The concept of boundaries in clinical practice. Psychiatrists and other therapists often find that disclosing some personal information about themselves to their patients can help their patients have better results. He may tell the psychiatrist that he distrusts his judgment too much. DBT is the first treatment shown to be effective for patients with borderline personality disorder BPDand Linehan disclosed she had this disorder. On the flip side though, this patient might conclude that since the psychiatrist is fallible and has been divorced himself, the psychiatrist will not be able to help him. Disclosure of personal information by a clinician has been fueled or re-fueled most recently by Marsha Linehan, the founder of dialectical behavior therapy DBT.
Therefore, in cases such as this, the psychiatrist may choose to offer limited self disclosures to this worse-off group of patients more often.
Professional boundaries in the physician-patient relationship. Author information Copyright and License information Disclaimer. Conclusion The concept of self disclosure by the psychiatrist is an important one. The patient, in response, feels better and accepts her referral to another psychiatrist. The psychiatrist is perceived as impaired. A downside to self disclosure by the psychiatrist is that a patient may think the psychiatrist is too impaired to help him or her. Journal List Innov Clin Neurosci v.
By disclosing that he or she has dealt with a similar problem as the patient, the psychiatrist may help the patient overcome feelings of shame surrounding the problem. Psychiatrists and other therapists often find that disclosing some personal information about themselves to their patients can help their patients have better results. Often, the key consideration underlying the question of whether a psychiatrist should or should not disclose personal information to patients is the kind of self disclosure that would be made. The psychiatrist is perceived as not wanting to listen to the patient. He may tell the psychiatrist that he distrusts his judgment too much.