If you do sin, you will be tempted to lie about it. . . . We must learn to confess specific sins specifically. Don’t hover in generalities: “I’m struggling” or “I had a rough few days” or “I’ve been tempted recently.” Those are good introductions to the conversation; they’re not the substance.Garrett Kell in Pure in Heart: Sexual Sin and the Promises of God
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Who do you need to confess to. Is confession to God enough, or do you need to confess to people?
Here he is talking about accountability i.e. confession to people. A lot of people “skate around” it to avoid disclosing specifics. He’s saying be specific so accountability can work.
James 5:16–Not exactly sure what it means but a good starting point to answer your question