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Journal of Counseling Psychology

1995, Vol. 42, No. 1, 40-46 Copyright 1995 by the American Psychological Association, Inc.
0022-0167/95/S3.00

Self-Concealment and Attitudes Toward Counseling in University Students


Anita E. Kelly and John A. Achter
Iowa State University

In study 1 (N = 257 undergraduates) the relations among self-concealment, attitudes toward


seeking psychological help, and intentions to seek counseling were explored. Results revealed
that even though self-concealment was associated with less favorable attitudes toward
seeking help, it was also associated with greater intentions to seek counseling. In Study 2,
high and low self-concealers (N = 83) read a description of counseling that either (a)
indicated that counseling involves revealing highly personal information or (b) made no
mention of such disclosure. Results revealed that in the former condition, high self-concealers
were less favorable toward counseling than were low self-concealers, whereas in the latter
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

condition, there was no significant difference between the two groups. Implications of these
This document is copyrighted by the American Psychological Association or one of its allied publishers.

findings for future research are discussed.

Virtually everyone keeps secrets, or purposely denies O'Heeron, 1984; Pennebaker & Susman, 1988). Moreover,
others personal information (Margolis, 1974). Research has case reports have linked secret keeping to various psycho-
shown that even long-term individual therapy clients keep logical problems, including psychotic symptoms in children
secrets from their therapists (Hill, Thompson, Cogar & (Saffer, Sansone, & Gentry, 1979), family dysfunction
Denman, 1993). (Evans, 1976; Swanson & Biaggio, 1985), and anxiety in
Within the psychoanalytic literature, secret keeping has older gays and lesbians (Berger, 1982; Berger & Kelly,
been viewed as an important component in the development 1986).
of ego boundaries and the self-concept (Hoyt, 1978; Tausk, Given that secret keeping is associated with maladjust-
1933). Moreover, it has been seen as a key to healthy mental ment and that it could potentially interfere with the coun-
development as persons learn society's taboos and develop seling process, secret keeping may be a critical individual
a sense of private individuality (Szajnberg, 1988). However, difference variable for counselors to consider when assess-
this literature has, for the most part, construed secret keep- ing clients. The following are questions that counselors may
ing as pathogenic in nature and as having potentially dis- consider at intake: Do individuals who keep secrets have
ruptive effects on the therapeutic process (e.g., Evans, 1976; less favorable attitudes toward counseling than those who
Hoyt, 1978; Saffer, Sansone & Gentry, 1979). readily reveal their secrets? Are individuals who keep se-
A study conducted by Wright, Ingraham, Chemtob, and crets frightened by the idea that counseling might require
Perez-Arce (1985) supported this notion by demonstrating them to reveal their innermost thoughts? If so, what should
that the more group members actively inhibited disclosing be done to attenuate this fear?
to other group members, the less satisfied they were with the We addressed these questions in Studies 1 and 2. These
group therapy sessions. In addition, Regan and Hill (1992) questions are especially relevant for counselors in light of
found a negative relation between the proportion of things Strong's (1968) conceptualization of counseling as a social
left unsaid in individual counseling sessions and client-rated influence process. Specifically, Strong (1968) and Strong
satisfaction with change. and Claiborn (1982) stressed the importance of clients'
Recent research has also supported the idea that secret believing in the efficacy of the counseling process for it to
keeping per se is pathogenic. A number of correlational and be helpful. If clients' initial attitudes about counseling are
experimental studies have demonstrated a positive relation negative, then clients might behave in ways that will prevent
between actively concealing personal information from oth- them from receiving maximum benefit from the counseling
ers and a wide variety of psychological and physiological process.
problems (Ichiyama et al., 1992; Pennebaker, 1985, 1988,
1989; Pennebaker, Barger, & Tiebout, 1989; Pennebaker &
Beall, 1986; Pennebaker, Hughes, & O'Heeron, 1987; Pen- Study 1
nebaker, Kiecolt-Glaser, & Glaser, 1988; Pennebaker &
Perhaps individuals who typically keep personal informa-
tion private are actually more likely to seek counseling than
Anita E. Kelly and John A. Achter, Department of Psychology, are those who routinely disclose personal information, be-
Iowa State University.
cause the counseling setting is one place where they can
We thank Fred Borgen, Jeffrey Kahn, and Daniel Russell for
their comments on an earlier version of the article. We also thank appropriately and confidentially share their secrets (Tow-
all of our research assistants for their help with this work. bin, 1978). Research has shown that high self-concealers
Correspondence concerning this article should be addressed to tend to have weaker social support networks than do low
Anita E. Kelly, Department of Psychology, University of Notre self-concealers (Larson & Chastain, 1990). Therefore, high
Dame, Notre Dame, Indiana 46556. self-concealers may feel a need to seek counseling to fill
40
SELF-CONCEALMENT AND ATTITUDES 41

