Lying in psychotherapy: Why and what clients don't tell their therapist about therapy and their relationship
Lying in psychotherapy: Why and what clients don't tell their therapist about therapy and their relationship
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DOI：
10.1080/09515070.2015.1085365
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发表时间：
2016-01-01
影响因子：
3
通讯作者：
Farber, Barry A.
中科院分区：
文献类型：
--
作者：
Blanchard, Matt;Farber, Barry A.
目的：本研究的主要目的是调查心理治疗中客户撒谎调查的一个方面，该调查侧重于与心理治疗和治疗关系相关的客户不诚实的性质、动机和程度。方法：对547名成年心理治疗患者进行在线调查，采用定量和定性相结合的方法，报告他们在治疗中不诚实的话题、不诚实的程度和原因。结果：93%的受访者报告曾对他们的治疗师撒谎，72.6%的受访者报告至少在一个与治疗相关的话题上撒谎。与治疗相关的常见谎言包括：客户假装喜欢治疗师的评论，掩饰自己迟到或错过治疗的原因，以及假装发现治疗有效。在不诚实的程度上，最极端的是关于对治疗师的浪漫或性感受的谎言，以及不承认想要结束治疗。与治疗有关的谎言的典型动机包括，“我想要礼貌”，“我想避免让我的治疗师不安”，以及“这个话题让我不舒服”。结论：患者报告隐瞒和撒谎治疗相关材料的比率高于先前的研究表明。这些结果表明，治疗师需要更多地关注客户信任和安全问题。
Objectives: The primary aim of this study was to investigate one facet of a survey of client lying in psychotherapy, that which focused on the nature, motivation, and extent of client dishonesty related to psychotherapy and the therapeutic relationship. Method: A total of 547 adult psychotherapy patients reported via an online survey, incorporating both quantitative and qualitative methodologies, what topics they were dishonest about in therapy, and the extent of and reasons for their dishonesty. Results: Ninety-three percent of respondents reported having lied to their therapist, and 72.6% reported lying about at least one therapy-related topic. Common therapy-related lies included clients' pretending to like their therapist's comments, dissembling about why they were late or missed sessions, and pretending to find therapy effective. Most extreme in their extent of dishonesty were lies regarding romantic or sexual feelings about one's therapist, and not admitting to wanting to end therapy. Typical motives for therapy-related lies included, "I wanted to be polite," "I wanted to avoid upsetting my therapist," and " this topic was uncomfortable for me." Conclusions: Clients reported concealing and lying about therapy-relevant material at higher rates than previous research has indicated. These results suggest the need for greater therapist attention to issues of client trust and safety.