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PubMed1999

Social disclosure among coworkers without disabilities in supported employment settings.

The depth and breadth of reported self-disclosure by workers without disabilities (respondents) for three types of coworkers (i.e., work acquaintances, work friends, and social friends) were assessed. Reported self-disclosure of coworkers to supported employees was also compared, and the extent to which self-disclosure by respondents to job coaches correlated with intimacy of relationships between supported employees and respondents was analyzed. Results indicated that depth of self-disclosure can contribute to friendship formation, but coworkers did little self-disclosing to supported employees. Self-disclosure to job coaches did not correlate significantly with the development of relationships between the coworkers and supported employees. There is a need to teach supported employees to self-disclose to their coworkers and to prompt coworkers to talk about themselves in depth.

Adult↗

PubMed2004

Positive and negative consequences of HIV disclosure among seropositive injection drug users.

This study examines HIV status disclosure in an ethnically diverse sample of HIV-seropositive injection drug users (IDUs) from New York City and San Francisco. Qualitative interviews were conducted with 158 participants. Analyses revealed a number of negative and positive consequences of disclosing serostatus to sexual partners. Negative consequences included stigma, rejection by sexual partners and others, loss of intimacy, and threats to personal well-being. Positive rewards resulting from disclosure included increased social support and intimacy with partners, reaffirmation of one's sense of self, and the opportunity to share personal experiences and feelings with sexual partners. The role of responsibility in impacting disclosure and nondisclosure revealed varied patterns in terms of how this construct impacts disclosure and resulting behaviors with sexual partners. Some participants used particular strategies, such as getting involved in seroconcordant relationships or minimizing intimacy in relationships, in order to combat potential negative outcomes of disclosure. For others, positive rewards were viewed as important enough to risk negative consequences. Interventions for HIV-positive IDUs are discussed.

Adult↗

PubMed2003

Personal disclosure revisited.

In this paper personal disclosure is defined as a conscious verbal presentation to the patient by the therapist of a personal vignette accompanied by the appropriate dynamic formulation and resolution of a given personal area of conflict. It is conceptualized within theoretical formulations which consider the therapeutic relationship a dyad, where the reality of the patient and the reality of the therapist influence each other, providing the matrix through which the resolution of the patient's past life experiences takes place in the context of this new interpersonal experience. It is specifically differentiated from a boundary violation, because the personal disclosure is brought to the patient's interactional awareness not for gratification of the therapist's sexual or narcissistic needs, but to provoke a response in the patient's conceptualization of a phenomenon being presented in the session and to actively influence the intersubjective field. Within the conceptual framework developed in this paper, personal disclosure reaffirms the patient's current self-discovery and provides for a different formative experience. Personal disclosure is not to be used by the therapist as a vehicle to resolve personal conflicts or as source of personal gratification. When used within the context developed in this paper, personal disclosure enhances both the patient's therapeutic process and the therapist's ever-evolving growth.

Female↗

PubMed2005

Inadequate website disclosure of surgical outcome of intracranial aneurysms.

Social demand for the disclosure of medical information is increasing, especially the treatment for unruptured intracranial aneurysms. This study investigated to what extent information on the treatment for unruptured intracranial aneurysms is disclosed on websites in Japan. We surveyed 1225 institutions authorized by The Japan Neurosurgical Society. The following factors were analyzed: percentage of institutions with websites, disclosure of number of surgeries, and disclosure of outcome of treatment for ruptured and unruptured intracranial aneurysms. Of the 1225 institutions surveyed, 1097 (89.6%) had their own websites. The total number of websites was 1262 since some institutions have several homepages in different websites. The annual number of surgeries was shown in 274 of the 1225 institutions (22.4%). The outcome of treatment for ruptured intracranial aneurysms was disclosed in 104 of the 1225 institutions (8.5%). The outcome of treatment for unruptured intracranial aneurysms was shown in only 32 of the 1225 institutions (2.6%). Disclosure of outcome of treatment for unruptured intracranial aneurysms on websites is not common. To improve disclosure of the outcome on websites, guidelines should be established.

Disclosure↗

PubMed1996

Self-disclosure and marital satisfaction in mid-life and late-life remarriages.

Self-disclosure and marital satisfaction were studied among 125 males and females who were in their first remarriage. Essentially equal numbers had remarried in mid-life (ages 30-45) and late-life (ages 60-75). The multidimensional Wheeless self-disclosure scales and Locke-Wallace measure of marital satisfaction were employed. Mid-life versus late-life differences were evident for the amount, and depth of disclosure, but not for intentionality, valence or honesty of disclosure. No gender differences were manifested in self-disclosure. Marital satisfaction was greatest for late-life remarriages, and this was due to the high level of male satisfaction in this age group.