this social support void. However, high self-concealers may would be to seek help at the university counseling center if they
remain skeptical about the counseling process because it were experiencing the problem. Their responses were summed to
yield scores ranging from 17 to 102, with higher scores indicating
does require them to disclose personal information. As such,
a greater likelihood of seeking counseling for various problems.
we hypothesized that those who scored high on self-con- Using our own data, we computed Cronbach's alpha for the 17
cealment would have less favorable attitudes toward seek- items and found it equal to .84.
ing psychological help, yet they would be more likely to say The 29-item Fischer-Turner Attitudes Toward Seeking Profes-
they would seek such help than would low self-concealers. sional Psychological Help Scale (Fischer & Turner, 1970) assesses
We also examined how well gender predicted attitudes attitudes toward traditional counseling services and asks respon-
toward counseling, because Fischer and Turner (1970) dents to rate, on a 4-point scale ranging from agree (0) to disagree
found women to be more favorable toward seeking pro- (3), how much they agree with each item. This instrument has
fessional help than men. In addition, because previous re- good test-retest reliability, with estimates of .86 (over 5 days)
search has revealed a strong positive correlation between and .84 (over 2 months); internal consistency estimates range
self-concealment and depression (Ichiyama et al., 1992; from .83 to .86. In addition, the Fischer-Turner scale has been
Larson & Chastain, 1990), we assessed subjects' level of found to be only weakly correlated with social desirability (rs
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

depression to be able to control statistically for its effects. ranged from - . 1 1 to .20) and negatively correlated with authori-
This document is copyrighted by the American Psychological Association or one of its allied publishers.

