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COMMENTS AND OPINIONS
The Nuances of Self-disclosure
G. Caleb Alexander, MD, MS;
John Lantos, MD
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The report by McDaniel and colleagues1 about physician self-disclosure draws attention to when and how physicians disclose personal information. The authors deserve credit for examining countless dimensions of physicians' communication, including the use of "[c]odes encompass[ing] timing, antecedents, content, patient response, concordance of patient and physician content, and subsequent physician communication."1(p1322) Despite this, their methodology raises a number of questions about the validity of their conclusions.
It is nearly impossible to quantify the utility that any particular utterance can have on a relationship. Relationships are intangible things. They require emotional risk taking. They build on both verbal and nonverbal communication. Real people have variable responses to the process of relationship building. In this study, 1 participant in the relationship was an actor. The utility of utterances on the process of relationship building was determined by third parties. Such techniques and measures seem . . . [Full Text of this Article]
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RELATED LETTER
The Nuances of Self-disclosure—Reply
Susan H. McDaniel, Diane Morse, Ronald Epstein, Howard Beckman, David B. Seaburn, and Jordan Silberman
Arch Intern Med. 2008;168(2):243-244.
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RELATED ARTICLE
Physician Self-disclosure in Primary Care Visits: Enough About You, What About Me?
Susan H. McDaniel, Howard B. Beckman, Diane S. Morse, Jordan Silberman, David B. Seaburn, and Ronald M. Epstein
Arch Intern Med. 2007;167(12):1321-1326.
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