Adult↗

PubMed2000

Shyness in self-disclosure mediated by social skill.

The purpose of this study was to examine the effect of Shyness and Social Skills on Self-disclosure. Three scales, the Trait Shyness Scale, the Scale of Social Skill, and the Self-disclosure Questionnaire were administered to 443 university students. Scores on Shyness were highly negatively correlated with those on Social Skills and moderately negatively correlated with Self-disclosure. Furthermore, Self-disclosure scores correlated positively with Social Skills. Separate factor analyses of the Shyness and Social Skills scales yielded four and two factors, respectively. Findings suggest that shy people may have low interpersonal skills and thus, they may hesitate to engage in self-disclosure.

Adolescent↗

PubMed2000

Self-disclosure and occupational stress in Chinese professionals.

The relationship of self-disclosure with occupational stress and symptoms of stress was examined among 243 Hong Kong Chinese adult professionals. Self-disclosure was negatively correlated with both occupational stress and psychological symptoms of stress for disclosures of personal feelings and social relationships when disclosing to a Best Friend, indicating a stress-buffering effect. There was a positive correlation between occupational stress and psychological symptoms of stress for disclosure of personal feelings and information about social relationships when disclosing to Mother. While both sexes reported similar occupational stress, the total self-disclosure of women was higher than for men, and this was especially true for intimate topics. The implications of the results were discussed.

Adult↗

PubMed2004

Post-traumatic stress and self-disclosure.

Post-traumatic stress (PTS) is a significant clinical problem in the general population. However, only a portion of those exposed to trauma develop PTS. Patterns of emotional self-disclosure have the potential to explain some of the individual differences in the development and continuation of symptoms. In this study, the authors investigated the links between emotional self-disclosure, as measured by the Emotional Self-Disclosure Scale (ESDS; W. E. Snell, R. S. Miller, & S. S. Belk, 1988). and a post-trauma psychological state, as measured by the Trauma Symptom Inventory (TSI; J. Briere, 1995). Their results showed that, in general, men engaged in less emotional self-disclosure than did women, and as TSI scores increased, the men were significantly less willing to disclose emotions of happiness. For women, as TSI scores increased they were significantly more willing to engage in talk about emotions related to anxiety but less willing to talk about emotions related to fear. The authors considered these data within current understandings of the role of emotional self-disclosure in the processing of traumatic experiences.

Adult↗

PubMed2005

[Ways of finding meaning in negative experience and hesitation in self-disclosure].

Narrative approach suggests that finding or creating meaning in one's own negative experience is important, and one of psychotherapeutic goals may be making it possible for the person to tell his/her in experience to others in a more positive way than otherwise. On the other hand, recent studies of self-disclosure have suggested that disclosure of negative experience could be harmful to well-being or interpersonal relationship of the person. This study investigated the relationship between ways of finding meaning in negative experiences and hesitation in self-disclosure. A questionnaire about negative life experience was administered to 210 undergraduates. Results indicated that there were four different ways of finding meaning in negative experiences, and four factors of the hesitation could be classified into those having interpersonal and intra-personal negative implications. Believing that a negative experience had negative effects on life led to stronger hesitation in self-disclosure. Interpreting a negative experience positively led to less intra-personal hesitation. And holding no hope or optimistic perspective about a negative experience led to stronger interpersonal hesitation in self-disclosure.

Adult↗

PubMed1990

Legal review: AIDS patient records--legal issues of access and disclosure.

All 50 states require AIDS cases to be reported to the department of health. Many jurisdictions require HIV and ARC reporting, as well. Many states have also enacted confidentiality provisions that prohibit health care providers from releasing HIV-related information without the patient's consent, although exceptions to the statutes authorize disclosure without consent to other health providers, spouses, and other persons under certain conditions set forth in the legislation. In addition, the patient may obtain access to his or her own records and may authorize release to third parties. Providers who violate the provisions are subject to liability. The patient usually has a private cause of action for damages and costs; in addition, the state may impose fines and jail terms for more egregious violations. Finally, courts may authorize disclosure of confidential HIV information in certain situations. In the absence of a statutory provision governing court-ordered disclosures, courts will balance the patient's privacy interest against the plaintiff's need to know and the public interest involved. Several states have enacted statutes that modify this traditional balancing approach, although it is unclear whether these statutes provide additional protection for health care providers and patients seeking to prevent disclosure of information. Health record practitioners should keep abreast of legislative and regulatory developments in their states that affect use and disclosure of AIDS patient records. Careful discussion with the health institutions' legal counsel of any situation not covered clearly by applicable statue or regulation is strongly recommended.