We hypothesized that self-concealment would be a better tarianism and external locus of control. The Fischer-Turner
predictor of intentions to seek counseling than would scale has also been found to discriminate between participants
who have sought psychological assistance and those who have
depression.
not (Fischer & Turner, 1970). Participants' responses were
summed to yield scores ranging from 0 to 87, with higher
scores indicating more positive attitudes toward seeking profes-
Method sional psychological help.
The 24-item Social Provisions Scale (SPS) was developed by
Participants. Two hundred sixty students from two introduc-
Cutrona and Russell (1987) to assess respondents' perceptions of
tory-level psychology courses participated in the study. Virtually
the strength of their social support system. Respondents rate their
all of those who attended class on the day of the study participated.
Three students did not provide complete data and thus were level of agreement with each of the items on a Likert-type scale
dropped from the analyses. The final sample included 186 women ranging from strongly disagree (1) to strongly agree (4). Test-
and 70 men, with a mean age of 21.81 years (SD = 4.15). Two retest reliability estimates for the SPS have ranged from .84 to .92,
hundred thirty-one students were White, 13 were Black, 8 were and interitem correlation coefficients have ranged from .85 to .92.
Asian, and 4 were classified as Other. Participants received extra In addition, the SPS has been found to correlate significantly with
course credit for their participation. actual interactional behaviors and with other self-report measures
Measures. The Self-Concealment Scale (SCS) was developed of social support (Cutrona & Russell, 1987). Although the SPS has
by Larson and Chastain (1990) to measure the "predisposition to six subscales that assess six different types of social support (e.g.,
actively conceal from others personal information that one per- reassurance of worth), previous analyses of the factor structure of
ceives as distressing or negative" (p. 440). Self-concealment is the SPS have indicated the existence of a strong second-order
related to, but conceptually and empirically distinct from, self- factor representing a global measure of social support. This overall
disclosure (Larson & Chastain, 1990). The SCS was correlated factor was found to account for 92% of the association among the
with self-report measures of anxiety, depression, and physical first-order factors corresponding to the six subscales (see Russell
symptoms (e.g., headaches and back pain). Importantly, these & Cutrona, 1991). As such, we used the overall scale as an
relationships remained after controlling for trauma experience and aggregate measure of social support. Participants' responses were
trauma disclosure (Larson & Chastain, 1990). The 10-item SCS summed to yield a score ranging from 24 to 96, with higher scores
asks respondents to rate their level of agreement with each state- denoting stronger social support.
ment on a 5-point scale ranging from strongly disagree (1) to The Beck Depression Inventory (BDI; Beck & Steer, 1987) is
strongly agree (5). The SCS is a reliable measure of self-conceal- composed of 21 items that assess the presence and severity of
ment, with test-retest (over 4 weeks) and interitem reliability depressive symptoms. The items tap cognitions, behaviors, affect,
estimates of .81 and .83, respectively (Larson & Chastain, 1990). interpersonal symptoms, and somatic complaints. Each item rep-
Responses to the 10 items were summed, yielding scores that could resents a symptom of depression, and respondents rate on a 4-point
range from 10 to 50, with higher scores indicating greater self- scale (from 0 to 3) how severe each symptom is for them. The BDI
concealment. has acceptable levels of reliability and validity (Cole & Milestead,
The Intentions to Seek Counseling Inventory is a list of 17 issues 1989).
college students commonly bring to counseling. This list was Procedure. Two male experimenters (psychology graduate
originally created by Cash, Begley, McCown, and Weise (1975) students) entered the class during its normal meeting time and
and is composed of the following: choosing a major, weight were introduced by the instructor, who then left the room. The
control, relationship difficulties, self-confidence problems, over- experimenters read a brief introduction to the research project and
use of alcohol, personal worries, difficulty in sleeping, concerns asked participants to sign an informed consent form. The experi-
about sexuality, procrastination with schoolwork, difficulty con- menters then distributed the questionnaire packets consisting of the
centrating, depression, fear of failure, improvement of self- Intentions to Seek Counseling Inventory, the SCS, the Fischer-
understanding, relaxation training, test anxiety, loneliness, and Turner scale, the SPS, and the BDI. The BDI was presented last in
drug problems (see Robertson & Fitzgerald, 1992). Cash et al. the packets because of the concern that it could elicit a depressed
(1975) found their measure to be sensitive to differential prefer- mood from some participants and affect their responses to the
ences for attractive and unattractive counselors among college other, more central dependent measures.
students. For each issue, participants were asked to rate, on a scale In reading the instructions, the experimenters stressed the vol-
ranging from very unlikely (1) to very likely (6), how likely they untary nature of the study and asked participants not to place their
42 ANITA E. KELLY AND JOHN A. ACHTER

names on the questionnaires. The participants took about 30 min to counseling for various problems than did participants who
complete the questionnaires. When the participants were finished, scored lower in self-concealment. This relationship existed
they were told about the purpose of the study and given the
even though high self-concealers had less favorable atti-
opportunity to ask questions.
tudes toward counseling than did low self-concealers. We
had predicted that high self-concealers would have weaker
Results social support and, therefore, would report a greater likeli-
hood of seeking counseling. However, results showed that
Descriptive data. Table 1 contains the means, standard
although social support was highly correlated with self-
deviations, and zero-order correlations among the variables
concealment (r = —.45), it was not a significant predictor of
included in the multiple regression analysis. Male students
intentions to seek counseling. Our results also showed that
received a score of 1 and female students received a score of
depression did not significantly predict intentions to seek
2 for the purposes of the analyses. Mean SCS scores for
counseling. Thus, self-concealment was a better predictor of
women (26.69) and men (25.31) in this sample were not
intentions to seek counseling than was either social support
significantly different (p > .10).
or depression.
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

Fischer-Turner scores. Estimates of how well the SCS,


Our findings indicate that high self-concealers represent
This document is copyrighted by the American Psychological Association or one of its allied publishers.

