Therapist Attitudes and Premature Termination in Family and Individual Therapy

Shapiro, Rodney J.

doi:10.1097/00005053-197408000-00004

Cited by 42 publications

(37 citation statements)

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“…This is unfortunate since such fac tors may be more easily influenced in an attempt to reduce dropout than patient-specific factors such as social class, education, and the like. The empirical work that has been done suggests that the therapist's estimate of his abil ity to empathise with the patient, and his judgement of the patient's ability to form a therapeutic relationship is important for continuation in therapy [25], Shapiro [26] found that therapists' positive feelings towards patients and their positive prognoses for treatment were related to continuation, whereas ratings of psychopathology were not. Skill and experience of the therapist may also be important for continuation in therapy [ 18,27,28], as well as whether the therapist feels he likes the patient [29], A few studies have focused on the interaction of thera pist and patient factors.…”

Section: Introductionmentioning

confidence: 99%

Why Do Eating Disorder Patients Drop Out?

Clinton¹

1996

Psychother Psychosom

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Background: Dropout from psychotherapy is an important problem that has received little systematic attention. Although previous research suggests that the number of patients who drop out is considerable, it is not clear why they drop out or what might be done to limit the problem. The present study attempted to examine the role of the patient-therapist relationship as well as other variables for dropout among eating disorder patients. Methods: Eating disorder patients and their therapists were assessed on a measure of treatment expectations previously developed by the author: the former were also assessed on measures of psychiatric symptoms (Crown-Crisp Experiential Index) and eating disorder psychopathology (Eating Disorder Inventory), as well as relevant background and treatment variables. Patients were divided into those who had completed their course of treatment, and those who dropped out during assessment or treatment. Results: Lack of congruence between patients’ and therapists’ expectations of potential treatment interventions was associated with increased risk of dropout, whereas other patient-, therapist-and treatment-specific factors were not. In particular, dropouts had significantly greater expectations of being helped by insight-related interventions than their therapists. Conclusions: Dropout among eating disorder patients appears to be related to the patient-therapist relationship. It may be important for therapists to openly discuss patient expectations of treatment from the outset, and focus on particular areas of discrepancy to limit potential dropout.

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Section: Introductionmentioning

confidence: 99%

Why Do Eating Disorder Patients Drop Out?

Clinton¹

1996

Psychother Psychosom

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“…None of the demographic varialbles studied has been found to be consistently related to discontinuance of children in treatment. Far example, twa studies found diagnostic differences between completers and dropouts (Cohen & Richsrrdson, 1970;Ross & Lacey, 1961), whereas seven found no such differences (Beitchman & Dielrnan, 1983;Gaines & Stedman, 1981;Gould, Shaff'er, Q Kaplan, 1985;Levitt, 1957;Shapiro, 1974;Singh et al, 1982;Weisz et al, 1987). Three studias reported higher dropout rates in children from lower social classes (Beitchman & Dielman, 1983;Hunt, 1962;Lake & Levinger, 1960), but five studies found no association between social olass and continuanc~ (Cahen & Richardson, 1970;Gai~es & Stedman, 1981;Gould et al, 1985;Weisz: et al, 1987;Williams & Pollack, 1964).…”

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confidence: 99%

Adult and Child Client Differences in Therapy Dropout Research

Pekarik¹,

Stephenson²

1988

Journal of Clinical Child Psychology

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“…For example, a series of studies by Shapiro (1974), Shapiro and Budman (1973) and Waxenberg (1973) have indicated that it is 'Rogerian' characteristics of therapists (empathy, warmth and genuineness) that are important in keeping families in treatment beyond the first interview.…”

Section: Involving Children In Therapy-initial Tacticsmentioning

confidence: 99%