What is the Four-Sides Model?

Introduction

The four-sides model (also known as communication square or four-ears model) is a communication model postulated in 1981 by German psychologist Friedemann Schulz von Thun.

According to this model every message has four facets though not the same emphasis might be put on each. The four sides of the message are fact, self-disclosure, Social relationship between sender and receiver, and wish or want.

Background

The four-sides model also known as communication square or four-ears model is a communication model described in 1981 by German psychologist Friedemann Schulz von Thun. It describes the multi-layered structure of human utterances. In it von Thun combined the idea of a postulate (the second axiom) from psychologist Paul Watzlawick, that every message contains content and relational facets, with the three sides of the Organon model by Karl Bühler, that every message might reveal something about the sender, the receiver, and the request at hand. These models are part of the linguistic speech act theory.

The Four Sides of Communication

Per Schulz von Thun

  • The Factual Level contains statements which are matter of fact like data and facts, which are part of the message.
  • In the self-revealing or self-disclosure the speaker – conscious or unintended – reveals something about him or herself, their motives, values, emotions etc.
  • In the relationship-layer the speaker expresses, how the sender gets along with the receiver and what they think of each other.
  • The wish or want contains the plea or desire, the advice, instruction and possibly the effects which the speaker is seeking.

Every layer of a message can be misunderstood by itself. The classic example of Schulz von Thun is the front-seat passenger who tells the driver: “Hey, the traffic lights are green”. The driver will understand something different, depending on the ear with which he will hear, and will react differently. (On the matter layer he will understand the “fact” “the traffic lights are green”, he could also understand it as “Come on, drive! .”-“command”, or on the “relationship” could hear a help like “I want to help you, or if he hears behind it: I am in a hurry the passenger reveals part of himself “self-revelatory”.”) The emphasis on the four layers can be meant differently and also be understood differently. So the sender can stress the appeal of the statement and the receiver can mainly receive the relationship part of the message. This is one of the main reasons for misunderstandings.

The Factual Level

The factual level contains what the sender wants to inform about: On the factual level the sender of the news gives data, facts and information statements. It is the sender’s task to send this information clearly and understandably. The receiver proves with the “Factual ear”, whether the matter message fulfils the criteria of truth (true/untrue) or relevance (relevant/irrelevant) and the completeness (satisfying/something has to be added).

In a long-term team, the matter layer may be clear and in need of only a few words.

The Self-Revealing Level

The self revealing level contains what the sender would like to reveal about themselves; It contains information about the sender . It may consist of consciously intended self-expression as well as unintended self-disclosure, which is not conscious to the sender (see also Johari window). Thus, every message becomes information about the personality of the sender. The self-revealing ear of the receiver perceives which information about the sender is hidden in the message.

The Relationship Level

The relationship layer expresses how the sender gets along with the receiver and what the sender thinks and feels about the receiver. Depending on how the sender talks to the receiver (way of expression, body language, intonation …) the sender expresses esteem, respect, friendliness, disinterest, contempt or something else. the sender may express what he thinks about the receiver (you-statement) and how they get along (we-statement). Depending on which message the receiver hears with relationship ear, he feels either depressed, accepted or patronised. Good communication is distinguished by mutual appreciation.

The Appeal or Plea Level

The appeal or want contains what the sender wants the receiver to do or think . According to von Thun whoever states something, will also affect something. This appeal-message should make the receiver do something or leave something undone. The attempt to influence someone can be less or more open (advice) or hidden (manipulation). With the “appeal ear” the receiver asks himself: “What should I do, think or feel now?” For Example: “Mothers are very appeal-influenced by children. Mum! The shoes …. Yes! I’ll be right there to put them on for you.”

Example

Two people are eating a home-cooked meal together.

The one who did not cook says: “There is something green in the soup.”

  • Sender:
    • Factual level: There is something green.
    • Self-revealing layer: I don’t know what it is.
    • Relationship layer: You should know what it is.
    • Appeal layer: Tell me what it is!
  • Receiver:
    • Factual level: There is something green.
    • Self-revealing layer: You do not know what the green item is, and that makes you feel uncomfortable.
    • Relationship layer: You think my cooking is questionable.
    • Appeal layer: I should only cook what you know in the future!
    • The other answers: “If you don’t like the taste, you can cook it yourself.”

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What is Self-Disclosure?

Introduction

Self-disclosure is a process of communication by which one person reveals information about themselves to another. The information can be descriptive or evaluative, and can include thoughts, feelings, aspirations, goals, failures, successes, fears, and dreams, as well as one’s likes, dislikes, and favourites. Its opposite is self-concealment.

Social penetration theory posits that there are two dimensions to self-disclosure: breadth and depth. Both are crucial in developing a fully intimate relationship. The range of topics discussed by two individuals is the breadth of disclosure. The degree to which the information revealed is private or personal is the depth of that disclosure. It is easier for breadth to be expanded first in a relationship because of its more accessible features; it consists of outer layers of personality and everyday lives, such as occupations and preferences. Depth is more difficult to reach, and includes painful memories and more unusual traits that we might hesitate to share with others. One reveals itself most thoroughly and discusses the widest range of topics with our spouses and loved ones.

Self-disclosure is an important building block for intimacy, which cannot be achieved without it. Reciprocal and appropriate self-disclosure is expected. Self-disclosure can be assessed by an analysis of cost and rewards which can be further explained by social exchange theory. Most self-disclosure occurs early in relational development, but more intimate self-disclosure occurs later.

Refer to Social Exchange Theory.

In Intimate Relationships

Social Penetration Theory

Social penetration theory states that the development of a relationship is closely linked to systematic changes in communication. Relationships generally begin with the exchange of superficial information and gradually move on to more meaningful conversations. In order to develop a more intimate relationship, partners must increase the breadth and depth of their conversations. Breadth includes the variety of topics two people discuss and depth is the personal significance of these topics.

Altman and Taylor use a wedge to explain this theory. In this example, the beginning of a relationship is represented by a narrow and shallow wedge because only a few topics are discussed. However, as the relationship goes on, the wedge should become broader and deeper, including more topics of personal significance. The wedge must drive through three “layers” in order for intimacy to develop. The first is superficial “small talk” with little personal information about the speakers. The next layer is intimate, with increasing breadth and depth and more personal details. The third is the very intimate level, where extremely private information is shared.

Intimacy in these relationships can develop only if the persons involved reciprocate disclosures. Intimacy will not develop if only one partner discloses and the other continues to reveal only superficial information. Reciprocity must be gradual and match the intimacy of the other’s disclosures. Too rapid, too personal disclosure creates an imbalance in a relationship that can be discomfiting. This gradual process varies from relationship to relationship and can depend on the specific partner with whom one is communicating.

Reciprocity and Intimacy

Reciprocity is a positive response from the person with whom one is sharing information, whereby the person who received the disclosure self-discloses in turn. Self-disclosure usually influences whether two people will want to interact again. Research has shown that when one person self-discloses, another person is more likely to self-disclose. Initially, the process is started by one partner’s reveal of personal information to the other partner. In return, the other will disclose something and behave in such a way so as to be responsive to the initial disclosure’s content, while also conveying a degree of understanding and validation for what was revealed.

Research has found that people who consider themselves to be high in disclosure are likely to be good at eliciting more disclosure from those with whom they interact. Three theories describe reciprocity:

  1. The social attraction-trust hypothesis: Suggest that people disclose to one another because they believe the person who disclosed to them likes and trusts them.
  2. The social exchange theory: Explains that people attempt to maintain equality in self-disclosure because an imbalance in this makes them uncomfortable.
  3. The norm of reciprocity: Argues that reciprocating disclosure is a social norm and violating it makes a person uncomfortable.

There are two types of reciprocity:

  • Turn-taking reciprocity: This is when partners immediately self-disclose with one another.
  • Extended reciprocity: This is when disclosure happens over a period of time, in which one partner may be the only one disclosing while the other just listens.

Those who engage in turn taking reciprocity are shown to like their interaction partners more than those who engage in extended reciprocity. Turn taking partners are also shown to feel closer and similar to each other and to enjoy the other’s company more than extended pairs. This can be explained by the social attraction-trust hypothesis because the partners perceive the discloser as liking and trusting them because they disclosed personal information. Those who engage in extended reciprocity are affected by the social exchange theory and the norm of reciprocity which can account for the lower degree of liking. Since extended reciprocity limits reciprocating disclosure it creates an imbalance in disclosure which violates both of these theories. That said, people usually report that they themselves are disclosing more than the other partner. This is called perceived partner reciprocity, and it is critical to the self-disclosure process in developing relationships.

Two key components for intimacy are disclosure and partner responsiveness. It is extremely important that when a speaker discloses personal information their partner also discloses something personally relevant. It is also essential that the listener understand, validate and care about what the speaker is disclosing. If the speaker does not feel accepted by the listener then they may not disclose something to them in the future, which stops the development of intimacy. Emotional disclosures are also shown to foster intimacy more than factual disclosures. Factual disclosures reveal facts and information about the self (e.g. “I am divorced from my husband.”) while emotional disclosures reveal a person’s feelings, thoughts and judgements (e.g. “My divorce was so painful it has made it difficult for me to trust a romantic partner again”). Emotional disclosures can increase intimacy because they allow the listener to confirm and support the discloser’s self-view. The transition from sharing impersonal to personal facts is crucial to the building of an intimate relationship. One must feel accepted in order to feel comfortable enough to self-disclose. Without acceptance, one partner will withdraw and fail to reveal personal facts within the relationship. Sharing ourselves also brings us out of our imaginary worlds and allows us to see the realities of the world we live in. We are most comfortable sharing with those whom we like and feel like us. There is also evidence that someone who introduces themself with more intimacy is more likely to facilitate self-disclosure and intimacy with the recipient. Thus, self-disclosure breeds intimacy. This is why we reveal ourselves most and discuss the widest range of topics with our spouses and loved ones.

We often perceive our own self-disclosure as higher than our partner’s, which can lead to ill feelings. It is hard for humans to accurately judge how fully another is disclosing to them.

Individual Differences in Reciprocity

Self-Monitoring

According to Snyder (1974) self-monitoring is the personality difference in individual’s degree of preference to both self-expression and self-presentation. Self-monitoring is a form of impression management in which a person examines a situation and behaves accordingly. Although self-monitoring is measured on a continuous scale, researchers often group individuals into two types: high and low self-monitors. Someone who is a high self-monitor tends to examine a situation more closely and adjusts their behaviour in order to “fit in” with others in the scenario. High self-monitors tend to behave in a friendlier and extroverted manner in order to be well liked by peers. A low self-monitor does not do this and tends to follow their own emotions and thoughts when behaving in public. Since they are more attuned to social cues, high self-monitors are generally better at assessing the level of intimacy a partner is disclosing. By noticing these cues, high self-monitors tend to reciprocate equally in their self-disclosures.

This can be explained by the norm of reciprocity because the high self-monitors can pick up on these cues easily and know that they need to respond with their own disclosure. It can also be explained by social exchange theory. Research shows that high self-monitors are more uncomfortable when paired with a low self-monitor because low self-monitors do not tend to disclose intimate details so the balance in the conversation is uneven. High self-monitors are also shown to be the “pace-setters” of the conversation and generally initiate and maintain the flow of a conversation.

Mood

Those in a positive mood have been found to disclose more intimately than those in a negative mood. This may be because of informational effects whereby happy people tend to access more positive information which leads them to behave in a more optimistic and confident manner. Unhappy people tend to access more negative information which increases the likelihood of cautious, pessimistic and restrained communications.

This may also be due to processing effects, in particular assimilation and accommodation effects. Assimilation effects rely on an individual’s prior knowledge to guide their behaviour in a situation and accommodation effects rely on careful monitoring of a situation and a greater attention to concrete information. Assimilative processing is ideal for safe, routine situations while accommodative processing is for problematic situations. Happy people tend to use assimilative processing, which leads to more daring and direct disclosures, while unhappy people use accommodative processing, which leads them to be more cautious in their disclosures. These accommodating effects for unhappy people tend to increase reciprocity because these individuals will match the level of disclosure from their partner but will not go beyond that.

