“…It is a unilateral client decision to withdraw prior to reaching therapeutic goals (Allgood, Parham, Salts, & Smith, p. 195, 1995;Rainer & Campbell, p. 19, 2001;Smith, Subich, & Kolander, 1995). Other terms used in the literature to identify this form of termination are unilateral termination, discontinuing, drop out (Prochaska & DiClemente, 1994;Pekarik, 1992b;Wierzbicki & Pekarik, 1993;Rainer & Campbell, p. 19, 2001), unplanned terminations, premature termination (Allgood, Parham, Salts, & Smith, 1995), and attrition (Mennicke, Lent, & Burgoyne, 1988;Hunt & Andrews, 1992). A problem encountered in making sense of the literature is a lack of consensus or consistency on an operational definition of any of the preceding terms (Pekarik, p. 86, 1985a).…”