This study investigated differences in extent and patterns of disclosure in
psychotherapy between American (n = 164) and Israeli (n = 45) patients. Pa
rticipants completed the Disclosure to Therapist Inventory-R, an 80-item me
asure that uses a rating scale to assess the extent to which psychotherapy
patients have discussed each of 80 moderately to highly intimate topics wit
h their most recent therapist. Analysis yielded no significant difference b
etween groups in overall disclosure and high overlap in the topics most and
least discussed. Both groups frequently discussed aspects of their persona
lities they disliked, feelings of desperation or depression, and feelings o
f rage or anger towards parents. Findings suggest universal concerns may ou
tweigh the cultural context in which therapy occurs.