Acquired Immunodeficiency Syndrome↗

PubMed2001

Gender, religion, and adolescent patterns of self-disclosure in the divided society of Northern Ireland.

Adolescence is a period when levels of self-disclosure are often lowest. While studies have revealed a clear preference for female targets of disclosure, little research has been carried out on the effects of religion upon disclosure. The impact of religion was of importance in this investigation, given that it was conducted in Northern Ireland, where religion affects almost every aspect of social life. The aim was to ascertain the effects of gender and religious affiliation on adolescent disclosure to friends and strangers. Results revealed that while females were significantly higher disclosers than were males, religion per se did not play a key role. This suggests that even in a highly polarized society, gender is the central determinant of disclosure and is even more important than political identity. The implications of these findings are discussed, particularly with regard to the difficulty young males have in terms of revealing personal information.

Adolescent↗

PubMed2002

Academic self-disclosure in adolescence.

Adolescents' dialogues with friends and classmates about their academic performance constitute a central arena of self-disclosure for developing teenagers. Yet researchers have generally limited the range of their study of academic self-disclosure to gifted students. This study brings together the literature on self-disclosure, academic achievement, and adolescent development to elucidate the overlapping elements at play in adolescents' everyday decisions to talk about their academic performance. With an ethnically diverse sample of San Francisco Bay Area ("Silicon Valley") 10th and 12th graders, the authors developed a 12-scenario instrument specifying both interpersonal context (attraction/friendship) and relative-intelligence relationship (more, less, or equally smart), querying degrees of academic self-disclosure associated with these contexts. The results indicated that self-disclosure was highly (positively) influenced by the achievement level of both the discloser and listener, modestly influenced by friendship versus romantic interest, and influenced in anticipated directions by gender and age.

Adolescent↗

PubMed2002

[Disclosure of a diagnosis of childhood autism and parents' acceptance of the disability].

Mothers of 14 children (10 boys, 4 girls) with childhood autism answered the self-report questionnaire regarding the disclosure of a diagnosis of autism and their acceptance of the disability. The children's mean age at the study was 8.6 years, and their ages at the time of the disclosure and acceptance were 4.0 and 5.2 years, respectively. The age at acceptance exhibited a statistically significant positive correlation with the age of disclosure indicating that early disclosure was related to early acceptance. The results obtained in the questionnaire suggested that the increased understanding of autistic behavior, the accumulated experience as to how to communicate with their own child and the existence of a self-care group to support the parents were important factors for the acceptance of the disability. The significance of the professionals' sympathetic manner at the time of disclosure, full explanation of the disability, instruction as to how to cope the disability and providing the information on social resources available in the local district was also discussed in relation to the acceptance of the disability.

Autistic Disorder↗

PubMed2004

Error identification, disclosure, and reporting: practice patterns of three emergency medicine provider types.

OBJECTIVES: To gather preliminary data on how the three major types of emergency medicine (EM) providers, physicians, nurses (RNs), and out-of-hospital personnel (EMTs), differ in error identification, disclosure, and reporting. METHODS: A convenience sample of emergency department (ED) providers completed a brief survey designed to evaluate error frequency, disclosure, and reporting practices as well as error-based discussion and educational activities. RESULTS: One hundred sixteen subjects participated: 41 EMTs (35%), 33 RNs (28%), and 42 physicians (36%). Forty-five percent of EMTs, 56% of RNs, and 21% of physicians identified no clinical errors during the preceding year. When errors were identified, physicians learned of them via dialogue with RNs (58%), patients (13%), pharmacy (35%), and attending physicians (35%). For known errors, all providers were equally unlikely to inform the team caring for the patient. Disclosure to patients was limited and varied by provider type (19% EMTs, 23% RNs, and 74% physicians). Disclosure education was rare, with <or=15% of any provider type receiving such instruction. Yet, 59% of physicians had observed another provider disclose an error to a patient. Error discussions are widespread, with all providers indicating they discussed their own as well as the errors of others. CONCLUSIONS: This study suggests that error identification, disclosure, and reporting challenge all members of the ED care delivery team. Provider-specific education and enhanced teamwork training will be required to further the transformation of the ED into a high-reliability organization.

Attitude of Health Personnel↗

PubMed2004

Disclosure of Alzheimer's disease. Senior citizens' opinions.

