的程度更低,更有可能认为不诚实是可以接受的;这些发现在年龄、性别、种族或教育水平上没有显著差异。结论:临床教育应该针对治疗师不诚实的不同性质和道德规范,并且应该包括讨论在哪些情况下不完全诚实是可取的,以及它潜在的有害影响。临床培训很可能侧重于让初级治疗师意识到他们偶尔的不诚实,包括治疗上的圆滑,是如何影响来访者的。
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来源期刊
Psychotherapy Research
Psychotherapy Research PSYCHOLOGY, CLINICAL-
CiteScore
7.80
自引率
10.30%
发文量
68
期刊介绍: Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.
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