Effects of Interviewer's Impersonal and Personal Self-Disclosures on Somatic Symptom Verbalizations of Psychiatric Outpatients

A literature review indicated that psychopathological symptomology must be considered within the social context of the patient. Recent research has suggested that the psychopathological symptoms of the psychotic patient function on a covert level of communication as a strategy to control the threat of interpersonal intimacy. The present investigation similarly examined the interpersonal function of another class of patient symptomology, somatic symptoms. It was hypothesized that somatic symptom verbalizations of psychiatric outpatients also can serve as covert messages to avoid the risk of interpersonal intimacy. Results indicated that only the high-somatic-symptom patients significantly increased their symptom verbalizations in response to demand. When the interviewer modeled impersonal self-disclosures, both groups showed a low rate of somatic verbalizations. The groups did not differ. When the interviewer modeled personal self-disclosures, both patient groups significantly increased their psychological symptom verbalizations compared to their counterparts in the impersonal condition. In addition, low somatic symptom patients under the demand for personal disclosure showed significantly less avoidance behavior than any other group. No differences were found among the experimental groups in terms of self-disclosure level. The results clearly lend support to Haley's (1963) intimacy-avoidance corollary; that is, symptoms of non-psychotic patients function as covert messages that avoid the formation of intimate interpersonal relationships by redefining the reciprocal role available to participants. In view of these findings, several cross-study comparisons were made. In addition, directions for future research were suggested