However, it can also be said that being distressed, anxious, or fearful (which would be classified as negative mood states) can accelerate disclosure as well. The exception to this is loneliness, for lonely individuals have shown decreased rates of self-disclosure.

Gender

Whether or not one sex shares more readily is a heated debate in social psychology, but sex-role identities play a large part in the amount one chooses to reveal to another. Androgynous people disclose more intimately across contexts than do notably masculine and feminine people.

Research findings on gender differences in self-disclosure are mixed. Women self-disclose to enhance a relationship, while men self-disclose relative to their control and vulnerabilities. Men initially disclose more in heterosexual relationships. Women tend to put more emphasis on intimate communication with same-sex friends than men do.

In relationships, there are still other factors that contribute to the likelihood of disclosure. While people with high self-esteem tend to reveal themselves more, the reverse is also true, where self-esteem is enhanced by a partner’s disclosures. In men, self-disclosure and the level of disclosure they perceive from their wives is positively correlated with their self-esteem. For both genders, the state of a relationship and the feelings associated with it are major contributors to how much each spouse reveals themselves. Husbands and wives in a relationship marked with satisfaction, love, and commitment rate their own levels of disclosure highly as well as their perceptions of their spouses’ disclosures.

Additional Individual Differences

Being shy decreases self-disclosure. Among men, those who are or appear more “tough” are less likely to disclose and express themselves.

Motivation for disclosure is also critical: does the individual need to present themself in a certain way in order to gain certain benefits, and does the self-disclosure match the person’s sense of ideal self? We like to present ourselves in ways that we feel are congruent with our own self-concepts, and what we tell others about ourselves often becomes how we actually are.

Sexual

Sexual self-disclosure is the act of revealing one’s sexual preferences to another, usually to one’s sexual partner. This allows an even deeper level of understanding between two people and fosters even more intimacy as a result of the disclosures. Likewise, relationship satisfaction was found to correlate with sexual disclosures. For men, high levels of sexual self-disclosure predicted higher relationship satisfaction, though this was not found to be true for women. But, sexual satisfaction was linked to higher levels of sexual self-disclosure for both men and women. Further, those who disclose more sexually have been found to have less sexual dysfunction.

In Marriage

Self-disclosure is a method of relationship maintenance, aiming to keep partners satisfied with their relationship. Partners learn a shared communication system, and disclosures are a large part of building that system, which has been found to be very beneficial in highly satisfying relationships. Significant positive relationships have been found between multiple measures of relationship satisfaction and the levels of spouses’ disclosure on the Social Penetration Scale. Further, affection and support are provided to most in the most important ways through marriage. Surveys done by a variety of researchers have found that people list marriage as the ultimate form of intimacy. Spouses feel responsible, in that they need to be responsive to their partners’ self-disclosures, more so than they feel obligated to respond to the disclosures of people in their other relationships.

In a study by Laurenceau and colleagues, several differences were found in the satisfaction of spouses based on their daily-diary recordings of self-disclosures in their daily interactions. The results show that the actual disclosures in the process of self-disclosure may not be the only factors that facilitate intimacy in relationships. Husbands’ intimacy was most strongly predicted by self-disclosure, while perceived responsiveness to disclosure was the stronger predictor for wives’ feelings of intimacy with their husbands. A different study found evidence of wives’ perceptions of their husbands’ self-disclosures as being a strong predictor of how long a couple will stay together. Those who think their husbands are not sharing enough are likely to break up sooner. This finding links to the idea of positive illusions in relationship studies. For husbands, the actual act of self-disclosure is more indicative of their feelings of intimacy with their wives. On the other hand, wives are thought to value more the feelings of being understood and validated by their husbands’ responsiveness to their disclosures, and this is the more important factor in their feelings of intimacy in their marriages.

Related to these findings, those husbands who reported the highest ratings of global marital satisfaction showed the highest ratings in daily intimacy. Similarly, the wives who rated their global satisfaction highest also had higher levels of daily intimacy. Greater marital satisfaction was found among those who had the higher ratings of intimacy. Further, couples with high levels of demand-withdraw communication rated their average daily intimacy as much lower. This suggests a relationship between one’s overall marital satisfaction and the amount of intimacy in a relationship, though no causation can be proven with the present research. Self-esteem has also been found to be a predictor of satisfaction, with couples exhibiting both high self-esteem and high self-disclosure levels being the most satisfied in their relationships.

More disclosures of unpleasant feelings led to less marital satisfaction in recent studies, and disclosure is affected the minute a relationship is stressed, as feelings of less attachment to a spouse promote decreased self-disclosure. Likewise, less intimacy leads to more negative disclosures between partners. However, findings by Tolstedt and Stokes (1984) suggest that the depth of self-disclosure actually increases as the intimacy of a relationship decreases. The breadth of disclosure decreases with decreasing intimacy as originally predicted, but couples actually disclose more deeply. It is speculated that these results come about because a strained relationship causes spouses to restrict their topics of communication (breadth), but that they are also more willing to discuss deeply intimate subjects: the negative ones. Thus, while they are sharing more deeply, it is mostly in a negative light. The researchers then speculated that people might actually avoid disclosing very personal facts in the most satisfying relationships because they are fearful that their positive relationships will be negatively affected.

As time progresses, disclosure in marriage has been found to decrease, often around the time that spouses reach their 40s. It is suggested that at this stage partners know each other quite well and are very satisfied with what they communicate already.

Process

People first disclose facts then emotions and disclose mostly positive information in the early stages of a relationship. Some speculate that disclosures and their respective responses from a spouse lead to intimacy between the partners, and these exchanges accumulate into global and positive evaluations of the relationship by the couple. In support, studies show that couples who report greater levels of intimacy in self-reports of their daily interactions are also those who report increased global relationship functioning in their marriages. Further, the importance of disclosure in a relationship might change over time as it relates in different ways to various factors of a relationship, such as responsiveness and love, especially at the beginning of a relationship.

Effects of Group Size

Disclosure also changes as group size increases. As a group gets larger, people become less willing to disclose. Research has shown that individuals are more willing to disclose in groups of two than in larger groups and are more willing to disclose in a group of three rather than four. The actual disclosures mimic the willingness to disclose as individuals disclose more in pairs than they do in the larger groups. There are also gender differences in disclosure depending on group size. Men feel more inhibited in dyads, match the intimacy of the disclosure from their partner, and do not offer more information. Women, on the other hand, feel more inhibited in larger groups and disclose more personal information in dyads.

Effects of the Environment

The environment is a factor self-disclosure. The environment has the potential to guide one’s decision to disclose personal information in a deeper level. According to Altman, a quiet, dimly lit sit-down restaurant might make one more willing to open up to others rather than uncomfortable seating in a loud food joint. The emphasis on dim lighting suggests that dim conditions were rated as more intimate. The environment can also be manipulated to meet personal privacy and disclosure goals.

In Therapy

Nearly every school of thought is in agreement that self-disclosure is a necessary element of therapeutic technique. Self-disclosure by the therapist is often thought to facilitate increased disclosure by the client, which should result in increased understanding of the problem at hand. It helps to acknowledge the therapeutic relationship as a fundamental healing source, as an alliance between client and therapist is founded on self-disclosure from both parties. In some respects it is similar to modelling appropriate social behaviour. Establishing common interests between therapists and clients is useful to maintain a degree of reality. Establishing such interests is especially beneficial in therapists’ relationships with children, especially teens, who need to understand that the therapist is not an authority in order to fully benefit from therapy.

In studies of self-disclosure in therapy, two types have been identified: immediate and non-immediate. Immediate disclosure shows positive views of the therapeutic process in which the two are engaging and communicates self-involving feelings and information about the therapist’s professional background. Many see the benefits of this type of disclosure. Non-immediate disclosure, however, is the revealing of more about the therapist than their professional background and includes personal insight. This type is rather controversial to psychologists in the present day; many feel it may be more detrimental than it is beneficial in the long-run, but there are significant findings that contradict this claim as well.

Further, there are two methods that therapists use to disclose: direct and indirect. Direct disclosures grant the client information about personal feelings, background, and professional issues. Indirect disclosures are those not explicitly granted, such as pictures on the therapist’s desk and walls or wearing their wedding band.

Therapists’ Reasons to Share Information

Studies have asked therapists to report their reasons to disclose to clients. The most common reasons are: to answer a direct question from the client, to help soothe the client’s feelings of loneliness, to express understanding, to lower a client’s anxiety levels and make their feelings seem more normal, and to build rapport.

The topics discussed by therapists who self-disclose in their sessions can vary. The preferred therapeutic approach and the effectiveness of treatments are two of the most common. Many also reveal their views of raising children, stress-coping methods, items that convey respect for the client, and emotions that will validate those the client has expressed. Anecdotes about sexual attraction, dreams, and personal problems seem to be disclosed to subjects with the least frequency by therapists.

Brief History

The history of therapist disclosure has been a journey based largely on the therapists’ perspectives. Early psychodynamic theorists strongly disagreed with the incorporation of therapist self-disclosure in the client-therapist relationship. Ferenczi notably maintained his belief that self-disclosure was of the utmost importance in children’s therapy for traumas in that a neutral, flat therapist would only cause the child to relive the trauma. Object-relations theorists want the client to be able to see how they are seen by another and how what they share is viewed by another, and the best way to operationalize these factors is through a trusting relationship with a therapist who also discloses. Self-theorists believe much the same as object-relations theorists. Intersubjective and relational schools of thought encourage disclosure due to its ability to bring subjectivity into therapy, which they deem a necessary element to real healing. They maintain that therapeutic relationships cannot be initiated and changed without intentional disclosures from both therapist and client.

In contemporary views, most agree with the inevitability of self-disclosure in therapy. Humanistic theorists want to trigger personal growth in clients and feel that a strong relationship with a therapist is a good facilitator of such, so long as the therapist’s disclosures are genuine. Seeing that weakness and struggle are common among all people, even therapists, is useful to clients in the humanistic therapy setting. In order for existential psychologists to help clients, they try to disclose their own coping methods to serve as sources of inspiration to find one’s own answers to questions of life. For therapists who value feminism, it is important to disclose personal feelings so that their clients have total freedom to choose the correct therapist and to eliminate power fights within the therapeutic setting. The ever-popular cognitive-behavioural approach also encourages disclosure in therapy so that clients can normalize their own thoughts with someone else’s, have their thoughts challenged, and reinforce positive expectations and behaviours.

Humanistic theorists have been the highest in rating self-disclosure as part of their normal therapeutic methods. Clearly, today’s therapists are mostly supportive of disclosure in therapy, as the early psychoanalytic taboo of such is slowly being overridden through the recognition of many schools of thought. Most identify the benefit of self-disclosures in facilitating rewarding relationships and helping to reach therapeutic goals.

Benefits

It is useful to discuss personal matters in therapy for a variety of reasons. Certain types of disclosures are almost universally recognised as necessary in the early stages of therapy, such as an explanation of the therapeutic approach to be used and particular characteristics of the therapist. Disclosure with another individual facilitates a closeness in that relationship and is strongly believed to lead to a deeper understanding of the self. One will often see their disclosure in a more positive perspective if it is shared with someone else. It is thought that disclosing the details of a traumatic experience can greatly help with the organisation of related thoughts, and the process of retelling is itself a method of healing. An understanding between therapist and client is achieved when the client can share their perceptions without feeling threatened by judgments or unwanted advice. Further, expressing emotions lessens the toll of the autonomic nervous system and has been shown in several studies to improve overall physical health in this way. A disclosing therapist invites their client to compare cognitive perceptions and perhaps realise their own distortions.

The disclosure need not be verbal to be advantageous, as writing about traumas and positive experiences alike has been seen to produce less psychological and physiological distress. The Pennebaker Writing Disclosure Paradigm is a method commonly used in therapy settings to facilitate writing about one’s experiences. Exposure theory also offers support in that reliving and talking about a negative event should help the negative affect to be more accepted by the individual overtime through extinction.

