Hildebrand, Anna;
(2019)
Supporting mental health professionals in making decisions about disclosure of lived experience: Acceptability and preliminary outcomes of a guided self-help intervention.
Doctoral thesis (D.Clin.Psy), UCL (University College London).
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Abstract
Overview: People with concealable stigmatised identities, such as those who experience mental health problems, LGBTQ+ individuals, and people with certain infections or chronic diseases, are regularly faced with the decision of whether or not to disclose to others around them, as disclosure can have both positive and negative outcomes. Research suggests that this decision is also one faced by many mental health professionals, who are often reluctant to disclose their own lived experience of mental health problems within their professional circle and workplace. Reluctance to disclose has been associated with fear of negative consequences, shame and stigma. Whilst the impact of stigma on disclosure has been explored in the literature, it has been less clear what the evidence suggests with regards to the effects of disclosure on self-stigma. The purpose of this thesis was to gain a better understanding of the effects of disclosure on self-stigma, and to develop an intervention to support mental health professionals with lived experience in carefully weighing up disclosure decisions. This volume is comprised of three parts. Part one is a literature review which set out to explore the literature on the impact of disclosure on self-stigma in people with a concealable stigmatised identity (people living with human immunodeficiency virus [HIV]). Part two consists of an empirical paper of a study which aimed to: a) adapt an existing group intervention into a guided self-help intervention for mental health professionals with lived experience to support them in making disclosure-related decisions in ways that are personally meaningful, and b) to evaluate the acceptability and preliminary outcomes of the adapted intervention. Part three presents a critical appraisal of the research process, including personal reflections and an exploration of challenges that arose, and expands upon the discussion in the empirical paper in terms of study limitations and implications. This was a joint project with Harriet Mills (see Appendix A).
| Type: | Thesis (Doctoral) |
|---|---|
| Qualification: | D.Clin.Psy |
| Title: | Supporting mental health professionals in making decisions about disclosure of lived experience: Acceptability and preliminary outcomes of a guided self-help intervention. |
| Event: | UCL (University College London) |
| Open access status: | An open access version is available from UCL Discovery |
| Language: | English |
| Additional information: | Copyright © The Author 2019. Original content in this thesis is licensed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0) Licence (https://creativecommons.org/licenses/by/4.0/). Any third-party copyright material present remains the property of its respective owner(s) and is licensed under its existing terms. Access may initially be restricted at the author’s request. |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10069607 |
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