What is the sequential model of disclosure?


Parents of children who are infected or affected by an HIV/AIDS diagnosis may experience the sequential model of disclosure. The sequence of disclosure begins with an initial secrecy phase during which parents struggle with their acceptance of the illness and their wish to deny the illnesses implications. Instead of disclosing any knowledge of their illness, the individual may look for reassurance from medical providers and counselors that their diagnosis is confidential. The next phase is an exploratory phase, in which the individual is ambivalent about disclosing their diagnosis. As the individual begins to let his or her guard down, they may make tentative attempts to name the diagnosis or disease through euphemisms. Some admit to just being “sick” or report an illness that is associated with HIV. The final stage is a readiness phase, in which the individual begins to “rehearse” the possible disclosure of the illness.


Murphy(2004) “Life Care Planning for the Child with HIV/AIDS.” In S. Riddick- Grisham (Ed.) Pediatric Life Care Planning and Case Management. (p.609-625). Boca Raton, FL: CRC Press.

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