“…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).…”