“Doc, There's Something I Have To Tell You”: Patient Disclosure to Their Psychotherapist of Unprosecuted Murder and Other Violence

Opening up while locked down: Client disclosure in correctional settings

Incarcerated individuals experience mental health symptoms resulting from the stress of incarceration, as well as from prior histories of trauma. In addition, the growth of the prison population and the increase in sentence lengths have eroded conditions in correctional facilities, leading to increased stress, trauma, and other mental health issues. Psychologists can help incarcerated individuals address existing mental health issues, cope with the trauma of incarceration, and prepare for successful re-entry into society. However, the effectiveness of psychotherapy may be hampered by a number of factors that inhibit client disclosure in correctional settings. Based on interviews with forensic psychologists and an incarcerated patient, this paper explores the circumstances that prevent disclosure in correctional settings and proposes recommendations for psychologists to facilitate disclosure to improve therapeutic effectiveness.