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Ethics: Self-Disclosure and Its Impact on Mental Health Services

1. According to the authors, factors that may facilitate self-disclosing include each of the following EXCEPT:

A. The desire to become educated about one's own condition so that one can educate others as needed

B. The recognition that one can decide to share less with those people who may appear judgmental

C. The importance of feeling a sense of personal responsibility and pride about disclosure

D. The need to pick and choose when to disclose and under what circumstances


Introduction

2. Stigma associated with mental illness is one of the most persistent problems people face as it is associated with discrimination in housing, employment and health insurance. It also prevents treatment and impedes recovery.

A. True

B. False


To Disclose or Not Disclose?

3. Disclosing one’s mental illness is a very personal and subjective decision, and may involve _____________ disclosure, which refers to choosing who specifically to tell about one’s mental illness and when to tell.

A. Discriminative

B. Deliberate

C. Guarded

D. Selective


Self-Disclosure in Employment

4. When determining if and when to self-disclose in an employment setting, an example under Personal Consideration would be whether or not anyone in the news or media has disclosed a similar condition or disability.

A. True

B. False


5. Many experts suggest individuals gain confidence by disclosing their mental illness and gain the ability to cope with and combat the stigma associated with it.

A. True

B. False


Disclosure Among Mental Health Field Professionals

6. The psychiatrist, David Fisher, M.D., states that “Disclosure, when it is geared to the needs of the client, rather than the provider, can nourish _______ and add a valuable human dimension to the relationship."

A. Hope

B. Trust

C. Belief

D. Confidence


Other Disclosure Experiences

7. Even with the stigma and prejudice asoociated with mental illness, individuals who either have been forced, pushed, or have volunteered to tell their stories seem to find it liberating and an important part of their recovery.

A. True

B. False


Disclosure of Other Illnesses and Situations

8. When disclosing in a romantic relationship, a good rule of thumb is to tell not too soon as to be unnecessary and not too late as to be a threat to trust.

A. True

B. False


Responses From Interviews

9. During interviews about experiences with self-disclosure, several individuals reported that the most compassionate responses came from members of the health professional community.

A. True

B. False


Recommendations

10. The most effective way of countering stigma and discrimination is _________________,  so it is important to help people learn how and when to disclose that they have received mental health services in a way that is comfortable and beneficial for the person disclosing.

A. Through promotion of personal power

B. Interpersonal contact

C. Information and education

D. None of the above


11. In order to reduce prejudice and bias, public and private organizations should establish educational programs that are provider driven, with a goal of training professionals to encourage individuals to disclose.

A. True

B. False


Conclusion

12. For those contemplating self disclosure, it is important to recognize that such disclosure can act as living testimony against discrimination and can aid in promoting:

A. Honesty and empowerment

B. Recovery and tolerance

C. Confidence and a discovery of self

D. Self worth and a sense of security


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