SPS, and BDI scores and participants' gender predicted


scores on the Fischer-Turner scale were generated with a an enigmatic group of individuals: They are more likely to
multiple regression analysis. Together, these four predictors seek counseling, but they are less likely to view the coun-
accounted for 14% of the variance on the Fischer-Turner seling process favorably than are low self-concealers. Given
measure. A significant unique predictive effect was ob- these findings, more research is needed to understand why
tained for scores on the SCS, standardized fi = -.32, high self-concealers have more negative attitudes toward
f(251) = -4.58,p < .0001. Participants who were higher in counseling. One possible explanation is that these individ-
self-concealment tended to have less favorable attitudes uals fear that counseling will require them to reveal their
toward seeking professional help than did those lower in innermost thoughts.
self-concealment. In addition, a significant predictive effect
was revealed for gender, standardized /3 = .23, f(251) = Study 2
3.93, p < .0001. Male participants tended to have less
favorable attitudes toward seeking help than did female We described the counseling process to high and low
participants. There were no significant effects for BDI and self-concealers in two ways: One description of counseling
SPS scores (ps > .05). emphasized the importance of disclosing very personal in-
Intentions to seek counseling. We next assessed how formation to the counselor, whereas the other description of
well all five of these variables predicted scores on the counseling made no mention of such disclosure. By manip-
Intentions to Seek Counseling Inventory using an additional ulating the way counseling was presented to participants, we
multiple regression analysis. Results revealed that these five expected to influence their attitudes toward counseling.
predictors accounted for 20% of the variance on the inten- Other researchers have used a similar methodology to in-
tions measure. Significant predictive effects were found fluence participants' perceptions of counseling and their
only for Fischer-Turner scores, standardized j3 = .40, willingness to see a counselor (e.g., Epperson & Lewis,
?(250) = 6.60, p < .0001, and for SCS scores, standardized 1987; Lewis, Davis, & Lesmeister, 1983).
j3 = .22, ?(250) = 3.04, p < .003. Although Fischer-Turner We hypothesized that there would be a significant inter-
scores and SCS scores were negatively correlated with each action between level of self-concealment and type of coun-
other, both were positively associated with intentions to seling description for attitudes toward counseling. Specifi-
seek counseling. cally, we predicted that although high self-concealers would
rate counseling less favorably than would low self-conceal-
Discussion ers in both counseling description conditions, the gap be-
tween their ratings would be significantly greater in the
As hypothesized, participants who scored higher in self- high-disclosure, as compared with the no-mention-of-dis-
concealment rated themselves as being more likely to seek closure, condition.

Table 1
Study 1: Intercorrelations, Means, and Standard Deviations
Variable 1 2 3 4 5 6 M SD
1. Intentions to
seek counseling — .14* .18* -.05 .16* .36* 46.04 17.11
2. Self-concealment .50* -.45* .07 -.27* 26.28 8.97
3. Depression — -.47* .06 -.05 8.10 7.47
4. Social support — .06 .16* 83.79 9.39
5. Gender — .22* 1.73 0.45
6. Attitudes toward
seeking help — 54.60 13.42
1
p < .05.
SELF-CONCEALMENT AND ATTITUDES 43

We also asked participants if they had ever seen a coun- tant that you share highly personal information with the coun-
selor before to assess whether high and low self-concealers selor—information that you might not normally share with
differed in their level of exposure to counseling. Given that anyone else.
Description B. Counseling is designed to help you with
high self-concealers reported greater intentions to seek
your problems. In order to help you, your counselor will use
counseling in Study 1, we predicted that more of the high whatever methods and techniques s/he feels are best suited to
self-concealers, as compared with the low self-concealers, your needs. It is important that you share with the counselor
would report having seen a counselor. your thoughts about what you want to achieve through
Finally, because of the relatively small number of men in counseling.
this sample, we were unable to assess the effects of gender
on attitudes toward counseling for Study 2. Both descriptions ended with identical paragraphs that provided a
general summary of the roles of the counselor and the client in
therapy sessions.
Method The two versions of the counseling description were randomly
distributed to students. The SCS and the manipulation were coun-
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Participants. One hundred sixty-seven students (119 women terbalanced so that half the subjects completed the SCS before they
This document is copyrighted by the American Psychological Association or one of its allied publishers.

