Immediate therapist self-disclosure bolsters the effect of brief integrative psychotherapy on psychiatric symptoms and the perceptions of therapists: A randomized clinical trial.


Journal Article

We report a first randomized clinical trial examining the effect of immediate and non-immediate therapist self-disclosure in the context of a brief integrative psychotherapy for mild to moderate distress.A total of 86 patients with mild to moderate forms of distress were randomly divided into three 12-session integrative psychotherapy conditions based primarily on [Hill, C. E. (2009). Helping skills: Facilitating, exploration, insight, and action (3rd ed.). Washington, DC: American Psychological Association.] three-stage model. Therapists trained in this treatment modality were instructed to use either immediate self-disclosure (expressing feelings towards the patient/treatment/therapeutic relationship) or non-immediate self-disclosure (expressing personal or factual information regarding the therapist's life outside the treatment). In the comparison condition, the therapists were instructed to refrain from self-disclosure altogether.Immediate therapist self-disclosure reduced psychiatric symptoms among patients with elevated pretreatment symptoms (as assessed by the Brief Symptoms Inventory) and bolstered a favorable perception of the therapist. Therapists in both the immediate and non-immediate self-disclosure group evaluated themselves more favorably than their counterparts in the non-disclosure group.Therapist self-disclosure, particularly of the immediate type, might enhance the effect of brief integrative treatment on psychiatric symptoms of high symptomatic patients and contribute to favorable perception of therapists.

Full Text

Duke Authors

Cited Authors

  • Ziv-Beiman, S; Keinan, G; Livneh, E; Malone, PS; Shahar, G

Published Date

  • September 2017

Published In

Volume / Issue

  • 27 / 5

Start / End Page

  • 558 - 570

PubMed ID

  • 26838353

Pubmed Central ID

  • 26838353

Electronic International Standard Serial Number (EISSN)

  • 1468-4381

International Standard Serial Number (ISSN)

  • 1050-3307

Digital Object Identifier (DOI)

  • 10.1080/10503307.2016.1138334


  • eng