Scored content of transcriptions of recordings of initial interviews with 70 patients at a psychiatric outpatient clinic was used to predict whether a patient would come back for at least 3 more interviews if offered treatment. Each sentence unit or 5 sec. of silence was assigned a rating of + (favorable to continuation), or -(unfavorable), or 0 (irrelevant). Excess of plus over minus units predicted continuation; excess of minus over plus units predicted dropping out. Coefficients of reliability of ratings by 3 pairs of scores were significant at .001. Individual scorers predicted correctly 73%, 81%, and 80% of cases; averages of paired scorers predicted 81% correctly; averages including scores of mediator predicted 83% correctly.
Comparison of scored content of first quarter with terminal quarter of 13 recorded psychotherapy sessions established significant differences between amounts of patient's sentence units relating to sex and evaluation of self. These content changes persisted in a follow-up interview, were classified as adaptive and were in the therapist's objectively determined goal areas.
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