A study by Watkins (1990) formulated four model hypotheses for the use of self-disclosure in therapy sessions. Supported heavily is the idea of mutuality: disclosure by one leads to disclosure by the other. The modelling hypothesis suggests that the client will model the disclosures of the therapist, thereby learning expression and gaining skills in communication. Some argue for the reinforcement model, saying that the use of self-disclosure by therapists is purely to reinforce self-disclosure in their clients. Lastly, the social exchange hypothesis sees the relationship between client and therapist as an interaction that requires a guide: self-disclosure. Clients’ self-reported improvement when a therapist has used disclosure in therapy is high. Regardless, the benefits of validating the client’s thoughts through self-disclosure has been shown to be largely beneficial in the scope of therapy.

Studies have also shown the disadvantageous effects of keeping secrets, for they serve as stressors over time. Concealing one’s thoughts, actions, or ailments does not allow a therapist to examine and work through the client’s problem. Unwanted, recurrent thoughts, feelings of anxiousness and depression, sleeping problems, and many other physiological, psychological, and physical issues have been seen as the results of withholding important information from others.

The treatment of clients with adjustment disorders, anxiety disorders, mood disorders, and post-traumatic stress disorder have been thought to use self-disclosure techniques the most. Therapy sessions for personality disorders, behaviour disorders, impulse control disorders, and psychotic disorders seem to use therapist self-disclosure far less often.

Effects on the Client’s View of the Therapist

Therapists who self-disclose, especially information that validates or reflects the information disclosed by the client, have been rated in studies consistently as demonstrating more warmth and being more personable. A study using participants who were to imagine themselves in hypothetical counselling situations found that therapists who responded to “What would you do if you were me?” when asked by the client, were viewed as more socially attractive, more expert, and more trustworthy. Their likability was increased by their willingness to disclose to their clients. The three dimensions mentioned have been said to be of utmost importance when determining one’s likability. However, these therapists may also been seen as less professional for these disclosures. Additionally, a therapist who discloses too frequently risks losing focus in the session, talking too much about themself and not allowing the client to actually harvest the benefits of the disclosures in the session through client-focused reflection. Much research has found that successful therapy treatments are enhanced when the client has a largely favourable view of the therapist.

Environmental Contributions to Client Disclosures

The atmosphere in which the therapy takes place is crucial too. Research shows that “soft” architecture and décor in a room promotes disclosure from clients. This is achieved with rugs, framed photos, and mellow lighting. It is thought that this environment more closely imitates the setting in which friends would share feelings, and so the same might be facilitated between counsellor and client. Further, a room should not be too crowded nor too small in order to foster good disclosures from the client.

Effectiveness

The efficacy of self-disclosure is widely debated by researchers, and findings have yielded a variety of results, both positive and negative. A typical method of researching such ideas involves self-reports of both therapists and clients. The evaluations of therapists on the positive effects of their own disclosures is far less positive than that of clients’ self-reports. Clients are especially likely to assert that the disclosures of their therapists help in their recovery if the disclosures are perceived as more intimate in content. Clients report that disclosures are helpful when they encourage a positive relationship with the therapist, build trust in their therapists’ abilities and general person, create a feeling of being better-understood, and make the therapist seem more human. Much of these results, however, are linked to how skilled the therapist is in disclosing.

Risks

Any information revealed that could reverse the effects of therapy or switch the roles of therapist and client is thought to be the most detrimental. Therapists must choose wisely in what they disclose and when. A client who is suffering greatly or facing a horrific crisis is not likely to benefit much from therapist self-disclosures. If a client at any point feels he or she, should be acting as a source of support to the therapist, disclosure is only hindering the healing process. Further, clients might become overwhelmed if their initial ideas of therapy do not include any degree of self-disclosure from their counsellor, and this will not lead to successful therapy sessions either. It is also a risk to reveal too much about a therapist because the client may begin to see the healer as flawed and untrustworthy. Clients should not feel like they are in competition for time to speak and express themselves during therapy sessions.

Despite contradictory findings, self-disclosure is still used frequently in therapy and is often recommended. The American Psychological Association supports the technique, calling it “promising and probably effective”. Therapists are advised, however, to use self-disclosure with a mild frequency, to disclose more immediate-disclosure information, to keep intimacy at a minimum, and to keep the focus on the client promptly after disclosure to ensure optimum effectiveness in therapy sessions. Therapist self-disclosure in a counselling setting is ethical so long as the client is not harmed or exploited.

Self-Involving Statements

Therapists who use self-involving statements are likely to facilitate valuable self-disclosures from their clients. Using “I” statements, a therapist emits a certain level of care not otherwise felt by many clients, and they are likely to benefit from this feeling of being cared for. In cases of a therapist needing to provide feedback, self-involving statements are nearly inevitable, for they must state a true opinion of what the client has disclosed. These sorts of “I” statements, when used correctly and professionally, are usually seen as especially validating by clients. Largely, the use of self-involving statements by therapists is seen as a way of making the interaction more authentic for the client, and such exchanges can have a great impact on the success of the treatment at hand.

Marital Therapy

Couples-therapy is often centred on creating more intimacy in a relationship. Spouses are encouraged, or even required, to disclose unexpressed emotions and feelings to their partners. The partners’ responses are practiced to be non-judgemental and accepting. Therapists utilise techniques like rehearsal and the teaching of listening skills. Some fear that this is of little long-term help to the couple because in their real lives, there is no mediator or guiding therapist’s hand when one is disclosing to another.

Given that self-disclosure is related to husband’s ratings of marital satisfaction, teaching proper ways for a couple to disclose to one another might be a very beneficial skill therapists can use both for prevention and treatment in therapy sessions.

During Childhood

While striving to become more like adults, looking for greater independence, and learning to become more self-reliant, children are also trying to facilitate relationships of equality with their parents. Goals like these, as reported by young people fairly universally, can affect how they disclose to their parents to a large degree. Children’s disclosures with their parents has been studied by many, especially recently, after the discoveries of disclosures’ positive relationships with children’s adjustment levels and psychological and physical health. Some go so far as to use the rate of self-disclosure between parents and children as a dominant measure of the strength of their relationship and its health.

Purpose of Disclosure

In adolescents’ relationships with their parents, self-disclosure is thought to serve three key functions:

  • Intimacy is promoted: When information is withheld, distance is created and closeness is nearly impossible to facilitate.
  • Autonomy is regulated: Teens pick and choose what to tell their parents, thus limiting their control over the teens’ daily activities.
  • Individuation is heightened: Adolescents’ unique preferences and interests are expressed. If these vary from their parents’, they establish an identity of their own.

Children still attempt to maintain a certain amount of control over their parents’ knowledge of their lives by monitoring how and when to disclose to them. Thus, they moderate their parents’ potential reactions. Because of this, it is important for parents to be aware of how they react to their children’s disclosures, for these reactions will be used as judgement calls for the children’s future sharing.

Reasons For

Often, the reason for disclosing given by children in studies is based on the parent’s expectations: “I’ve learned that [Mom or Dad] wants to have this information.” This is adaptive, in that the child has learned what their parents want to know. Other times a reason is that the children do not want their parents to worry about them, and this is called parent-centred disclosures. Disclosing in order to make oneself feel better or to ensure protection from parents is considered to be another reason for youth to disclose, and it is called self-oriented disclosure. On a more manipulative level, some adolescents report telling their parents things based solely on gaining an advantage of some sort, whether this is the right to reveal less or the fact that being more open tends to result in more adolescent privileges. Sometimes children qualify their disclosures by merely stating that they only disclose what they feel they want to their parents. Thus, some information is kept secret. This is dubbed selective self-disclosure. In sum, adolescents feel different pulls that make them self-disclose to their parents that can be based on the parents’ needs and the children’s needs. There has not been a distinct pattern found to predict which reasons will be utilised to explain disclosures by different children. For this reason it is widely believed that the reason for disclosure is largely situation- and context-dependent.

Benefits

The self-disclosure of children to their parents is the dominant source of information for parents to gain knowledge about their children and their daily lives. Parental knowledge of their children’s whereabouts and daily lives has been linked to several positive outcomes. The more parents know about their kids, the lower the rate of behaviour problems among children, and the higher the children’s well-being. Adolescents who disclose have been found to have lower rates of substance abuse, lower rates of risky sexual behaviours, lower anxiety levels, and lower rates of depression. Additionally, those who are well-adjusted, meaning they exhibit the qualities discussed above, generally want and enjoy parental involvement and are likely to disclose more. In contrast, keeping secrets from one’s parents has been linked to more physical illness, poor behaviour, and depression in all cultural groups. Many theorise that in at least one significant relationship one should feel able to disclose nearly completely in order for a healthy personality to develop. While parental behavioural control was once thought to provide the greatest benefits to children in limiting their activities and serving as a source of forced protection, more recent research strongly suggests that disclosures to parents that provide the parents with information about daily activities actually shows the most promise in fostering positive development through childhood and adolescence.

Development of Reciprocity

Reciprocity in children’s self-disclosures is often examined in children’s friendships. It has been shown that children’s understanding of friendship involves sharing secrets with another person. This mutual exchange of sharing secrets could be the norm of reciprocity, in which individuals disclose because it is a social norm. This norm of reciprocity is shown to begin occurring for children in sixth grade. Sixth graders are able to understand the norm of reciprocity because they realise that relationships require both partners to cooperate and to mutually exchange secrets. They realise this because they possess the cognitive ability to take another person’s perspective into account and are able to understand a third person’s views which allows them to view friendships as an ongoing systematic relationship.

Children in sixth grade are also shown to understand equivalent reciprocity. Equivalent reciprocity requires matching the level of intimacy a partner discloses, therefore, a high-intimacy disclosure would be matched with an equally revealing disclosure while a low-intimacy disclosure would be matched with little information revealed. Another type of reciprocity is covariant reciprocity, in which disclosures are more intimate if a partner communicates a high-intimacy disclosure instead of a low-intimacy disclosure. This differs from equivalent reciprocity, which matches the level of intimacy, while covariant reciprocity only focuses on whether someone disclosed something personal or not. Covariant reciprocity is shown to begin in fourth grade.

It has also been shown that girls across all ages disclose more intimate information than boys, and that the number of disclosures a child reveals increases with age.

Influencing Factors

Early studies note two distinct factors that contribute to how much children self-disclose to their parents. The first is intraindividual factors, which are those that are on the child’s mind and cause them to need social input. Biological development, cultural and social pressures, and individual maturity determine these issues, and, thus, a child’s age, personality, and background also contribute to their level and need of self-disclosure in a relationship with a parent.

The second set of factors is called contextual factors, which include the opportunities and situations that the individual has to disclose as created by the sociocultural environment. These are most directly related, then, to the target of the disclosure; these targets are the parents.

Also, gender contributes: girls are noted for usually disclosing their problems, mostly to their mothers, while boys reveal more about bad grades, behavioural conflicts, and other issues to both parents.

Certain people are more likely to get others to disclose. These are called high openers. Even people known to disclose very little are likely to disclose more to high openers. Thus, if parents are characterised as good listeners, trustworthy, accepting, relaxed, and sympathetic, as are high openers, then they will likely elicit more disclosure from their children. Adolescents who view their parents like this are also said to see them as less controlling and less likely to react negatively to their disclosures. Parental responsiveness has been said to be the dominant factor of influence on adolescents’ rates of self-disclosure; warmth and affection facilitate more disclosures. Parental psychological control has also been linked to increased self-disclosure of personal issues and peer issues among youth. While this sort of control is not often thought of in a positive light, some hypothesize that these kids are likely just feeling coerced to disclose subtly and without being harmed. Much of what children choose to reveal to their parents is based on previous disclosures and their parents’ reactions to them.

Feelings about the parent-child relationship during one’s upbringing have also be found to correlate with the child’s disclosures to the parents. A child with a positive memory of their relationship with a parent during the past years is a predictor of a higher level of self-disclosure. In fact, the view of the parent-child relationship in the past is a stronger predictor than that of the child’s view of the current parent-child relationship. The relationship with the mother, in particular, is extremely predictive of disclosures from adolescents. Such findings suggest to parents that fostering secure attachment early in their children will better set the stage for disclosures in the later years, and their children may then reap the benefits of such a relationship.