and 48 men) from an introductory-level psychology course partic- read the manipulation, and half completed it after they read the
ipated in the study. Virtually all of those who attended class on the manipulation.
day of the study participated. Only those who scored in the top and In reading the instructions, Achter emphasized the voluntary
bottom quarters for this sample on the SCS (i.e., scored 35 or nature of the study and asked participants not to place their names
higher or scored 21 or lower, respectively) were included in the on the questionnaires. The students then read instructions that
analyses. This final sample was composed of 61 women and 22 indicated that they were going to be asked about their views of the
men, with a mean age of 22.54 years (SD = 4.72). Seventy seven counseling process. They were told that because a number of them
students were White, 4 were Black, and 1 was Asian (1 student did had not seen a counselor before, a brief description of counseling
not indicate race). They received extra course credit for their was being provided to them. They were asked to read the para-
participation. graphs carefully.
Measures. Participants were asked to rate on a 9-point scale, The participants took about 35 min to complete the question-
ranging from not at all (1) to a great deal (9), "How much does naires. When the participants finished, they were told about the
counseling require the client to disclose highly personal informa- purpose of the study and given the opportunity to ask questions.
tion to the counselor?" This manipulation check was included to
assess the effectiveness of the disclosure manipulation.
We used a thought-listing task adapted from the procedures Results
outlined by Cacioppo and Petty (1981) to assess participants'
favorability toward counseling. Participants were asked to list five Counseling exposure. Fifty-seven percent of the high
thoughts that occurred to them as they had read the counseling self-concealers reported having seen a counselor, whereas
descriptions. Later, two independent judges coded the valence of only 37% of the low self-concealers reported having seen a
the thoughts, rating them a 0 if they were negative, a 1 if they were counselor. A chi-square analysis showed that this difference
neutral/irrelevant, or a 2 if they were positive toward counseling. was significant (in the predicted direction) at the .10 alpha
We used the average ratings for participants' first three thoughts in
level, **(1, N= 83) = 3.52, p = .06, thus supporting the
the primary analyses, because many of the participants listed only
three thoughts. The intraclass correlation between judges' ratings idea that high self-concealers are more likely to seek coun-
was .66; thus, we averaged the two judges' ratings for the primary seling than are low self-concealers.
analyses. Possible scores for each participant ranged from 0 to 2. Manipulation check. A 2 (level of self-concealment) X
At the end of the survey, participants were asked, "Have you 2 (type of counseling description) between-subjects analysis
ever seen a counselor for either family, group, or individual of variance (ANOVA) was performed on the item, "How
counseling?" Participants answered yes or no to this item. much does counseling require the client to disclose highly
Procedure. John A. Achter read a brief introduction to the personal information to the counselor?" Results revealed a
research project and asked participants to sign an informed consent main effect for type of counseling description, F(l, 79) =
form. Achter then distributed the questionnaire packets consisting 4.77, p = .03. As expected, participants who read the high-
of the Intentions to Seek Counseling Inventory, the SCS, the
disclosure description indicated that counseling required
Fischer-Turner scale, the thought-listing task, and the manipula-
tion check. In addition, each packet contained a description of them to disclose more personal information (M = 7.64, on
counseling that either emphasized the importance of revealing a 9-point scale) than did participants who read the no-
personal information to the counselor (Description A) or that made mention-of-disclosure description (M = 6.77). This finding
no mention of revealing such information (Description B). The supported the effectiveness of the counseling description
descriptions were derived from the traditional counseling descrip- manipulation.
tion used by Epperson and Lewis (1987). Descriptions A and B Fischer-Turner scores. A 2 (level of self-conceal-
were identical in length and only differed in their second and third ment) X 2 (type of counseling description) between-sub-
sentences. For Description B, these two sentences merely repeated
jects ANOVA on the Fischer-Turner scores revealed a
information that was presented later in the description. The de-
scriptions began as follows: predicted two-way interaction that was significant at the .10
alpha level, F(l, 79) = 3.22, p = .08. Planned comparisons
Description A. Counseling is designed to help you with your showed that, among those who read the high-disclosure
problems. In order to help you, your counselor will need to description, high self-concealers were less favorable toward
know your innermost thoughts and feelings. It is very impor- counseling than were low self-concealers F(l, 79) = 10.09,
44 ANITA E. KELLY AND JOHN A. ACHTER

p = .002. In contrast, among those who read the no-men- pants listed. Both judges were unaware of participants' (a)
tion-of-disclosure description, there was no significant dif- own ratings of the valence of their thoughts and (b) level of
ference between high and low self-concealers' favorability self-concealment. Cohen's kappa on their ratings was .78,
toward counseling (p > .10, see Table 2 for means and and any discrepancies between the two judges' ratings were
standard deviations). In addition to the two-way interaction, resolved by Anita E. Kelly. The number of high and low
results revealed a significant main effect for level of self- self-concealers who listed thoughts in each of the 11 cate-
concealment, F(l, 79) = 7.72, p = .007. As expected, low gories is presented in Table 3. We conducted comparison of
self-concealers were more favorable toward counseling
proportions tests between high and low self-concealers for
(M = 57.73) than were high self-concealers (M = 49.38)
each category and found a significant difference between
across type of counseling description.
the two groups only for the category "listed lack of self-
Thought-listing responses. A 2 (level of self-conceal-
knowledge," z = 2.24, p < .05. More of the high self-
ment) X 2 (type of counseling description) between-sub-
concealers, as compared with the low self-concealers, listed
jects ANOVA on judges' ratings of the favorability toward
counseling of participants' thought-listing responses re- thoughts that fell into this category.
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

vealed a significant interaction between level of self-con-


This document is copyrighted by the American Psychological Association or one of its allied publishers.

