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The Dynamic Shift in Therapeutic Relationships through Counselor Self-Disclosure with Military Client: A Case Study

机译:通过与军事客户的辅导员自我披露来建立治疗关系的动态变化:一个案例研究

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摘要

This qualitative case study is designed to explore how two participants described their role with their use of counselor self-disclosure in establishing and maintaining therapeutic alliance with military clients. Utilizing purposeful and criterion-based sampling, participants for this study were counselors who worked with the military populations, had independent practices, and believed that counselor self-disclosure was beneficial in building strong therapeutic alliances with military clients. Informed by Symbolic Interactionism, the participants' understanding of self-disclosure and its role in establishing and maintaining therapeutic alliance with military clients were explored through semi-structured, in-depth, open-ended interviews.;Counselor self-disclosure (CSD) is a technique that helps to establish strong therapeutic alliances and break down barriers that may exist between the military population and their counselors. Some military members experience mental health disorders following deployments. However, these military members experience barriers when seeking treatment and they commonly terminate treatment prematurely.;Findings indicate that when counselors use self-disclosure it inspires participants to open up and model their counselor's behavior. Moreover, military clients become aware of their own symptoms that were previously invisible to them, and find ways to relate and trust the counselor. Conversely, findings also indicate that CSD can be used improperly or even when used properly could have undesired effects such as causing ruptures in the therapeutic relationship due to a lack of clients' openness, or perceiving CSD unprofessional and an inauthentic way to elicit therapeutic alliance.;This study has implications for counselor educators and practitioners to consider training about relationally-oriented cultural practices that help to prevent ruptures in therapeutic alliances with military clients. Another implication is about how CSD could be used in the preparation of students in counselor education training programs and how more inquiry could be conducted to document systematic data about the influence of CSD on therapeutic alliance. Finally, the study has implications about how CSD can facilitate support for military clients and critically understanding how CSD can aid in supporting retention or loss of treatment for military clients.
机译:该定性案例研究旨在探讨两名参与者如何通过使用顾问自我披露来建立和维持与军事客户的治疗联盟,描述他们的角色。利用有目的和基于标准的抽样,本研究的参与者是与军人一起工作的顾问,他们有独立的执业经验,他们认为,顾问的自我披露对于与军事客户建立牢固的治疗联盟是有益的。在象征性互动主义的指导下,通过半结构化,深入的,开放性访谈,探讨了参与者对自我披露的理解及其在与军事客户建立和维持治疗联盟方面的作用。;参赞自我披露(CSD)是一种有助于建立强大的治疗联盟并打破军人与其顾问之间可能存在的障碍的技术。部署后,一些军人会遇到精神健康障碍。但是,这些军人在寻求治疗时会遇到障碍,他们通常会过早终止治疗。;发现表明,当参谋长使用自我披露时,会激发参与者开放和模仿参谋长的行为。此外,军事服务对象意识到他们以前看不见的自己的症状,并找到联系和信任辅导员的方法。相反,研究结果还表明,CSD使用不当甚至正确使用可能会产生不良影响,例如由于缺乏客户开放性而导致治疗关系破裂,或者认为CSD不专业且不真实地引发治疗联盟。 ;该研究对辅导员教育者和从业者考虑培训有关关系导向的文化习俗有帮助,这有助于防止与军事客户的治疗联盟破裂。另一个含义是关于如何在辅导员教育培训计划的学生准备中使用CSD,以及如何进行更多调查以记录有关CSD对治疗联盟的影响的系统数据。最后,该研究对CSD如何促进对军事客户的支持以及批判性地了解CSD如何对军事客户的保留或失去治疗提供了启示。

著录项

  • 作者

    Blackwell, Ophelia M.;

  • 作者单位

    Kansas State University.;

  • 授予单位 Kansas State University.;
  • 学科 Counseling Psychology.;Clinical psychology.
  • 学位 Ph.D.
  • 年度 2017
  • 页码 237 p.
  • 总页数 237
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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