Adolescents are able to determine their own amount of parental authority over certain issues by how much or how little they choose to disclose to their parents. Surveys revealed that they are least likely to share information that involves their personal feelings and activities. They actively resist disclosing this to their parents because they do not see the issues as being harmful, or they feel their parents will not listen to them, or because the matters are very private to them.

The way adolescents perceive their parents’ authority as legitimate largely impacts how much they feel obligated to disclose to them. The more authority the children believe their parents rightly possess, the more obligation they perceive to share their lives accordingly. Parents who attempt a large degree of psychological control over their children are unlikely to be disclosed to as frequently, which only makes logical sense given the fact that most children are searching for a sense of autonomy. The adolescents have been found to feel the most obligation to tell their parents about such activities as drinking and smoking but less need to disclose information about personal issues. Not surprising either, less obligation is felt as age increases. Contrary to popular belief though, most adolescents in the US do not consider themselves to be adults between the ages of 18 and 27, and their parents feel the same way. The age at which children feel they no longer are obligated to disclose to their parents has increased over time, and the same trend is predicted over the next few decades.

Often, the motivation to disclose negative behaviours is purely because the children fear that they will not get away with it or feel obligated to share. Adolescents also want to disclose more if they feel that the activities in question are out of their own jurisdiction. Jurisdiction is measured, in the adolescents’ minds, as how short-term and close the activities are. Short-term, close activities are judged as ones to be handled without disclosure to parents, while activities that will take longer or require the adolescent to be farther from home are thought of as being issues to discuss with parents.

Inhibitors

Certain events and characteristics of the parent-child relationship make disclosures unlikely:

  • Mood: Nervous, angry, or unhappy parents make children less likely to disclose.
  • Preoccupied: Parents who do not seem accessible to their children do not receive good disclosures.
  • Reluctance: When parents seem unwilling to talk about problems or consistently avoid certain topics of conversation.
  • Questioning: Adolescents are bothered by persistent questions that their parents ask of them.
  • Respect: Children do not disclose as much if they feel their parents are not taking them seriously.
  • Nagging: When parents seem to hag on unimportant matters, children become frustrated.
  • Previous disapproval: Adolescents are not likely to disclose if their parents have previously expressed disapproval of a matter they wish to discuss.

Factors that Discourage Future Disclosures

Certain events and characteristics of the parent-child relationship make the child less willing to disclose to that parent in the future:

  • Distraction: If parents seem inattentive, the child is not likely to try to disclose in the future.
  • Respect: Parents who make jokes about disclosures or tease their children discourage future discussions.
  • Lack of trust: Children are not likely to disclose again when parents have shown doubt about their previous disclosures or checked the information that had been revealed.
  • Interrupting: Parents who interrupt their children do not encourage future disclosure.
  • Lack of relatability: Children will not disclose again if they feel their parents did not try to understand their position in previous disclosures.
  • Lack of receptivity: Parents who seem not to care about the child’s thoughts on matters and who will not listen to arguments discourage future disclosure.
  • Confidentiality: Children feel less inclined to disclose in the future if their parents do not keep their disclosures confidential.
  • Emotion: Parents who have angry outbursts do not encourage further disclosures from their children.
  • Consequences: Disclosures that resulted in punishment serve as discouragement for future disclosures. Additionally, long lectures from parents are not viewed as favourable.
  • Disappointment: When disclosure has made a parent disappointed or sad in their child, the child feels less inclined to disclose again.
  • Silence: Parents who respond to a disclosure with the silent treatment are unlikely to facilitate later disclosures.
  • Withholding permission: If earlier disclosure resulted in parents withholding permissions for children to participate in their desired activities, the children often do not disclose such information again later.

Facilitators

Certain events and characteristics of the parent-child relationship make disclosures likely:

  • Mood: Positive moods (happy and relaxed) in parents make adolescents likely to begin to disclose.
  • Accessibility: When parents seem ready and able to chat without doing other things, children want to disclose to them.
  • Opportunities: Parents who make time for the child, initiate conversations, and prompt disclosures (perhaps with humour) usually facilitate disclosures from their children.
  • Reciprocal disclosure: Children are encouraged if their parents choose to reveal things about themselves.
  • Questions: Open-ended questions give adolescents motivation to disclose.
  • Attention to child’s mood: When parents recognise the affective state of a child, the child feels cared for and is likely to be open to discussing the causes of that mood.
  • Unconditional disclosure: Children feel encouraged to disclose when parents make a point of telling the child to reveal themselves no matter what.
  • Pace: Letting children choose how and how fast they disclose makes them more likely to reveal things to their parents.

Factors that Encourage Future Disclosures

Certain events and characteristics of the parent-child relationship make the child more likely to disclose to that parent in the future:

  • Support: Previous disclosures that have made the child feel emotionally supported positively affect whether or not they will disclose to a parent again.
  • Humour: Parents who can appreciate humour in disclosure, where appropriate, encourage the child to disclose again.
  • Reciprocity: Parental disclosure makes a child more likely to disclose to that parent again.
  • Understanding/empathy: A parent who makes an obvious attempt to understand the child’s position makes the child more willing to share in the future.
  • Attention: Children will likely disclose again when they believe their parents are giving them their full attention without interruption.
  • Appreciations: Parents who express to their adolescents that they value their disclosures encourage such to happen again.
  • Respect: Children want to disclose again if they feel their parents take them seriously.
  • Confidence in the child: Parents who express their trust in the child’s ability to handle their problems will likely be disclosed to in the future.
  • Trustworthiness: Adolescents will want to reveal information to their parents again if they trust that the disclosure will be confidential.
  • Advice: If parents offer good advice and help for a youth’s problems, they are prompted to discuss things with the parent later on.
  • Reactions: Parents will often be told information from their children again if they keep their reactions to disclosures calm.
  • Discussion: Children prefer to talk about their issues, so if adults are willing, children will likely open up to them often.
  • Receptivity: Adults who consider arguments from the child and “hear them out” encourage these children to reveal their thoughts again.
  • Results: If permissions for adolescents’ wishes have been granted after disclosing in the past, the child is more likely to disclose in the future.

On the Internet

There are four major differences between online communication and face to face communication. The first is that Internet users can remain anonymous. The user can choose what personal information (if any) they share with other users. Even if the user decides to use their own name, if communicating with people in others cities or countries they are still relatively anonymous. The second is that physical distance does not limit interaction on the Internet the way it does in real life. The Internet gives the ability to interact with people all over the world and the chance to meet people who have similar interests that one may not have met in their offline life. Visual cues, including those pertaining to physical attractiveness, are also not always present on the Internet. These factors have been shown to influence initial attraction and relationship formation. Finally, Internet users have time to formulate conversations which is not allotted in face to face conversation. This gives a user more control in the conversation because they do not have to give an immediate response.

Features of Online Interaction Affecting Disclosure

Anonymity

Anonymity can allow individuals to take greater risks and discuss how they truly feel with others. A person might take these risks because they are more aware of their private self. Private self-awareness is when a person becomes more aware of personal features of the self. This is in contrast to public self-awareness in which a person realises that they can be judged by others. This type of awareness can lead to evaluation apprehension, where a person fears receiving a negative evaluation from their peers. Public self-awareness is also associated with conforming to group norms even if they go against personal beliefs. With that said, the absence of visual cues from a partner in Internet discussion can activate a person’s private self which encourages self-disclosure. This is because the discloser is not worried about being judged publicly and is able to express their own private thoughts. Anonymity also aids in identity construction. A person can change their gender and the way they relate to others due to anonymity. This can increase life satisfaction because those who can identify with multiple roles are shown to be more satisfied. Since the Internet can allow someone to adopt these roles, that close others may not accept in the real world, it can increase their self-worth and acceptance.

The anonymity that comes with Internet communication also makes it easier to reveal the “true self”. The “true self”, as described by McKenna and her colleagues includes the traits a person possesses but is unable to share freely with others. What they do share is the “actual self” which includes traits they do possess and are able to be shown in social settings. The actual self can be easier to present in face to face conversations because a person’s true self may not fit societal norms. Disclosing one’s “true self” has been shown to create empathetic bonds and aid in forming close relationships.

Anonymity can also help stigmatised groups reveal their “true selves” and allow them to come together to discuss aspects of the self that cannot be discussed in one’s social circle. This can help them in life because it allows them to form a group of similar others and the opportunity to receive emotional support. It has also been found that those who join these groups and disclose their identity were more likely to share this aspect of the self with their close family and friends. Sharing these long kept secrets has also shown to significantly reduce health symptoms over a length of time.

There are some negative consequences to being anonymous on the Internet. Deindividuation, where self-awareness is blocked by environmental conditions, can occur and be problematic. Some consequences of deindividuation include the reduced ability to control one’s behaviour and engage in rational, long-term planning, and the tendency to react immediately and emotionally. A person who is lacking this self-awareness is also less likely to care about other’s opinions of their behaviour. This all can lead to increased hostility towards others and the formation of anonymous hate groups.

There can also be some negative consequences to forming multiple selves. If these identities are not integrated it can lead to an incomplete sense of self. They could also be brought into the real world and lead to delusional and unrealistic behaviour.

One downside to all of the connections that can be formed online regards the effect called the “illusion of large numbers.” This effect means that people overestimate how many people share the same opinion as them. This can be especially harmful if someone holds negative views of a particular group because they may not realise that their views are very different from the mainstream.

Lack of Visual Cues and Physical Attractiveness

Physical attractiveness plays an important role in determining if two people will begin a relationship. In face to face conversation, if initial attraction is not present, the relationship is less likely to form. This, however, does not play a role in Internet communication. Relationships online must form based on things such as similarities, values, interests or an engaging conversation style. Since these relationships form at a deeper level they may be more durable and more important to the individual. Not being seen also assists in presenting ideal qualities (attributes an individual would ideally like to possess) to other users because there is no information to contradict what they say, the way there is in face to face conversation. This can help a person make these ideal qualities a social reality because when someone confirms these traits the individual can make them a part of their self-concept.

An individual is also liked more on the Internet than in face to face conversation. Even if partners think they are communicating with two different people they still like the person from the Internet more than the face to face interaction, even though they were the same person. This greater liking also continues after the initial interaction on the Internet when the pair meets face to face. This greater liking may occur because of the lack of physical information. Physical attractiveness plays an important role in impression formation and once these views are formed they are not likely to be changed even when presented with new information. Since the people communicating online cannot rely on attractiveness these factors may not play a role when they eventually meet face to face. An increase in disclosures can also foster this liking because intimate disclosure is associated with increased intimacy. Online disclosures are generally seen as more intimate than face to face disclosures. Since there is a lack of nonverbal cues in Internet communication, many people form a biased perception of their communication partner. The minimal cues that are available in computer based communication are often over interpreted and the person will attach greater value to them. For example, if there seems to be a similarity between the two communicating, an individual may intensify this perception and idealise their partner. This all then increases the perceived intimacy of the discloser.

Physical Distance and Familiarity

People are more likely to form relationships with those who are in close physical proximity of them. Individuals are also more likely to begin an interaction with someone who is seen on a regular basis, showing that familiarity also influences interactions. Communicating on the Internet can allow individuals to become familiar with those who frequent the pages they converse on by recognising usernames and pages. Regardless of how far away these individuals may be from each other, they are all in one confined space on the Internet which can give the feeling of being in the same place. The Internet also brings people together that may not have met because of physical distance. They can also go to specific websites where people share the same interests so they enter conversations knowing they already have similarities. This can contribute to why Internet relationships form so quickly. These online users do not have to go through the traditional stages that face to face interactions require in order to find similar interests. These face to face interactions usually take longer to find common ground but online users are able to dive right into conversations.

Pace and Control of Conversation

Internet communication differs significantly from face-to-face conversation in the timing and pacing of a conversation. For example, both users do not need to be online at the same time to have a conversation. E-mail, for example, allows individuals to send messages and wait for a reply that may not come for hours or even days. This can allow many people to stay in touch, even if they are in different time zones, which significantly broadens the range of communication.

