Facilitating client self-disclosure is essential to therapeutic effectiveness. Given the long-term consequences of eating difficulties for adolescents, there is a need for more research on self-disclosure in this group. This study investigated factors likely to influence adolescents' decisions to self-disclose during psychological therapy for eating difficulties using Q-methodology. Participants (n = 28), recruited through child and adolescent mental health services in the UK, completed a task that involved sorting 47 statements to represent their viewpoint on self-disclosure. The 28 completed sorts were subjected to a by-participant factor analysis in order to identify distinct viewpoints in the sample. Three distinct factors were extracted. One factor emphasised the importance of therapist self-disclosure on decisions to disclose. In contrast, another factor placed more emphasis on the influence of eating disorder identity and readiness to change on disclosure decisions. The third factor placed emphasis on the quality of the therapeutic relationship and readiness to change as having most influence. Given the absence of a unifying factor representing what influences the decision to disclose, clinicians should ensure they explore with young people what might influence their decision to disclose.

中文翻译：

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青少年在治疗饮食困难时的自我表露：一项 Q-Methodology 研究。

促进来访者自我表露对于治疗效果至关重要。考虑到青少年饮食困难的长期后果，需要对这一群体的自我表露进行更多研究。本研究使用 Q 方法调查了可能影响青少年在饮食困难心理治疗期间自我表露决定的因素。通过英国儿童和青少年心理健康服务机构招募的参与者 (n = 28) 完成了一项任务，其中包括对 47 份陈述进行排序，以代表他们对自我表露的观点。对 28 个已完成的分类进行了参与者因子分析，以便识别样本中的不同观点。提取了三个不同的因素。其中一个因素强调了治疗师自我表露对于做出表露决定的重要性。相比之下，另一个因素更强调饮食失调身份和改变意愿对披露决策的影响。第三个因素强调治疗关系的质量和改变的准备程度，因为影响最大。鉴于缺乏代表影响披露决定的统一因素，临床医生应确保与年轻人一起探索可能影响他们披露决定的因素。