cealment and type of description, F(l, 75) = 4.51, p = .04.


Planned comparisons showed that among those who read General Discussion
the high-disclosure description, high self-concealers were
less favorable toward counseling than were low self-con- Together, the findings from Studies 1 and 2 indicate that
cealers, F(l, 75) = 5.56, p = .02. In contrast, among those high self-concealers had less favorable attitudes toward
who read the no-mention-of-disclosure description, high counseling than did low self-concealers. However, the find-
and low self-concealers did not significantly differ in their ings from Study 1 also showed that high self-concealers
favorability toward counseling (p > .10; see Table 2 for reported being more likely to seek counseling than did low
means and standard deviations). self-concealers. In addition, Study 2 showed that more of
Intentions to seek counseling. A 2 (level of self-conceal- the high self-concealers, as compared with the low self-
ment) X 2 (type of counseling description) between-sub- concealers, reported having seen a counselor for family,
jects ANOVA on the Intentions to Seek Counseling Inven- group, or individual counseling.
tory scores revealed no significant two-way interaction, p >
Study 2 provided insight into why high self-concealers
.10. In addition, the analysis revealed no significant main
may be less favorable toward counseling. It demonstrated
effects, ps > .10.
that high self-concealers who read a description of counsel-
Content analyses. Content categories for the partici-
ing that emphasized the importance of client disclosure
pants' responses to the thought-listing task were created in
the following manner: Anita E. Kelly and a counseling were much less favorable toward counseling than were low
psychology graduate student independently read samples of self-concealers who read the same description. However,
participants' responses and then generated 19 initial cate- high self-concealers and low self-concealers who read a
gories through discussion. John A. Achter condensed those counseling description that deemphasized client disclosure
19 categories to 11 categories. These final categories were did not differ in their favorability toward counseling. This
mutually exclusive, and each participant could have listed result supports our hypothesis that one reason high self-
thoughts that fit into a maximum of five categories. concealers are more negative toward counseling than are
Anita E. Kelly and a counseling psychology graduate low self-concealers is that they fear that counseling will
study independently coded the types of thoughts partici- require them to reveal highly personal information.

Table 2
Study 2: Means and Standard Deviations for Fischer-Turner Scores, Thought-Listing
Scores, and Intentions to Seek Counseling
Self-concealment
High Low
Counseling
description n M SD n M SD
High disclosure 20 20
Fischer-Turner 45.60 16.06 59.70 13.57
Thought-Listing 0.72 0.51 1.12 0.58
Intentions 48.00 15.28 54.95 19.82
No mention of
disclosure 22 21
Fischer—Turner 52.82 14.20 55.86 12.11
Thought-Listing 1.06 0.60 0.95 0.43
Intentions 49.55 13.97 45.19 14.71
Note. Higher scores denote more favorable responses.
SELF-CONCEALMENT AND ATTITUDES 45

Table 3
Study 2: Number of High and Low Self-Concealers Who Listed Thoughts
in the 11 Categories
High self- Low self-
concealers concealers
Category (n = 41) (n = 38)
1. Expressed fears or concerns about the counseling process 26 19
2. Questioned helpfulness of counseling or credibility of
counselors 24 18
3. Listed lack of self-knowledge 16 5
4. Listed previous counseling experience or current desire
for counseling 12 8
5. Stated having no need or no time for counseling 5 2
6. Mentioned others' experiences in counseling 2 1
7. Listed benefits of counseling 10 12
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8. Described personal problems or personality


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characteristics 6 9
9. Listed thoughts of being counselors themselves 5 6
10. Commented on counselor's understanding, interest, or
style 5 6
11. Commented on the costs of counseling 3 5
' p < .05.