This communication also allows an individual to take their time when speaking with someone. They do not have to have an immediate response that face-to-face conversation requires. This allows them to carefully select and edit their messages and gives them more control over their side of the conversation that they would not have outside of the Internet. There are also no interruptions in online communication that occur in face-to-face conversation. A person is able to “hold the floor” and say as little or as much as they would like in these communications, allowing them to fully form their point.

This control helps users to take greater risks with their self-disclosures online. These people also begin to incorporate their Internet lives with their non-Internet lives and engage in a presence–control exchange. In this exchange, Internet users start their relationships with relatively high control and gradually trade that for physical closeness as their comfort levels and knowledge of the other person increases. This seems to be the Internet version of social penetration theory, where individuals have a mutual exchange of self-disclosures. As the relationship develops in face-to-face communication the individuals’ disclosures gradually become more revealing and cover a wide range of topics. This equivalent on the Internet includes the partners exchanging control of the conversation for physical closeness. The stages this occurs in could include moving from messaging online, to telephone conversations and eventually face-to-face communication.

Individual Differences

Self-Esteem

The use of social media for self-disclosure has shown to be very helpful for those with low self-esteem. People with low self-esteem are more socially anxious and shy which can make it difficult to form close relationships with others. This can harm both their physical and mental health because feeling connected to others is considered a fundamental human motivation. Individuals with low self-esteem have difficulty disclosing to others because they are very focused on not revealing their flaws and fear criticism and disapproval from others. Disclosing less, therefore, protects them from the possibility of rejection or being ignored. In light of these fears, social media can provide a safe environment for people with low self-esteem to disclose personal information because they cannot see their partner’s reactions which can help them to more freely express themselves.

While many with low self-esteem do view social media as a safe outlet for disclosure, many do not receive positive feedback for their disclosures. People with low self-esteem tend to post more negative thoughts on social media which has been shown to make them less liked by readers. Negative posts are also more likely to be ignored by readers in hopes that the discloser will stop and begin to post more positively. When someone who frequently shares negative thoughts posts something positive they do receive more positive feedback from readers. In contrast, someone with high self-esteem is more liked by readers and tends to post more positively. If they do post something negative they tend to get more responses than those with low self-esteem do.

Loneliness

Social media can also help those who are lonely. Many social networking sites give access to profiles, pictures and the ability to comment and message others which helps people to feel less lonely. It also aids them in gaining social capital like emotional satisfaction and access to information. These sites can facilitate disclosure because they make it easier to access others who can provide social support for someone to disclose personal information. Social support is extremely important in disclosure as it makes the discloser feel validated and cared for. Social support is also positively related to well-being. It has also been shown that having this social support and forming close relationships online decreases loneliness overtime.

Some research does show that spending too much time on the Internet and forming these close relationships could take away time from existing non-Internet relationships. Neglecting these relationships could make a person lonelier in the long run because they could lose these face to face relationships.

However, other research shows that there are certain personality traits that lead to increased loneliness which then leads to increased use of the Internet. In particular, extroversion and neuroticism have been linked to loneliness. An extrovert is someone who is outgoing, enjoys the company of others, requires stimulation, and is spontaneous, while an introvert prefers their own company, is quiet, and prefers quiet, small gatherings. Introverts can often be seen as distant and unfriendly because of this behaviour which may explain some of their loneliness. A neurotic person is extremely anxious, emotional and reacts in a disproportional way to many situations. Someone high in neuroticism generally has a negative attitude which may push people away and prevent them from forming close relationships which may lead to their loneliness. Both of these groups (introverts and neurotics) have been shown to have increased Internet use and in particular increased use of social service sites (i.e. chatrooms, newsrooms, etc.). This may show that those who are already lonely are more attracted to the Internet as a means of social networking and not that the Internet increases loneliness. Introverts and neurotic individuals have also been shown to feel more comfortable revealing their “true-self” online than in face-to-face conversation and revealing the “real you” has been shown to help the discloser to form close relationships.

Social Anxiety

It can be very difficult for those with social anxiety to engage in face to face communication. These people can become anxious when meeting someone for the first time, speaking with someone attractive, or participating in group activities. This can limit their in-person interactions and deny them their basic needs of intimacy and belonging. With the absence of many of these worries in Internet communication, many with social anxieties use it to form social connections. It has been shown that individuals with social anxiety are more likely to use the Internet to form close relationships. These relationships are also shown to be stronger online relationships as opposed to weaker relationships (i.e. “acquaintances”). Forming these relationships can also help a socially anxious person express their true-self and form their social identity. This identity often involves the groups a person is a part of because belonging to a group frequently becomes a part of one’s self-concept. Someone with social anxiety would be denied this because of their fear of face-to-face interaction. Therefore, disclosing with others online gives a socially anxious person access to a wide variety of people with which they can form relationships and belong to a group.

Socially anxious people are also shown to become less anxious over time if they have formed close online relationships. They have also been shown to broaden their social circles in the “real world” when they have had this time to form online relationships. One possibility for this occurrence may be that these online relationships can give the anxious individuals confidence in forming relationships outside of the Internet. Being able to practice communications online can show them they are capable of communicating and can lessen their anxieties in face to face communication. They are also very likely to bring their online relationships into their offline lives in order to make them a “social reality” by sharing these relationships with family and friends in the real world.

Online Support Groups

Online support groups are another place where people from all over can come together to disclose common struggles. They provide an environment of mutual disclosure and support. People are more likely to use these forums to discuss personal struggles and disclose emotions and thoughts pertaining to these struggles than normal discussion forums. There is also a higher degree of reciprocity in online support groups than in normal discussion forums and reciprocity has been shown to help people feel valued after disclosing. Men and women are also equally likely to use these forums for disclosing personal information.

Dangers

While there are many benefits to engaging in self-disclosure online there are also some dangers. There is a relationship between Internet abuse, self-disclosure and problematic behaviour. Internet abuse can be defined as, “patterns of using the Internet that result in disturbances in a person’s life but does not imply a specific disease process or addictive behaviour.” When a person is high for Internet abuse and high for self-disclosure it can lead to dangerous behaviours like sending personal information (addresses, home phone number etc.) and photos to online acquaintances. High ratings for Internet abuse and self-disclosure also positively influence online communication with all types of online relationships. These relationship types include long-distance relationships, in which people have met face to face and continue the relationship by communicating online; purely virtual relationships, where people meet online and stay in touch only by using the Internet; and migratory mixed-mode, where the relationship begins online and then proceeds to face to face interaction. The relationship between Internet abuse, self-disclosure and dangerous behaviours could pose an even bigger problem with the high number of communications this group has with others, particularly those they have only communicated with online

Children

The Internet, while providing most with a source of entertainment, knowledge, and social realms, is actually a large threat to children due to the ways in which they self-disclose. Their privacy is often more at risk than is an adult’s because of their openness to sites. Given that they are still developing, researchers say that they are in the “Cued Processors” group between the ages of eight and eleven. At this time, many children are using the Internet and are doing so alone, without the guidance and overseeing of an adult/guardian. Thus, they must use their own judgments to decide how much information to share on the various sites they visit.

As “Cued Processors”, however, they are only able to think logically about concrete events; the notion of their disclosures online being used against them is far in the abstract world. They will likely not think of any sort of consequences that could result from their disclosures, and this is just what online marketers and predators alike expect and are looking for. Combined with behavioural profiling tracking programmes, online advertisers and predators can build a pretty clear image of the child and what they like to do, where they live, their phone number, their school district, and other sources of identifying information that they use to prompt the child to disclose without them really knowing. A common strategy is the use of brand characters in online games who “ask” for the information; children are especially likely to give out very personal information in this sort of setting. The children’s vulnerability online is a product of their cognitive limitations.

Uses and gratifications theory is often used to attempt to explain such things as motivation on the internet. Studies have found that, if applied to the use of the Internet by children and their likelihood to disclose personal information, one can find significant correlations with various types of motivation. Children who use the Internet primarily as a source of information are less likely to give out personal information. Some theorise that these children are simply made to be more aware of the dangers of internet disclosures and are more cautious because of this. But, children who mention social contact on the internet as their first-order use are more often the ones who submit to the attempts of online marketers and predators who seek their personal contact information and behavioural preferences. These children have goals of social acceptance in mind, and it seems to them that acceptance can be easily gained from sharing and communicating with friends and strangers alike. Socialising motives reduce privacy concerns, and children will disclose nearly anything online in order to be seen and responded to socially. It was also discovered that a simple incentive is usually enough to elicit personal information from a child.

Parents’ knowledge of their children’s internet use is rapidly decreasing. Children are withholding more and more from their parents, including how much information they are sharing over the internet. Parent-child self-disclosure about this topic needs to be increased if interventions are to help keep children safer online. Notably, there are many parents who have even admitted to allowing their children to lie about their ages on social media sites in order to gain access to them. Parents, thus, are encouraged to remain open to discussing such things with their children, to use better judgment themselves when making decisions about their children’s Internet usage, and to provide them with education about how privacy on the Internet is a risky notion.

Today, many regulations are being proposed and implemented that will hopefully help protect children’s personal information on the internet. However, these will not be enough to guarantee safe exchanges of self-disclosure, so adults still must be open to discussion with their children.

In Education

Self-disclosure is an important matter to consider in the realm of education. The varying ways that it can impact social relations adds a new and important dynamic to the classroom. There are different results and experiences that students and teachers see from the implementation of self-disclosure in the classroom. The relationships that will be addressed through the lens of self-disclosure include the student to teacher relationship, the student to student relationship and how cultural relations impacts the situation as a whole.

Student to Teacher Relations

The tone of the classroom is set by the attitudes and behaviours of those who participate in it. The teacher often has the most powerful role in leading a classroom and how that class will interact and connect through the subject matter. The practice of self-disclosure in the interactions between the teachers and the students has an impact on the classroom atmosphere and how the people perform in that atmosphere. The decision to practice self-disclosure as a teacher has many benefits and challenges.

Benefits

When the teacher engages in self-disclosure with the students, it opens up a new channel of communication in the classroom. As the teacher shares more information about who they are and their personal life, the students begin to see a new side of their teacher that is more than the person that stands in the front of their classroom every day. The teacher is seen as a real person with their own difficulties and struggles in life. This would allow the teacher to appear more relatable to the students which would promote better student to teacher communication. Of course, the information shared with the class must be appropriate and relevant. A teacher may use an illustration of a concept using an example from their own life in order to connect with a particular audience in the class. These connections with the teacher promotes a more productive relationship.

As the teacher sets the tone of self-disclosure, students feel more willing to share in the practice of self-disclosure as well. The teacher demonstrates and helps to guide the students in understanding what is appropriate information to share in public discourses. As the students feel more comfortable with the teacher and begin sharing more about their own lives, the environment of the classroom is one of camaraderie and friendship. By understanding the people in the classroom on a deeper level can open up opportunities to provide support to those involved. The teacher can better understand who the students are, what they struggle with, what their strengths are and what they need to succeed. Self-disclosure from student to teacher allows the teacher to best support the students based on their individual needs, therefore providing an improved education.

Challenges

With implementing self-disclosure into the classroom, comes a set of negative consequences and challenges. As the teacher shares more about their personal life, the students may become overly comfortable with the teacher. This could lead to a lack of respect for the teacher or an inability to maintain appropriate superior relationship. Self-disclosure may blur the lines of the roles between the student and the teacher, which could disrupt the authority the teacher needs to maintain their role in the classroom and have an effective teaching persona. There is the case that not all students will connect to this method of teaching. Some students may not choose to participate in this environment which could lead them to feel alienated. Self-disclosure from the teacher needs to be taken into deep consideration so that the sharing of information does not take away from the education being transferred.

