We thank Auster for sharing his experience of medical students relying too much on self-disclosure early in learning interviewing skills. Regarding his belief that physician self-disclosure (MD-SD) can be useful to the patient when the physician and patient share military experience, ours was a study of adult patients in a primary care community setting. We cannot say whether MD-SD can be helpful in other contexts, such as the military, pregnancy, or parenting, to mention other examples. These situations remain to be studied.
McDaniel SH, Morse D, Epstein R, Beckman H, Seaburn DB, Silberman J. The Nuances of Self-disclosure—Reply. Arch Intern Med. 2008;168(2):243-244. doi:10.1001/archinternmed.2007.86