Limitations of This Research on the counseling process or outcome. The following ques-
tions are of interest in this area: Do high self-concealers
A central limitation of these studies was that we used behave as more resistant clients and talk less than other
self-report measures that are subject to the response sets of clients? Do high self-concealers tend to place most of the
individuals completing the forms. Although our behavioral treatment responsibility on the counselor and expect the
intention measure is likely to be a good predictor of actual counselor to do most of the talking? Do high self-concealers
behavior (see Fishbein & Azjen, 1975), future researchers elicit frustration or perhaps high activity levels from the
should include assessments of actual client behaviors. Fu- counselor? These questions could be addressed in a natu-
ture researchers should also attempt to replicate the ralistic setting involving clients who are prescreened for
present findings with samples of students from other uni- their tendency to self-conceal (using the SCS) and are
versities and include samples of individuals from a vari- assigned to counselors who remain unaware of clients' level
ety of cultural backgrounds. Because the participants in of self-concealment. Such a study would provide insight
the present samples were primarily White, we were un- into the role of self-concealment in the counseling process.
able to assess the potential interaction between clients'
cultural backgrounds and their levels of self-concealment
on perceptions of counseling.
References

Directions for Future Research Beck, A. T., & Steer, R. A. (1987). Beck Depression Inventory
manual. New York: The Psychological Corporation.
Given our finding that high self-concealers are more Berger, R. M. (1982). The unseen minority: Older gays and lesbi-
likely to seek counseling—but are less likely to view the ans. Social Work, 27, 236-242.
Berger, R. M., & Kelly, J. J. (1986). Working with homosexuals of
counseling process favorably—than are low self-concealers,
the older population. Social Casework, 67, 203-210.
the study of self-concealment as a client variable in future Cacioppo, J. T., & Petty, R. E. (1981). Social psychological pro-
counseling research could be very useful for clinicians. cedures for cognitive response assessment: The thought listing
Persons conducting such research could extend behavioral technique. In T. V. Merluzzi, C. Glass & M. Genest (Eds.),
intention findings to actual client behaviors by assessing Cognitive assessment (pp. 309-342). New York: Guilford Press.
whether high self-concealers seek counseling more fre- Cash, T. F , Begley, P. J., McCown, D. A., & Weise, B. C. (1975).
quently than do low self-concealers. Also, researchers could When counselors are heard but not seen: Initial impact of phys-
examine whether high self-concealers tend to have a greater ical attractiveness. Journal of Counseling Psychology, 22, 273-
premature termination rate in counseling than do low self- 279.
concealers. Cole, D. A., & Milestead, M. (1989). Behavioral correlates of
Another potential area of exploration is the relationship depression: Antecendents or consequences? Journal of Counsel-
ing Psychology, 36, 408-416.
between self-concealment and the counseling process. Al- Cutrona, C. E., & Russell, D. W. (1987). The provisions of social
though previous research has explored things left unsaid in relationships and adaptation to stress. Advances in Personal
therapy sessions (Regan & Hill, 1992) and the types of Relationships, 1, 37-67.
secrets client keep (Hill et al., 1993), no research has Epperson, D. L., & Lewis, K. N. (1987). Issues of informed entry
examined the effects of self-concealment as a client variable into counseling: Perception and preferences resulting from dif-
46 ANITA E. KELLY AND JOHN A. ACHTER

ferent types and amounts of pretherapy information. Journal of Pennebaker, J. W., Kiecolt-Glaser, J. K., & Glaser, R. (1988).
Counseling Psychology, 34, 266-275. Disclosure of traumas and immune function: Health implications
Evans, N. S. (1976). Mourning as a family secret. Journal of the for psychotherapy. Journal of Consulting and Clinical Psychol-
American Academy of Child Psychiatry, 15, 502-509. ogy, 56, 239-245.
Fischer, E. H., & Turner, J. L. (1970). Orientations to seeking Pennebaker, J. W., & O'Heeron, R. C. (1984). Confiding in others
professional help: Development and research utility of an atti- and illness rate among spouses of suicide and accidental-death
tude scale. Journal of Consulting and Clinical Psychology, 35, victims. Journal of Abnormal Psychology, 93, 473-476.
79-90. Pennebaker, J. W., & Susman, J. R. (1988). Disclosure of traumas
Fishbein, M., & Azjen, I. (1975). Belief, attitude, intention, and and psychosomatic processes. Social Science and Medicine, 26,
behavior. Reading, MA: Addison-Wesley. 327-332.
Hill, C. E., Thompson, B. J., Cogar, M. C, & Denman, D. W. Regan, A. M., & Hill, C. E. (1992). Investigation of what clients
(1993). Beneath the surface of long-term therapy: Therapist and and counselors do not say in brief therapy. Journal of Counsel-
client report of their own and each other's covert processes.
ing Psychology, 39, 168-174.
Journal of Counseling Psychology, 40, 278-287.
Robertson, J. M., & Fitzgerald, L. F. (1992). Overcoming the
Hoyt, M. F. (1978). Secrets in psychotherapy: Theoretical and
masculine mystique: Preferences for alternative forms of assis-
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

