Physician self-disclosure in primary care: a mixed methods study of GPs' attitudes, skills, and behaviour

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
Emily-Charlotte Frances Allen, Bruce Arroll

Abstract

There is a debate in medicine about the use and value of self-disclosure by the physician as a communication tool. There is little empirical evidence about GPs and self-disclosure. To explore what GPs' attitudes, skills, and behaviour are with regard to self-disclosure during a clinical consultation and whether there is a need for the development of training resources. Mixed methods using open-ended and semi-structured interviews in Auckland, New Zealand, and the surrounding districts. Sixteen GPs were interviewed on the issue of self-disclosure in clinical practice. A general inductive approach was used for data analysis. Self-disclosure was common in this group of GPs, contrary to training in some of the groups, and was seen as a potentially positive activity. Family and physical topics were most common, yet psychological and relationship issues were also discussed. Knowing patients made self-disclosure more likely, but a GP's intuition played the main role in determining when to self-disclose, and to whom. GPs have developed their own guidelines, shaped by years of experience; however, there was a consensus that training would be helpful. Self-disclosure is common and, in general, seen as positive. Major personal issues were...Continue Reading

References

May 10, 1995·JAMA : the Journal of the American Medical Association·G O Gabbard, C Nadelson
Apr 16, 2003·Journal of Clinical Psychology·Sarah Knox, Clara E Hill
Aug 31, 2004·Journal of General Internal Medicine·Mary Catherine BeachDaniel E Ford
Aug 31, 2004·Journal of General Internal Medicine·Mary Catherine BeachRichard Frankel
Jun 27, 2007·Archives of Internal Medicine·Susan H McDanielRonald M Epstein
Oct 20, 2009·Clinical Psychology Review·Jennifer R Henretty, Heidi M Levitt
Jul 6, 2014·The New England Journal of Medicine·Kelly A Curran

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Citations

Jun 3, 2004·International Journal of Medical Informatics·Gabriel M LeungL M Ho
Sep 2, 2015·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Bruce Arroll, Emily-Charlotte Frances Allen
Aug 3, 2018·Journal of Primary Health Care·Brett Mann
Oct 18, 2018·BMJ : British Medical Journal·Fran Robinson
Mar 30, 2021·Patient Education and Counseling·Keou Kadji, Marianne Schmid Mast

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