Predicting patient dropout in psychotherapy.

Beckham, Ernest Edward

doi:10.1037/0033-3204.29.2.177

Cited by 66 publications

(42 citation statements)

References 14 publications

(13 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Some clients who drop out of therapy have improved quickly and no longer perceive a need for therapy, whereas others have deteriorated and are dissatisfied with treatment (Garfield, 1994;Tehrani, Krussel, Borg, & Munk-Jorgensen, 1996). Moreover, weak therapeutic alliance is sometimes a predictor of client drop-out (Beckham, 1992), and a weak alliance itself can be an indicator or byproduct of failing therapy. As a consequence, studies that compare only therapy completers (using ''on treatment analyses'') in treatment versus no-treatment groups may underestimate the prevalence of harmful effects.…”

Section: Client Drop-outmentioning

confidence: 99%

Psychological Treatments That Cause Harm

Lilienfeld

2007

Perspect Psychol Sci

775

612

View full text Add to dashboard Cite

The phrase primum non nocere (“first, do no harm”) is a well-accepted credo of the medical and mental health professions. Although emerging data indicate that several psychological treatments may produce harm in significant numbers of individuals, psychologists have until recently paid little attention to the problem of hazardous treatments. I critically evaluate and update earlier conclusions regarding deterioration effects in psychotherapy, outline methodological obstacles standing in the way of identifying potentially harmful therapies (PHTs), provide a provisional list of PHTs, discuss the implications of PHTs for clinical science and practice, and delineate fruitful areas for further research on PHTs. A heightened emphasis on PHTs should narrow the scientist-practitioner gap and safeguard mental health consumers against harm. Moreover, the literature on PHTs may provide insight into underlying mechanisms of change that cut across many domains of psychotherapy. The field of psychology should prioritize its efforts toward identifying PHTs and place greater emphasis on potentially dangerous than on empirically supported therapies.

show abstract

Section: Client Drop-outmentioning

confidence: 99%

Psychological Treatments That Cause Harm

Lilienfeld

2007

Perspect Psychol Sci

775

612

View full text Add to dashboard Cite

show abstract

“…These are not as thoroughly studied but it is obvious that dropout and dissatisfaction should not be confused since these are different phenomena: dissatisfied patients may stay in therapy as well as satisfied patients may drop out (Beckham, 1992;Garfield, 1963;Lambert, 2004;Pollak, Mordecai, & Gumpert, 1992). Satisfied and symptom relieved patients experience emotional and relational improvement, enhanced self-understanding and compensatory skills, as well as an overall feeling of life and one's life patterns being more meaningful (Binder, Holgersen & Nielsen, 2009;Connolly Gibbons, M.B., Crits-Cristoph, Barber, Wiltzey Stirman, Gallop, Goldstein, Temes, & Ring-Kurtz, 2009).…”

Section: Johanna Roosmentioning

confidence: 99%

Left behind: A review of therapist and process variables influencing dropout from individual psychotherapy

Roos¹

2011

PsycEXTRA Dataset

View full text Add to dashboard Cite

“…Die von Frayn untersuchten Abbrecher wiesen geringere Introspektion, Frustrationstoleranz, Motivation, Impulskontrolle und ungünstigere Lebensumstände auf; die Therapeuten berichteten von negativerer Gegenübertragung. Beckham [29] zeigte, dass versäumte (ebenso [16]) oder abgesagte Sitzungen in der frühen Behandlungsphase einen Therapieabbruch am ehesten vorhersehen lassen. Abbrüche fänden auch während oder unmittelbar nach Ferien des Therapeuten statt, wenn der Patient lieber selbst verlässt als verlassen zu werden [27].…”

Section: Premature Termination ± a Multifactorial Phenomenonunclassified

“…Entsprechend fand Luborsky [38], dass eine starke ¹help-ing allianceª in der dritten Therapiesitzung einen günstigen Therapieerfolg vorauszusagen vermag. Laut Beckham [29] trü-gen seitens der Therapeuten Distanz zum Patienten, Mangel an Unterstützung und zuweilen der unreflektierte Ausdruck von Gegenübertragungsgefühlen zum Abbruch bei. Dehe et al [39] beschreiben ebenfalls das Agieren von Gegenübertragung als Ursache von Abbrüchen.…”

Section: Premature Termination ± a Multifactorial Phenomenonunclassified

Der Behandlungsabbruch - ein multifaktorielles Geschehen

Junkert-Tress

Tress²,

Hildenbrand³

et al. 2000

Psychother Psychosom Med Psychol

View full text Add to dashboard Cite

Twelve drop out cases in psychodynamic short term therapies according to the focus of cyclic maladaptive pattern by Strupp and Binder (CMP 1984) are reviewed regarding initial diagnostics, tape-recorded therapy sessions, and supervision records. Predictors of premature termination of therapy such as initially rated patients' therapy motivation, narcissistic personality traits, but also characteristics of interpersonal behavior of both patient and therapist are examined and discussed. Particularly important are the therapeutic alliance and narcissistic patients' difficulties to relate personally to their therapists instead of enacting projective dynamics of idealization and devaluation. Therapists frequently tend to respond to them by subconscious display of hostile countertransference. Four patterns of dynamics of therapy drop outs are described.

show abstract

Predicting patient dropout in psychotherapy.

Cited by 66 publications

References 14 publications

Psychological Treatments That Cause Harm

Psychological Treatments That Cause Harm

Left behind: A review of therapist and process variables influencing dropout from individual psychotherapy

Der Behandlungsabbruch - ein multifaktorielles Geschehen

Contact Info

Product

Resources

About