Client and therapist views of contextual factors related to termination from psychotherapy: a comparison between unilateral and mutual terminators.

Westmacott, R ; Hunsley, J ; et al.

In: Psychotherapy research : journal of the Society for Psychotherapy Research, Jg. 20 (2010-07-01), Heft 4, S. 423-35

academicJournal

Contextual variables potentially influencing premature termination were examined. Clients (n=83) and therapists (n=35) provided parallel data on early working alliance, psychotherapy termination decision (unilateral vs. mutual), clients' reasons for termination, and barriers to treatment participation. When clients unilaterally ended therapy, therapists were only partially aware of either the extent of clients' perceived improvements or their dissatisfaction. When termination was mutually determined, there were no differences between client and therapist ratings of termination reasons. Although working alliance and barriers to treatment participation were rated as lower in the context of unilateral termination by clients and therapists, all clients rated the early alliance and barriers to treatment more highly than did therapists. Results have implications for understanding premature termination and suggest future research examining the utility of therapist feedback regarding contextual variables in terms of retaining clients in therapy.

Titel:	Client and therapist views of contextual factors related to termination from psychotherapy: a comparison between unilateral and mutual terminators.
Autor/in / Beteiligte Person:	Westmacott, R ; Hunsley, J ; Best, M ; Rumstein-McKean, O ; Schindler, D
Zeitschrift:	Psychotherapy research : journal of the Society for Psychotherapy Research, Jg. 20 (2010-07-01), Heft 4, S. 423-35
Veröffentlichung:	2005- : London : Routledge ; <i>Original Publication</i>: New York, NY, USA : Guilford Publications, [1991-, 2010
Medientyp:	academicJournal
ISSN:	1468-4381 (electronic)
DOI:	10.1080/10503301003645796
Schlagwort:	Adolescent Adult Checklist Female Humans Male Middle Aged Models, Psychological Patient Compliance psychology Patient Satisfaction Psychological Tests Psychotherapeutic Processes Treatment Outcome Young Adult Professional-Patient Relations Psychotherapy
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Comparative Study; Journal Article Language: English [Psychother Res] 2010 Jul; Vol. 20 (4), pp. 423-35. MeSH Terms: Professional-Patient Relations* ; Psychotherapy* ; Adolescent ; Adult ; Checklist ; Female ; Humans ; Male ; Middle Aged ; Models, Psychological ; Patient Compliance / psychology ; Patient Satisfaction ; Psychological Tests ; Psychotherapeutic Processes ; Treatment Outcome ; Young Adult References: Community Ment Health J. 1987 Summer;23(2):120-30. (PMID: 3652664) ; J Clin Psychol. 1976 Apr;32(2):373-8. (PMID: 1262504) ; Psychol Psychother. 2006 Dec;79(Pt 4):529-38. (PMID: 17312869) ; J Clin Psychol. 2003 Jan;59(1):133-47. (PMID: 12508337) ; Psychotherapy (Chic). 2008 Jun 1;45(2):247-267. (PMID: 19838318) ; Psychol Assess. 2003 Jun;15(2):193-7. (PMID: 12847779) ; Assessment. 2000 Jun;7(2):103-11. (PMID: 10868247) ; Arch Gen Psychiatry. 1976 Jun;33(6):766-71. (PMID: 938196) ; J Clin Psychol. 2002 Sep;58(9):1173-81. (PMID: 12209872) ; Ment Health Serv Res. 2000 Mar;2(1):27-40. (PMID: 11254067) ; J Psychother Pract Res. 2000 Winter;9(1):39-53. (PMID: 10608908) ; Community Ment Health J. 2008 Jun;44(3):181-6. (PMID: 18074228) ; J Am Acad Child Adolesc Psychiatry. 1994 May;33(4):549-57. (PMID: 8005908) ; J Consult Clin Psychol. 1986 Dec;54(6):784-8. (PMID: 3794022) ; Psychol Bull. 1982 Mar;91(2):244-59. (PMID: 7071260) ; J Consult Clin Psychol. 1976 Aug;44(4):546-55. (PMID: 939838) ; J Psychother Pract Res. 2001 Fall;10(4):205-16. (PMID: 11696646) ; Psychotherapy (Chic). 2007 Jun;44(2):193-204. (PMID: 22122210) ; Community Ment Health J. 2002 Jun;38(3):213-21. (PMID: 12046675) ; J Consult Clin Psychol. 1994 Jun;62(3):645-50. (PMID: 8063993) ; J Child Psychol Psychiatry. 1997 Nov;38(8):1051-62. (PMID: 9413802) ; Harv Rev Psychiatry. 2005 Mar-Apr;13(2):57-70. (PMID: 16020021) ; Behav Modif. 1999 Jan;23(1):129-51. (PMID: 9926524) ; J Pers Assess. 2004 Dec;83(3):332-44. (PMID: 15548469) ; J Pers Assess. 1997 Aug;69(1):127-44. (PMID: 9306685) ; Psychopharmacol Bull. 1973 Jan;9(1):13-28. (PMID: 4682398) ; Psychotherapy (Chic). 2009 Sep;46(3):328-35. (PMID: 22122724) ; J Clin Psychol. 1992 Jan;48(1):91-8. (PMID: 1556222) ; J Clin Psychol. 2007 Jun;63(6):585-92. (PMID: 17457848) ; Eval Program Plann. 1983;6(3-4):299-313. (PMID: 10267258) ; J Clin Psychol. 1983 Nov;39(6):909-13. (PMID: 6662942) ; Eval Program Plann. 1986;9(1):25-30. (PMID: 10277465) Entry Date(s): Date Created: 20100619 Date Completed: 20110714 Latest Revision: 20220318 Update Code: 20231215 PubMed Central ID: PMC2924572

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