OBJECTIVE: To determine the proportion of elderly people without dementia who would want disclosure of a diagnosis of Alzheimer's disease (AD), for themselves or for their spouses, and to verify whether the availability of medication would influence their decision. DESIGN: A cross-sectional survey with a semistructured questionnaire completed during face-to-face interviews. SETTING: Medical and surgical outpatient clinics in St Mary's Hospital Center. PARTICIPANTS: 204 subjects 65 years or older with at most mild cognitive impairment. MAIN OUTCOME MEASURES: Percentage of positive responses for disclosure of a diagnosis of AD to self or to spouse, with or without medication. RESULTS: Nearly all (98%) subjects wanted disclosure for themselves. Most (78%) wanted disclosure for their potentially afflicted spouses when medication was said to be unavailable. This proportion increased to 97%, however, if medication was available. CONCLUSION: Most participants requested honesty for themselves. Most wanted disclosure to a potentially affected spouse when medication is said to be available.

Aged↗

PubMed2005

Diagnosis disclosure in HIV-infected Thai children.

BACKGROUND: Increasing number of children with perinatally acquired HIV-infection are now surviving into school age and adolescence. Disclosure of diagnosis to these children has become an important clinical issue. Clinical reports and studies from other countries suggest that a significant number of these children have not been told of their HIV status. The objective of this study was to assess diagnosis disclosure status of perinatally acquired HIV-infected Thai children. MATERIAL AND METHOD: Primary caregivers of 96 HIV-infected children aged 5 years and older were interviewed to assess the child disclosure status and the caregivers reasons to disclose or not to disclose the diagnosis to the child. The disclosed children were also interviewed to assess perception of their illness. RESULTS: Nineteen of 96 children (19.8%) had been told of their HIV diagnosis by their caregivers. The mean age of the disclosed children was 9.6 years. Eighty-four percent of the disclosed children reported perception of their illness as having HIV infection or AIDS. Common reasons for non-disclosing were concerns that the child was too young, that the child might be psychologically harmed, and that the child could not keep the secret. Of 77 non-disclosing caregivers, 54 reported that they plan to disclose HIV status to the children in the future. CONCLUSION: This study demonstrates that diagnosis disclosure was made in only 1/5 of HIV-infected children, and that most of the caregivers were reluctant in disclosing serostatus to the child. Development of an appropriate guideline for assisting the caregivers and the children to deal with the difficult disclosure process is needed.

Adolescent↗

PubMed1990

Early adolescent age and gender differences in patterns of emotional self-disclosure to parents and friends.

This study explored adolescent age and gender differences in patterns of emotional self-disclosure to parents and friends. The sample consisted of 174 junior high school students between the ages of 12 and 15. Results revealed that females exhibited greater emotional self-disclosure to parents and peers than did males, and that emotional self-disclosure to friends was greatest among older adolescents. In addition, while younger adolescents preferred to disclose information about their emotional state to parents, older adolescents chose friends. Exploratory hierarchical regression analyses revealed that emotional disclosure to parents was most strongly associated with adolescent perceptions of the openness of family communication, family cohesion, and satisfaction with family relationships. Emotional disclosure to friends was associated with adolescent self-esteem in the peer context and identity development. The results are discussed in terms of the complementary socializing processes that may operate within the contexts of family and friends.

Adolescent↗

PubMedDate not supplied

The relationship of self-disclosure, interpersonal dependency, and life changes to loneliness in young adults.

Using a sample of 209 volunteer students between the ages of 18 and 25 from an urban university, the relationships between self-disclosure, interpersonal dependency, life changes, and loneliness were studied. Respondents completed the Jourard 40-Item Self-Disclosure Questionnaire, the Interpersonal Dependency Inventory, the Recent Life Change Questionnaire, and the revised UCLA Loneliness Scale. Pearson product-moment correlation coefficients and multiple regression analysis were used to test the hypotheses. Hypotheses were supported predicting an inverse relationship between self-disclosure and loneliness (p less than .005) and a positive relationship between interpersonal dependency and loneliness (p less than .005). However, a positive relationship between life changes and loneliness was not supported. Data also supported the hypothesis that self-disclosure, interpersonal dependency, and life changes would account for greater variance in loneliness than any single variable alone (F(3,204 = 14.433), p less than .01). From a stepwise multiple regression analysis, self-disclosure and interpersonal dependency together accounted for 17.4 percent of the variance in loneliness. Implications for nursing practice are discussed with particular emphasis on potential strategies for preventing loneliness.

Adolescent↗