There are some risks involved in bringing self-disclosure into the classroom when students begin sharing information with the teacher. As the student is more open with the teacher, there is the chance that the student could share information that would require the teacher to follow a reporting procedure. If a student reveals information about themself in confidence to the teacher that implies that the students life is potentially at risk, or other matters of equal seriousness that would need to be reported to the school guidance counsellor. Revealing this information although confidentiality was implied would inevitably break the trust the teacher has built with the student, ultimately harming their relationship. This hurt relationship could negatively impact that students ability to learn in the classroom. In another scenario, students may not fully understand the differences between public and private discourse. This would lead students to have conversations of self-disclosure in the classroom when the timing is not appropriate, therefore, taking away from the educational matters at hand.

Culture

Self-disclosure, just like anything varies and differs depending on the culture. Collectivistic culture and individualism are two types of ways to explain self disclosure in a culture. If a country is more on the collectivistic side then they will tend to disclose themselves more as an Avatar, like in China and Germany. However, in a more individualist culture setting people open up more about themselves, even personal details, like in America. There is also a difference in the boy vs. girl culture. Girls tend to open up more and easier than most boys.

Each culture has a different idea about what and how much self-disclosure is acceptable. For example, American students tend to share more in class with their peers than Chinese students. They are usually more open about themselves and interests with most of their classmates than students in other countries. The difference is seen in the internet as well. Korean students usually talk more in blog form on social media pages keeping the posts short and to the point. However, American students share more often and share more personal information to their followers. Cultures like Korea and China, the collectivistic cultures, are more reserved whereas, the American culture is more about disclosing a lot of personal details.

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What is Stilted Speech?

Introduction

In psychiatry, stilted speech or pedantic speech is communication characterised by situationally-inappropriate formality (refer to Communication Deviance). This formality can be expressed both through abnormal prosody as well as speech content that is “inappropriately pompous, legalistic, philosophical, or quaint”. Often, such speech can act as evidence for autism spectrum disorder (ASD) or a thought disorder, a common symptom in schizophrenia or schizotypal personality disorder.

To diagnose stilted speech, researchers have previously looked for the following characteristics:

  • Speech conveying more information than necessary.
  • Vocabulary and grammar expected from formal writing rather than conversational speech.
  • Unneeded repetition or corrections.

While literal and long-winded word content is often the most identifiable feature of stilted speech, such speech often displays irregular prosody, especially in resonance. Often, the loudness, pitch, rate, and nasality of pedantic speech vary from normal speech, resulting in the perception of pedantic or stilted speaking. For example, overly loud or high-pitched speech can come across to listeners as overly forceful while slow or nasal speech creates an impression of condescension.

These attributions, which are commonly found in patients with ASD, partially account for why stilted speech has been considered a diagnostic criterion for the disorder. Stilted speech, along with atypical intonation, semantic drift, terseness, and perseveration, are all qualities known to be commonly impaired during conversation with adolescents on the autistic spectrum. Often, stilted speech found in children with ASD will also be especially stereotypic or rehearsed.

Patients with schizophrenia are also known to experience stilted speech. This symptom is attributed to both an inability to access more commonly used words and a difficulty understanding pragmatics – the relationship between language and context. However, stilted speech appears as a less common symptom compared to a certain number of other symptoms of the psychosis. This element of cognitive disorder is also exhibited as a symptom in the narcissistic personality disorder.

There is disagreement on the definition of psychophenomenology within the discipline of psychiatry, e.g. published sources provide definitions that are “various and sometimes conflicting (Rule 2005)”.

What is Communication Deviance?

Introduction

Communication deviance (CD) occurs when a speaker fails to effectively communicate meaning to their listener with confusing speech patterns or illogical patterns.

Refer to Stilted Speech.

Background

These disturbances can range from vague linguistic references, contradictory statements to more encompassing non-verbal problems at the level of turn-taking.

The term was originally introduced by Lyman Wynne and Margaret Singer in 1963 to describe a communication style found among parents who had children with schizophrenia. According to Wynne, people are able to focus their attention and identify meaning from external stimuli beginning with their interactions, particularly with their parents, during their early years of life. In family communication, deviance is present in the way members acknowledge or affirm one another as well as in task performance.

A recent meta-analysis reported that communication deviance is highly prevalent in parents of patients diagnosed with schizophrenia and adoption studies have reported significant associations between CD in the parent and thought disorder in the offspring, however, the mechanisms by which CD impacts on the offspring’s cognition are still unknown. Some researchers theorize that, in the case of a high degree of egocentric communication in parents where the sender and the receiver do not speak and listen according to each other’s premises, the child develops uncertainty.

The research of psychiatrists and psychoanalysts Lyman Wynne and Theodore Lidz on communication deviance and roles (e.g. pseudo-mutuality, pseudo-hostility, schism and skew) in families of people with schizophrenia also became influential with systems-communications-oriented theorists and therapists.

What is Active Listening?

Introduction

Active listening is a technique of careful listening and observation of non-verbal cues, with feedback in the form of accurate paraphrasing, that is used in counselling, training, and solving disputes or conflicts.

It requires the listener to pay attention, understand, respond and remember what is being said in the context of intonation, timing, and non-verbal cues (body language). This differs from other listening techniques like reflective listening and empathic listening.

Reflective listening is a communication strategy involving seeking to understand a speaker’s idea, then offering the idea back to the speaker, to confirm the idea has been understood correctly. Empathic listening is about giving people an outlet for their emotions before being able to be more open, sharing experiences and being able to accept new perspectives on troubled topics that cause emotional suffering. Listening skills may establish flow rather than closed mindedness.

Brief History

Carl Rogers and Richard Farson coined the term “active listening” in 1957 in a paper of the same title (reprinted in 1987 in the volume “Communicating in Business Today”). Practicing active listening also emphasized Rogers’ (1980) concept of three facilitative conditions for effective counselling; empathy, genuineness, and unconditional positive regard. Rogers and Farson write: “Active listening is an important way to bring about changes in people. Despite the popular notion that listening is a passive approach, clinical and research evidence clearly shows that sensitive listening is a most effective agent for individual personality change and group development. Listening brings about changes in peoples’ attitudes toward themselves and others; it also brings about changes in their basic values and personal philosophy. People who have been listened to in this new and special way become more emotionally mature, more open to their experiences, less defensive, more democratic, and less authoritarian.”

Technique

Active listening comprises several components by the listener, who must pay attention to what the speaker is attempting to communicate and elicit clarification where necessary for comprehension.

Active listening involves the listener observing the speaker’s non-verbal behaviour and body language. The listener can observe non-verbal behaviours through kinesics, the study of body motion and posture; paralinguistics, the study of the tone of words; and proxemics, the study of physical distance and posture between speakers. Having the ability to interpret a person’s body language lets the listener develop a more accurate understanding of the speaker’s message.

Comprehending

Comprehension is a shared meaning between parties in a communication transaction. This is the first step in the listening process. The second step is being able to take breaks between discernible words, or talking segmentation.

Retaining

Retaining is the second step in the process. Memory is essential to the active listening process because the information retained when a person is involved in the listening process is how meaning is extracted from words. Because everyone has different memories, the speaker and the listener may attach different meanings to the same statement. Memories are fallible, things like cramming may cause information to be forgotten.

Responding

Active listening is an interaction between speaker and listener. It adds action to a normally passive process.

Assessment

Active listening can be assessed using the active listening observation scale (ALOS).

ALOS

The Active Listening Observation Scale (ALOS) was developed to measure the perceived or observed frequency of active listening enacted by physicians during patient consultations. Fassaert, van Dulmen, Schellevis, & Bensing (2007) provided evidence of adequate reliability estimates (α > .80) and construct validity for a 7-item version of the ALOS. Additional research has extended the ALOS to supportive listening contexts and provided evidence of appropriate reliability with 11 items (α > .90) as well as evidence of measurement model validity (Bodie & Jones, 2012). As of 2017, researchers are currently developing an extensive validity portfolio for the scale, particularly as an assessment of the occurrence of particular behaviours associated with active listening such as asking questions and displaying nonverbal understanding.

Other scales include:

  • Facilitating Listening Scale (FLS).
  • Active – Empathic Listening Scale (AELS).
  • Active Listening Attitude Scale (ALAS).

Refer to The Sourcebook of Listening Research: Methodology and Measures (25 August 2017) by Debra L. Worthington and Graham D. Bodie (Editors), published by John Wiley & Sons Inc.

Barriers to Active Listening

There are a multitude of factors that may impede upon someone’s ability to listen with purpose and intention; these factors are referred to as listening blocks. Some examples of these blocks include rehearsing, filtering, and advising. Rehearsing is when the listener is more focused on preparing their response rather than listening. Filtering is when a listener focuses only on what they expect to hear, while tuning out other aspects of what is being said, and lastly, advising is when the listener focuses on problem solving, which can create a sense of pressure to fix what the other person is doing wrong. Some barriers are due to hunger or fatigue of the listener, making them irritated and less inclined to listen to the speaker. Sometimes it is due to the language the speaker uses – such as high sounding and bombastic words that can lead to ambiguity. Other barriers include distractions, trigger words, vocabulary, and limited attention span.

Individuals in conflict often contradict each other. Ambushing occurs when one listens to someone else’s argument for its weaknesses and ignore its strengths. This may include a distortion of the speaker’s argument to gain a competitive advantage. On the other hand, if one finds that the other party understands, an atmosphere of cooperation can be created.

Shift Response

Shift response is the general tendency of a speaker in a conversation to affix attention to their position.[citation needed] This is a type of conversational narcissism – the tendency of listeners to turn the topic to themselves without showing sustained interest in others. A support response is the opposite of a shift response; it is an attention giving method and a cooperative effort to focus the conversational attention on the other person. Instead of being me-oriented like shift response, it is we-oriented. It is the response a competent communicator is most likely to use.

Understanding of Non-Verbal Cues

Ineffective listeners are unaware of non-verbal cues, though they dramatically affect how people listen. To a certain extent, it is also a perceptual barrier. Up to 93% of people’s attitudes are formed by non-verbal cues. This should help one to avoid undue influence from non-verbal communication. In most cases, the listener does not understand the non-verbal cues the speaker uses. A person may show fingers to emphasize a point, but this may be perceived as an intent by the speaker to place their fingers in the listener’s eyes. Overuse of non-verbal cues also creates distortion, and as a result listeners may be confused and forget the correct meaning.

Overcoming Listening Barriers

The active listening technique is used to improve personal communications in organizations. Listeners put aside their own emotions and ask questions and paraphrase what the speaker says to clarify and gain a better understanding of what the speaker intended to say. Distractions that interrupt the listener’s attention are one of the major barriers to effective listening. These include external factors such as background noise and physical discomfort, and internal distractions, such as thoughts about other things and lack of focus. Another barrier is misinterpretation of what the speaker is attempting to communicate, including assumption of motives, and “reading between the lines”, as is premature judgment of the speaker’s point, which can occur as a consequence of the listener holding onto a rigid personal opinion on the topic. This problem can be mitigated by asking the speaker what they mean when it is unclear, though this is not guaranteed to work every time. A strong disagreement hinders the ability to listen closely to what is being said. Eye contact and appropriate body languages are seen as important components to active listening, as they provide feedback to the speaker. The stress and intonation used by the speaker may also provide information to the listener, which is not available in the written word.

Applications

Active listening is used in a wide variety of situations, including public interest advocacy, community organising, tutoring, medical workers talking to patients, HIV counselling, helping suicidal persons, management, counselling and journalistic settings. In groups it may aid in reaching consensus. It may also be used in casual conversation or small talk to build understanding, though this can be interpreted as condescending.

A listener can use several degrees of active listening, each resulting in a different quality of communication.

The proper use of active listening results in getting people to open up, avoiding misunderstandings, resolving conflict, and building trust. In a medical context, benefits may include increased patient satisfaction, improved cross-cultural communication, improved outcomes, or decreased litigation.

Active Listening in Music

Active listening has been developed as a concept in music and technology by François Pachet, researcher at Sony Computer Science Laboratory, Paris. Active listening in music refers to the idea that listeners can be given some degree of control on the music they listen to, by means of technological applications mainly based on artificial intelligence and information theory techniques, by opposition to traditional listening, in which the musical media is played passively by some neutral device.