practical considerations. International Review of Psycho-Analy-


tance among men who avoid counseling. Journal of Counseling
This document is copyrighted by the American Psychological Association or one of its allied publishers.

sis, 5, 231-241.
Psychology, 39, 240-246.
Ichiyama, M. A., Colbert, D., Laramore, H., Heim, M., Carone, K.,
Schmidt, J. (1992, April). Self-concealment in college students: Russell, D. W., & Cutrona, C. E. (1991). Social support, stress,
The cost of "keeping secrets." Paper presented at the annual and depressive symptoms among the elderly: Test of a process
meeting of the Midwestern Psychological Association, Chicago, model. Psychology and Aging, 6, 190-201.
IL. Saffer, J. B., Sansone, P., & Gentry, J. (1979). The awesome
Larson, D. G., & Chastain, R. L. (1990). Self-concealment: Con- burden upon the child who must keep a family secret. Child
ceptualization, measurement, and health implications. Journal of Psychiatry and Human Development, 10, 35-40.
Social and Clinical Psychology, 9, 439-455. Strong, S. R. (1968). Counseling: An interpersonal influence pro-
Lewis, K. N., Davis, C. S., & Lesmeister, R. (1983). Pretherapy cess. Journal of Counseling Psychology, 15, 215-224.
information: An investigation of client responses. Journal of Strong, S. R., & Claiborn, C. D. (1982). Change through interac-
Counseling Psychology, 30, 108-112. tion: Social psychological processes of counseling and psycho-
Margolis, G. J. (1974). The psychology of keeping secrets. Inter- therapy. New York: Wiley.
national Review of Psycho-Analysis, 1, 291-296. Swanson, L., & Biaggio, M. K. (1985). Therapeutic perspectives
Pennebaker, J. W. (1985). Traumatic experience and psychoso- on father-daughter incest. American Journal of Psychiatry, 142,
matic disease: Exploring the roles of behavioral inhibition, ob- 667-67'4.
session, and confiding. Canadian Psychology, 26, 82-95. Szajnberg, N. (1988). The developmental continuum from secrecy
Pennebaker, J. W. (1988). Confiding traumatic experiences and to privacy in a psychodynamic milieu. Residential Treatment for
health. In S. Fisher & J. Reason (Eds.), Handbook of life stress, Children & Youth, 6, 9-28.
cognition and health (pp. 669-682). New York: Wiley. Tausk, V. (1933). On the origin of the "influencing machine" in
Pennebaker, J. W. (1989). Confession, inhibition, and disease. schizophrenia. Psychoanalysis Quarterly, 2, 519-556.
Advances in Experimental Social Psychology, 22, 211-244. Towbin, A. P. (1978). The confiding relationship: A new para-
Pennebaker, J. W., Barger, S. D., & Tiebout, J. (1989). Disclosure digm. Psychotherapy: Theory, Research and Practice, 15, 333-
of traumas and health among holocaust survivors. Psychoso- 343.
matic Medicine, 51, 577-589. Wright, T. L., Ingraham, L. J., Chemtob, H. J., & Perez-Arce, P.
Pennebaker, J. W., & Beall, S. K. (1986). Confronting a traumatic (1985). Satisfaction and things not said: Clinical tools for group
event: Toward an understanding of inhibition and disease. Jour- therapists. Small Group Behavior, 16, 565-572.
nal of Abnormal Psychology, 95, 274-281.
Pennebaker, J. W., Hughes, C. F., & O'Heeron, R. C. (1987). The
psychophysiology of confession: Linking inhibitory and psycho-
Received July 8, 1993
somatic processes. Journal of Personality and Social Psychol- Revision received February 7, 1994
ogy, 52, 781-793. Accepted February 8, 1994 •

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