Abstract:
:Trauma disclosure is the initial step toward healing trauma-related distress. This study used qualitative methods to better understand factors facilitating and inhibiting change in the disclosure process. Fifty-six veterans were interviewed about their disclosure experiences between August 2004 and 2005. Emerging themes and barriers to disclosure from 23 of these interviews are reported in this article. Barriers to trauma disclosure included lack of trust in the provider, fears about the potential negative consequences of disclosure, and trauma avoidance. Providers perceived as caring and communicating at the same level as the participants facilitated disclosure, whereas providers perceived as uncaring or disinterested inhibited disclosure. Veterans reported both positive and negative reactions to initial disclosure, but nearly all agreed that disclosure was worthwhile over the long-term. Improving patient-provider communications and creating settings that facilitate trauma disclosure may improve healing after trauma.
journal_name
Mil Medjournal_title
Military medicineauthors
Jeffreys MD,Leibowitz RQ,Finley E,Arar Ndoi
10.7205/milmed-d-10-00054subject
Has Abstractpub_date
2010-10-01 00:00:00pages
719-24issue
10eissn
0026-4075issn
1930-613Xjournal_volume
175pub_type
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