Informing clients about the limits to confidentiality, risks, and their rights: Is self-disclosure inhibited?

Investigated the effects of providing varying amounts of detail regarding the limits to confidentiality in a psychotherapy analog. 24 mildly depressed undergraduates (as determined on the Beck Depression Inventory) were offered an interview to explore their depression and were told it would be much like single-session therapy. Before the interview, Ss were randomly assigned to read and sign 1 of 3 consent forms. Little evidence emerged of significant inhibition of disclosure when detailed information was provided; straightforward encouragement for disclosure eliminated the small inhibitory effect. A 2nd study, with 40 Ss, demonstrated the concurrent validity and sensitivity to change of the major dependent variable. The results of the 2 studies are encouraging not only to psychologists concerned about the moral rights of their clients but also to psychologists who have avoided informing clients about the limits to confidentiality, risks of therapy, and clients' rights because they feared it would necessarily discourage disclosure. (17 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)