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Impact of self-disclosure of professionals on empowerment of patients: a conversational analysis

Type of publication Not peer-reviewed
Publikationsform Review article (non peer-reviewed)
Author Nguyen Alexandra, Favrod Jérôme, Frobert Laurent, Pellet Joanie,
Project Positive Emotions Program for Schizophrenia (PEPS): a randomized controlled study on improving pleasure and motivation in schizophrenia
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Review article (non peer-reviewed)

Journal Eur Arch Psychiatry Clin Neurosci
Page(s) S89 - S89
Title of proceedings Eur Arch Psychiatry Clin Neurosci
DOI 10.1007/s00406-017-0824-8

Open Access

URL https://link.springer.com/article/10.1007/s00406-017-0824-8
Type of Open Access Publisher (Gold Open Access)

Abstract

Objective: The Positive Emotions Program for Schizophrenia (PEPS) is an intervention designed to improve pleasure and motivation in schizophrenia in targeting the emotional and cognitive skills involved in apathy and anhedonia. It is a new, short intervention of eight one hour session led in group of 3–10 participants. PEPS teach skills to improve anticipating, savoring, expressing behaviorally and sharingpleasure using four learning strategies to increase skills acquisition for the majority of participants. During the exercises, the PEPS group leaders describe what they have felt, in order to help demonstrate ways of sharing experiences and guide participants in self-observation. In a pilot study, several participants describe spontaneously that the professional self-disclosure has a destigmatizing effect. The goal of this study is to explore this phenomenon. Methods: Eight sessions of PEPS were videotaped and analyzed using conversational analysis using Transana Software. In a first step, each professional self-disclosure statements were tagged by two different observers and transcripted. In a second step the therapists’ self-disclosures were categorized into thematic collections according to the actions the therapists performed. Results: Different kinds of self-disclosures were identified: prescribed by PEPS self-disclosures, useless self-disclosures and promoting empowerment self-disclosures. The prescribed self-disclosures have an effect of increasing the participation of the patients. The useless self-disclosures were not aligned to participants. The promoting empowerment self-disclosures have a counter-balancing effect in the relationship between participants and professionals and is used by professional when participants interacted from a help-seeking down position in the relationship with the therapist. Following the selfdisclosure of the professionals, the participants were able to change to a giving advise up position in the group. Conclusion: Promoting empowerment self-disclosures need to be further studied to be taught accurately to health-care professional who want to improve patients’ empowerment. Policy of full disclosure: None.
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