Criticism

A Munich-based marital therapy study conducted by Dr. Kurt Hahlweg and associates found that even after employing active listening techniques in the context of couple’s therapy, the typical couple was still distressed.

Active listening was criticized by John Gottman’s The Seven Principles for Making Marriage Work as being of limited usefulness:

Active listening asks couples to perform Olympic-level emotional gymnastics when their relationship can barely walk. . . . After studying some 650 couples and tracking the fate of their marriages for up to fourteen years, we now understand that this approach to counseling doesn’t work, not just because it’s nearly impossible for most couples to do well, but more importantly because successful conflict resolution isn’t what makes marriages succeed. One of the most startling findings of our research is that most couples who have maintained happy marriages rarely do anything that even partly resembles active listening when they’re upset.

Robert F. Scuka defends active listening by arguing that:

…a careful reading of the Hahlweg et al. (1984) study reveals that Gottman cites only certain (one-sided) results from the study. He also overlooks several important considerations that call into question his implied dismissal of the RE model as a legitimate therapeutic intervention for distressed couples.

Book: Communication and Mental Health Disorders: Developing Theory, Growing Practice

Book Title:

Communication and Mental Health Disorders: Developing Theory, Growing Practice.

Author(s): Caroline Jagoe and Irene P. Walsh (Editor).

Year: 2019.

Edition: First (1st).

Publisher: J & R Press Ltd.

Type(s): Paperback.

Synopsis:

Communication and Mental Health Disorders: Developing Theory, Growing Practice brings together academics and expert clinicians to share their research, clinical expertise and insights in the presentation of current theory and evolving practice of language and communication work with children and adults with mental health disorders. The book presents recent developments in the field against a background of ‘recovery model’ principles and practices, moving beyond introductory texts published previously.

This book is a highly comprehensive text drawing on multidisciplinary perspectives in the care of people with communication difficulties and mental health disorders. It covers a broad range of areas, providing an extensive exploration of the unique and complex relationship between mental health and disorder, and language and communication, with specific emphasis on the application of theoretical developments to clinical practice. The focus is on recent and cutting-edge developments in the field, whilst acknowledging historical constructs and contexts. Service users’ perceptions are incorporated throughout alongside those of mental healthcare professionals (e.g., psychiatrists and speech and language therapists). A full section on advances in approaches to communication intervention presents the strides taken in the practical applications of innovative thinking in the area.

What is a Double Bind?

Introduction

A double bind is a dilemma in communication in which an individual (or group) receives two or more conflicting messages, with one negating the other. In some circumstances (particularly families and relationships) this might be emotionally distressing. This creates a situation in which a successful response to one message results in a failed response to the other (and vice versa), so that the person will automatically be wrong regardless of response. The double bind occurs when the person cannot confront the inherent dilemma, and therefore can neither resolve it nor opt out of the situation.

Double bind theory was first described by Gregory Bateson and his colleagues in the 1950s.

Double binds are often utilised as a form of control without open coercion – the use of confusion makes them difficult both to respond to and to resist.

A double bind generally includes different levels of abstraction in the order of messages and these messages can either be stated explicitly or implicitly within the context of the situation, or they can be conveyed by tone of voice or body language. Further complications arise when frequent double binds are part of an ongoing relationship to which the person or group is committed.

Refer to Family Therapy and the Bateson Project (1953-1963).

Explanation

The double bind is often misunderstood to be a simple contradictory situation, where the subject is trapped by two conflicting demands. While it is true that the core of the double bind is two conflicting demands, the difference lies in how they are imposed upon the subject, what the subject’s understanding of the situation is, and who (or what) imposes these demands upon the subject. Unlike the usual no-win situation, the subject has difficulty in defining the exact nature of the paradoxical situation in which they are caught. The contradiction may be unexpressed in its immediate context and therefore invisible to external observers, only becoming evident when a prior communication is considered. Typically, a demand is imposed upon the subject by someone whom they respect (such as a parent, teacher, or doctor) but the demand itself is inherently impossible to fulfil because some broader context forbids it. For example, this situation arises when a person in a position of authority imposes two contradictory conditions but there exists an unspoken rule that one must never question authority.

Gregory Bateson and his colleagues defined the double bind as follows:

  1. The situation involves two or more people, one of whom (for the purpose of the definition), is designated as the “subject”. The others are people who are considered the subject’s superiors: figures of authority (such as parents), whom the subject respects.
  2. Repeated experience: the double bind is a recurrent theme in the experience of the subject, and as such, cannot be resolved as a single traumatic experience.
  3. A ‘primary injunction’ is imposed on the subject by the others generally in one of two forms:
    • (a) “Do X, or I will punish you”; or
    • (b) “Do not do X, or I will punish you.”
    • The punishment may include the withdrawing of love, the expression of hate and anger, or abandonment resulting from the authority figure’s expression of helplessness.
  4. A ‘secondary injunction’ is imposed on the subject, conflicting with the first at a higher and more abstract level. For example: “You must do X, but only do it because you want to.” It is unnecessary for this injunction to be expressed verbally.
  5. If necessary, a ‘tertiary injunction’ is imposed on the subject to prevent them from escaping the dilemma.
    • See phrase examples below for clarification.
  6. Finally, Bateson states that the complete list of the previous requirements may be unnecessary, in the event that the subject is already viewing their world in double bind patterns. Bateson goes on to give the general characteristics of such a relationship:
    • When the subject is involved in an intense relationship; that is, a relationship in which he feels it is vitally important that he discriminate accurately what sort of message is being communicated so that he may respond appropriately;
    • And, the subject is caught in a situation in which the other person in the relationship is expressing two orders of message and one of these denies the other;
    • And, the subject is unable to comment on the messages being expressed to correct his discrimination of what order of message to respond to: i.e., he cannot make a metacommunicative statement.

Thus, the essence of a double bind is two conflicting demands, each on a different logical level, neither of which can be ignored or escaped. This leaves the subject torn both ways, so that whichever demand they try to meet, the other demand cannot be met. “I must do it, but I can’t do it” is a typical description of the double-bind experience.

For a double bind to be effective, the subject must be unable to confront or resolve the conflict between the demand placed by the primary injunction and that of the secondary injunction. In this sense, the double bind differentiates itself from a simple contradiction to a more inexpressible internal conflict, where the subject really wants to meet the demands of the primary injunction, but fails each time through an inability to address the situation’s incompatibility with the demands of the secondary injunction. Thus, subjects may express feelings of extreme anxiety in such a situation, as they attempt to fulfil the demands of the primary injunction albeit with obvious contradictions in their actions.

This was a problem in United States legal circles prior to the Fifth Amendment to the United States Constitution being applied to state action. A person could be subpoenaed to testify in a federal case and given Fifth Amendment immunity for testimony in that case. However, since the immunity did not apply to a state prosecution, the person could refuse to testify at the Federal level despite being given immunity, thus subjecting the person to imprisonment for contempt of court, or the person could testify, and the information they were forced to give in the Federal proceeding could then be used to convict the person in a state proceeding.

Brief History

The term double bind was first used by the anthropologist Gregory Bateson and his colleagues (including Don D. Jackson, Jay Haley and John H. Weakland) in the mid-1950s in their discussions on complexity of communication in relation to schizophrenia. Bateson made clear that such complexities are common in normal circumstances, especially in “play, humour, poetry, ritual and fiction” (see Logical Types below). Their findings indicated that the tangles in communication often diagnosed as schizophrenia are not necessarily the result of an organic brain dysfunction. Instead, they found that destructive double binds were a frequent pattern of communication among families of patients, and they proposed that growing up amidst perpetual double binds could lead to learned patterns of confusion in thinking and communication.

Complexity in Communication

Human communication is complex, and context is an essential part of it. Communication consists of the words said, tone of voice, and body language. It also includes how these relate to what has been said in the past; what is not said, but is implied; how these are modified by other nonverbal cues, such as the environment in which it is said, and so forth. For example, if someone says “I love you”, one takes into account who is saying it, their tone of voice and body language, and the context in which it is said. It may be a declaration of passion or a serene reaffirmation, insincere and/or manipulative, an implied demand for a response, a joke, its public or private context may affect its meaning, and so forth.

Conflicts in communication are common and often we ask “What do you mean?” or seek clarification in other ways. This is called meta-communication: communication about the communication. Sometimes, asking for clarification is impossible. Communication difficulties in ordinary life often occur when meta-communication and feedback systems are lacking or inadequate or there is not enough time for clarification.

Double binds can be extremely stressful and become destructive when one is trapped in a dilemma and punished for finding a way out. But making the effort to find the way out of the trap can lead to emotional growth.

Examples

The classic example given of a negative double bind is of a mother telling her child that she loves them, while at the same time turning away in disgust, or inflicting corporal punishment as discipline: the words are socially acceptable; the body language is in conflict with it. The child does not know how to respond to the conflict between the words and the body language and, because the child is dependent on the mother for basic needs, they are in a quandary. Small children have difficulty articulating contradictions verbally and can neither ignore them nor leave the relationship.

Another example is when one is commanded to “be spontaneous”. The very command contradicts spontaneity, but it only becomes a double bind when one can neither ignore the command nor comment on the contradiction. Often, the contradiction in communication is not apparent to bystanders unfamiliar with previous communications.

Phrase Examples

  • An example from Gerald M. Weinberg in a non-family situation…. “I suggest you find someone who you feel is more capable in this role”.
    • This requires the recipient to either confirm that the current incumbent in the role is sufficiently capable, or accept that they choose someone else based on their feelings – not an objective assessment of whether the incumbent is capable.
  • Mother telling her child: “You must love me”.
  • The primary injunction here is the command itself: “you must”; the secondary injunction is the unspoken reality that love is spontaneous, that for the child to love the mother genuinely, it can only be of their own accord.
  • Child-abuser to child: “You should have escaped from me earlier, now it’s too late—because now, nobody will believe that you didn’t want what I have done”, while at the same time blocking all of the child’s attempts to escape.
  • Child-abusers often start the double-bind relationship by “grooming” the child, giving little concessions, or gifts or privileges to them, thus the primary injunction is: “You should like what you are getting from me!”
  • When the child begins to go along (i.e. begins to like what they are receiving from the person), then the interaction goes to the next level and small victimisation occurs, with the secondary injunction being: “I am punishing you! (for whatever reason the child-abuser is coming up with, e.g. “because you were bad/naughty/messy”, or “because you deserve it”, or “because you made me do it”, etc.).
  • If child shows any resistance (or tries to escape) from the abuser, then the words: “You should have escaped from me earlier (…)” serve as the third level or tertiary injunction.
  • Then the loop starts to feed on itself, allowing for ever worse victimisation to occur.
  • Mother to son: “Leave your sister alone!”, while the son knows his sister will approach and antagonize him to get him into trouble.
  • The primary injunction is the command, which he will be punished for breaking.
    • The secondary injunction is the knowledge that his sister will get into conflict with him, but his mother will not know the difference and will default to punishing him.
    • He may be under the impression that if he argues with his mother, he may be punished.
    • One possibility for the son to escape this double bind is to realise that his sister only antagonises him to make him feel anxious (if indeed it is the reason behind his sister’s behaviour).
  • If he were not bothered about punishment, his sister might not bother him.
    • He could also leave the situation entirely, avoiding both the mother and the sister.
    • The sister can not claim to be bothered by a non-present brother, and the mother can not punish (or scapegoat) a non-present son.
    • Other solutions exist too, which are based on the creative application of logic and reasoning.
  • An apt reply would be: “Please tell sis the same”. If mother wants to ‘scapegoat’ him, her response will be negative.
    • The command has a negative undertone towards the son.

Positive Double Binds

Bateson also described positive double binds, both in relation to Zen Buddhism with its path of spiritual growth, and the use of therapeutic double binds by psychiatrists to confront their patients with the contradictions in their life in such a way that would help them heal. One of Bateson’s consultants, Milton H. Erickson (5 volumes, edited by Rossi) eloquently demonstrated the productive possibilities of double binds through his own life, showing the technique in a brighter light.

