1st Edition

Disclosure and Concealment in Psychotherapy

Edited By Sarah Knox, Clara Hill Copyright 2017
    124 Pages
    by Routledge

    124 Pages
    by Routledge

    Although clients disclose many of their concerns to therapists, they often choose to conceal some of their concerns as well. Equally, therapists occasionally reveal something of themselves to clients via therapist self-disclosure, but typically keep the focus on clients. Such disclosure, whether by clients or therapists, is seldom easy, and is instead often fraught with questions as to what, how much, and why to disclose, as well as concerns regarding the consequences of disclosure. Clearly, disclosure (or the lack thereof) is an important phenomenon of the therapy endeavour.

    The chapters included in this book examine various aspects of the disclosure and concealment phenomena, whether from client or therapist perspective. Contributions examine the relationship of therapist self-disclosure to alliance and outcome; the phenomenon of therapist self-disclosure in psychodynamic therapy; client concealment and disclosure of secrets in therapy; young adults’ disclosures in psychotherapy and on Facebook; and lying in psychotherapy. Each offers intriguing insights into the disclosure, or lack of disclosure, in psychotherapy, from the therapist or client perspective. This book was originally published as a special issue of Counselling Psychology Quarterly.

    Introduction: disclosure and concealment in psychotherapy Sarah Knox and Clara E. Hill

    1. How therapist self-disclosure relates to alliance and outcomes: A naturalistic study Heidi M. Levitt, Takuya Minami, Scott B. Greenspan, Jae A. Puckett, Jennifer R. Henretty, Catherine M. Reich and Jeffery S. Berman

    2. Therapist self-disclosure in psychodynamic psychotherapy: A mixed methods investigation Kristen G. Pinto-Coelho, Clara E. Hill and Dennis M. Kivlighan Jr.

    3. Client concealment and disclosure of secrets in outpatient psychotherapy Ellen C. Baumann and Clara E. Hill

    4. Young adult self-disclosures in psychotherapy and on Facebook Barry A. Farber and George C. Nitzburg

    5. Lying in psychotherapy: Why and what clients don’t tell their therapist about therapy and their relationship Matt Blanchard and Barry A. Farber


    Sarah Knox is a Professor in the College of Education at Marquette University, Milwaukee, WI, USA. Her primary research topics include the psychotherapy relationship and process, training and supervision, and advising relationships and processes.

    Clara E. Hill is a Professor in the Department of Psychology at the University of Maryland, USA. Her major research interests are helping skills, psychotherapy process and outcome, training therapists, dream work, and qualitative research.