UMD Theses and Dissertations

Permanent URI for this collectionhttp://hdl.handle.net/1903/3

New submissions to the thesis/dissertation collections are added automatically as they are received from the Graduate School. Currently, the Graduate School deposits all theses and dissertations from a given semester after the official graduation date. This means that there may be up to a 4 month delay in the appearance of a given thesis/dissertation in DRUM.

More information is available at Theses and Dissertations at University of Maryland Libraries.

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2014 - 20172

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Subject: search.filters.subject.Concealment

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    Secrets in Psychotherapy: A Longitudinal Study of Client Concealment and Disclosure
    (2017) Marks, Ellen Christina; Hill, Clara E.; Psychology; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)
    This study investigated how secrets unfold over the course of therapy in a naturalistic setting, including identifying longitudinal patterns and investigating relationships with other session-level variables. Participants were 39 client and graduate student therapist dyads in open-ended therapy at a community psychotherapy clinic. Data on concealment, disclosure, working alliance, real relationship, and session evaluation were collected after each session. Data were analyzed using Hierarchical Linear Modeling (HLM). Results demonstrated that disclosure and concealment of secrets are relatively infrequent occurrences, with disclosure occurring more often than concealment. Over time, clients became less likely to disclose a secret and less likely to conceal a significant secret. Clients rated the working alliance as lower for sessions where secrets were disclosed, but this relationship was less pronounced when the disclosed secret was viewed as significant. Clients rated session quality as higher for sessions in which they both concealed and disclosed secrets, as well as for sessions in which a preoccupying secret was shared. Clients tended to feel neutral or positive about their disclosures and believe that the disclosure had no change on how they were viewed by their therapist. Implications for practice and research are discussed.
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    Client Concealment and Disclosure of Secrets in Outpatient Psychotherapy
    (2014) Baumann, Ellen Christina; Hill, Clara E; Psychology; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)
    This study investigated client motivations for concealing versus disclosing secrets in therapy as well as how this negotiation process relates to therapeutic process and outcome. About half of the participants had both revealed a secret and were concealing a secret in therapy. Disclosed secrets were most likely to be related to relationships and were disclosed because the clients felt they could trust their therapists and because they thought they could benefit from sharing the secret. Concealed secrets were most likely to be sexual in nature and to be concealed due to shame or embarrassment. Clients initially experienced comparable levels of negative and positive emotions when they first disclosed their secret. However, over time, their feelings about the disclosure became more positive and less negative. Concealment was negatively related to the real relationship.