The Science

One of the causes of double binds is the loss of feedback systems. Gregory Bateson and Lawrence S. Bale describe double binds that have arisen in science that have caused decades-long delays of progress in science because the scientific community had defined something as outside of its scope (or as “not science”) – see Bateson in his Introduction to Steps to an Ecology of Mind (1972, 2000), pp.xv–xxvi; and Bale in his article, Gregory Bateson, Cybernetics and the Social/Behavioural Sciences (esp. pp.1-8) on the paradigm of classical science vs. that of systems theory/cybernetics. (See also Bateson’s description in his Forward of how the double bind hypothesis fell into place).

Work by Bateson

Schizophrenia

The Double Bind Theory was first articulated in relationship to schizophrenia, but Bateson and his colleagues hypothesized that schizophrenic thinking was not necessarily an inborn mental disorder but a learned confusion in thinking.

It is helpful to remember the context in which these ideas were developed. Bateson and his colleagues were working in the Veteran’s Administration Hospital (1949-1962) with World War II veterans. As soldiers they’d been able to function well in combat, but the effects of life-threatening stress had affected them. At that time, 18 years before Post-Traumatic Stress Disorder was officially recognised, the veterans had been saddled with the catch-all diagnosis of schizophrenia. Bateson did not challenge the diagnosis but he did maintain that the seeming nonsense the patients said at times did make sense within context, and he gives numerous examples in section III of Steps to an Ecology of Mind, “Pathology in Relationship”. For example, a patient misses an appointment, and when Bateson finds him later the patient says ‘the judge disapproves’; Bateson responds, “You need a defense lawyer”. Bateson also surmised that people habitually caught in double binds in childhood would have greater problems – that in the case of the schizophrenic, the double bind is presented continually and habitually within the family context from infancy on. By the time the child is old enough to have identified the double bind situation, it has already been internalised, and the child is unable to confront it. The solution then is to create an escape from the conflicting logical demands of the double bind, in the world of the delusional system.

One solution to a double bind is to place the problem in a larger context, a state Bateson identified as Learning III, a step up from Learning II (which requires only learned responses to reward/consequence situations). In Learning III, the double bind is contextualized and understood as an impossible no-win scenario so that ways around it can be found.

Bateson’s double bind theory was never followed up by research into whether family systems imposing systematic double binds might be a cause of schizophrenia. This complex theory has been only partly tested, and there are gaps in the current psychological and experimental evidence required to establish causation. The current understanding of schizophrenia emphasizes the robust scientific evidence for a genetic predisposition to the disorder, with psychosocial stressors, including dysfunctional family interaction patterns, as secondary causative factors in some instances.

Evolution

After many years of research into schizophrenia, Bateson continued to explore problems of communication and learning, first with dolphins, and then with the more abstract processes of evolution. Bateson emphasised that any communicative system characterized by different logical levels might be subject to double bind problems. Especially including the communication of characteristics from one generation to another (genetics and evolution).

“…evolution always followed the pathways of viability. As Lewis Carroll has pointed out, the theory [of natural selection] explains quite satisfactorily why there are no bread-and-butter-flies today.”

Bateson used the fictional Bread and Butter Fly (from Through the Looking Glass, and What Alice Found There) to illustrate the double bind in terms of natural selection. The gnat points out that the insect would be doomed if he found his food (which would dissolve his own head, since this insect’s head is made of sugar, and his only food is tea), and starve if he did not. Alice suggests that this must happen quite often, to which the gnat replies: “It always happens.”

The pressures that drive evolution therefore represent a genuine double bind. And there is truly no escape: “It always happens.” No species can escape natural selection, including our own.

Bateson suggested that all evolution is driven by the double bind, whenever circumstances change: If any environment becomes toxic to any species, that species will die out unless it transforms into another species, in which case, the species becomes extinct anyway.

Most significant here is Bateson’s exploration of what he later came to call ‘the pattern that connects’ – that problems of communication which span more than one level (e.g. the relationship between the individual and the family) should also be expected to be found spanning other pairs of levels in the hierarchy (e.g. the relationship between the genotype and the phenotype):

“We are very far, then, from being able to pose specific questions for the geneticist; but I believe that the wider implications of what I have been saying modify somewhat the philosophy of genetics. Our approach to the problems of schizophrenia by way of a theory of levels or logical types has disclosed first that the problems of adaptation and learning and their pathologies must be considered in terms of a hierarchic system in which stochastic change occurs at the boundary points between the segments of the hierarchy. We have considered three such regions of stochastic change—the level of genetic mutation, the level of learning, and the level of change in family organization. We have disclosed the possibility of a relationship of these levels which orthodox genetics would deny, and we have disclosed that at least in human societies the evolutionary system consists not merely in the selective survival of those persons who happen to select appropriate environments but also in the modification of family environment in a direction which might enhance the phenotypic and genotypic characteristics of the individual members.”

Girard’s Mimetic Double Bind

René Girard, in his literary theory of mimetic desire, proposes what he calls a “model-obstacle”, a role model who demonstrates an object of desire and yet, in possessing that object, becomes a rival who obstructs fulfilment of the desire. According to Girard, the “internal mediation” of this mimetic dynamic “operates along the same lines as what Gregory Bateson called the ‘double bind’.” Girard found in Sigmund Freud’s psychoanalytic theory, a precursor to mimetic desire. “The individual who ‘adjusts’ has managed to relegate the two contradictory injunctions of the double bind—to imitate and not to imitate—to two different domains of application. This is, he divides reality in such a way as to neutralize the double bind.” While critical of Freud’s doctrine of the unconscious mind, Girard sees the ancient Greek tragedy, Oedipus Rex, and key elements of Freud’s Oedipus complex, patricidal and incestuous desire, to serve as prototypes for his own analysis of the mimetic double bind.

Far from being restricted to a limited number of pathological cases, as American theoreticians suggest, the double bind – a contradictory double imperative, or rather a whole network of contradictory imperatives – is an extremely common phenomenon. In fact, it is so common that it might be said to form the basis of all human relationships.

Bateson is undoubtedly correct in believing that the effects of the double bind on the child are particularly devastating. All the grown-up voices around him, beginning with those of the father and mother (voices which, in our society at least, speak for the culture with the force of established authority) exclaim in a variety of accents, “Imitate us!” “Imitate me!” “I bear the secret of life, of true being!” The more attentive the child is to these seductive words, and the more earnestly he responds to the suggestions emanating from all sides, the more devastating will be the eventual conflicts. The child possesses no perspective that will allow him to see things as they are. He has no basis for reasoned judgements, no means of foreseeing the metamorphosis of his model into a rival. This model’s opposition reverberates in his mind like a terrible condemnation; he can only regard it as an act of excommunication. The future orientation of his desires – that is, the choice of his future models – will be significantly affected by the dichotomies of his childhood. In fact, these models will determine the shape of his personality.

If desire is allowed its own bent, its mimetic nature will almost always lead it into a double bind. The unchanneled mimetic impulse hurls itself blindly against the obstacle of a conflicting desire. It invites its own rebuffs and these rebuffs will in turn strengthen the mimetic inclination. We have, then, a self-perpetuating process, constantly increasing in simplicity and fervor. Whenever the disciple borrows from his model what he believes to be the “true” object, he tries to possess that truth by desiring precisely what this model desires. Whenever he sees himself closest to the supreme goal, he comes into violent conflict with a rival. By a mental shortcut that is both eminently logical and self-defeating, he convinces himself that the violence itself is the most distinctive attribute of this supreme goal! Ever afterward, violence will invariably awaken desire… (René Girard, Violence and the Sacred: “From Mimetic Desire to the Monstrous Double”, pp.156-157).

Neuro-Linguistic Programming

The field of Neuro-Linguistic Programming (NLP) also makes use of the expression “double bind”. Grinder and Bandler (both of whom had personal contact with Bateson and Erickson) asserted that a message could be constructed with multiple messages, whereby the recipient of the message is given the impression of choice – although both options have the same outcome at a higher level of intention. This is called a “double bind” in NLP terminology, and has applications in both sales and therapy. In therapy, the practitioner may seek to challenge destructive double binds that limit the client in some way and may also construct double binds in which both options have therapeutic consequences. In a sales context, the speaker may give the respondent the illusion of choice between two possibilities. For example, a salesperson might ask: “Would you like to pay cash or by credit card?”, with both outcomes presupposing that the person will make the purchase; whereas the third option (that of not buying) is intentionally excluded from the spoken choices.

Note that in the NLP context, the use of the phrase “double bind” does not carry the primary definition of two conflicting messages; it is about creating a false sense of choice which ultimately binds to the intended outcome. In the “cash or credit card?” example, this is not a “Bateson double bind” since there is no contradiction, although it still is an “NLP double bind”. Similarly if a salesman were selling a book about the evils of commerce, it could perhaps be a “Bateson double bind” if the buyer happened to believe that commerce was evil, yet felt compelled or obliged to buy the book.

Book: Pharmacotherapy Casebook – A Patient-Focused Approach

Book Title:

Pharmacotherapy Casebook – A Patient-Focused Approach.

Author(s): Terry Schwinghammer. Julia Koehler, Jill Borchert, Douglas Slain, and Sharon Park.

Year: 2020.

Edition: Eleventh (11ed).

Publisher: McGraw-Hill Education.

Type(s): Paperback and Kindle.

Synopsis:

Packed with 157 patient cases, Pharmacotherapy Casebook: A Patient-Focused Approach builds your problem-solving and decision-making skills, so you can identify and resolve the most common drug therapy challenges you will encounter in daily practice.

Its case-based approach is also ideal for PharmD, Nurse Practitioner, and other allied health courses. Providing a consistent, practical approach, this authoritative guide delivers everything you need to master patient communication, care plan development, and documenting interventions. Case chapters are organised into system sections that correspond to those of the companion textbook.

Sharpen your ability to:

  • Identify actual or potential drug therapy problems.
  • Determine the desired therapeutic outcome.
  • Evaluate therapeutic alternatives.
  • Design an optimal individualised pharmacotherapeutic plan.
  • Evaluate the therapeutic outcome
  • Provide patient education.
  • Communicate and implement the therapeutic plan.

Develop expertise in pharmacotherapy decision making with:

  • Realistic patient presentations that include medial history, physical examination, and laboratory data, followed by a series of questions using a systematic, problem-solving approach
  • A broad range of cases – from a single disease state to multiple disease states and drug-related problems
  • Expert coverage that integrates the biomedical and pharmaceutical sciences with therapeutics
  • Appendices containing sample answer to several cases and valuable information on medical abbreviations, laboratory tests, mathematical conversion factors, and anthropometrics

What are the Historical Contexts to Communicating Mental Health?

Research Paper Title

Introduction: historical contexts to communicating mental health.

Abstract

Contemporary discussions around language, stigma and care in mental health, the messages these elements transmit, and the means through which they have been conveyed, have a long and deep lineage.

Recognition and exploration of this lineage can inform how we communicate about mental health going forward, as reflected by the 9 papers which make up this special issue.

The researchers introduction provides some framework for the history of communicating mental health over the past 300 years. They show that there have been diverse ways and means of describing, disseminating and discussing mental health, in relation both to therapeutic practices and between practitioners, patients and the public. Communicating about mental health, they argue, has been informed by the desire for positive change, as much as by developments in reporting, legislation and technology.

However, while the modes of communication have developed, the issues involved remain essentially the same. Most practitioners have sought to understand and to innovate, though not always with positive results. Some lost sight of patients as people; patients have felt and have been ignored or silenced by doctors and carers. Money has always talked, for without adequate investment services and care have suffered, contributing to the stigma surrounding mental illness.

While it is certainly ‘time to talk’ to improve experiences, it is also time to change the language that underpins cultural attitudes towards mental illness, time to listen to people with mental health issues and, crucially, time to hear.

Reference

Wynter, R. & Smith, L. (2017) Introduction: historical contexts to communicating mental health. Medical Humanities. 43(2), pp.73-80. doi: 10.1136/medhum-2016-011082.