The beginning of the end: A comparison of treatment completers and early dropouts in trainee-provided time-limited Cognitive Behavioral Therapy.

IF 1.6 Q3 PSYCHOLOGY, APPLIED Counselling Psychology Quarterly Pub Date : 2022-01-01 Epub Date: 2021-11-11 DOI:10.1080/09515070.2021.1997916
Adelya A Urmanche, Lauren M Lipner, Sarah Bloch-Elkouby, Elaine Hunter, Jerzy Kaufmann, Jonathan T Warren, Gregory T Weil, Catherine F Eubanks, J Christopher Muran
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Abstract

About one in five clients drops out of treatment prematurely. Premature termination has been found to correlate with patient, therapist, and treatment factors, as well as complex interpersonal processes, including ruptures in the therapeutic alliance. This study examines the therapeutic alliance using a qualitative approach to patient-, therapist-, and observer-based data. The sample includes five trainee therapists, each of whom worked with one patient who terminated after the first or second session, and one who completed a cognitive-behavioral therapy protocol. The session(s) preceding premature termination in the drop case and the corresponding session(s) in the completer case were examined. Rupture resolution process was prevalent in both groups, though confrontation ruptures seemed more prevalent with completers and withdrawal ruptures were more clinically impactful with dropouts. Therapist awareness of process and responsiveness or contribution to rupture were identified as potential factors contributing to patient retention.

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结束的开始:在受训者提供的限时认知行为疗法中,治疗完成者与早期辍学者的比较。
大约有五分之一的患者会提前结束治疗。研究发现,过早终止治疗与患者、治疗师和治疗因素以及复杂的人际交往过程有关,其中包括治疗联盟的破裂。本研究采用定性方法,以患者、治疗师和观察者的数据为基础,对治疗联盟进行了研究。样本包括五名见习治疗师,他们分别与一名在第一次或第二次治疗后终止治疗的患者和一名完成认知行为治疗方案的患者合作。研究人员对辍学病例中提前终止治疗前的治疗过程和完成治疗病例中的相应治疗过程进行了研究。两组案例中都普遍存在破裂解决过程,但在完成案例中,对抗破裂似乎更普遍,而在辍学案例中,退缩破裂对临床影响更大。治疗师对过程的认识以及对破裂的反应或贡献被认为是导致患者保留的潜在因素。
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来源期刊
Counselling Psychology Quarterly
Counselling Psychology Quarterly PSYCHOLOGY, APPLIED-
CiteScore
6.20
自引率
6.70%
发文量
30
期刊介绍: Counselling Psychology Quarterly is an international interdisciplinary journal, reporting on practice, research and theory. The journal is particularly keen to encourage and publish papers which will be of immediate practical relevance to counselling, clinical, occupational, health and medical psychologists throughout the world. Original, independently refereed contributions will be included on practice, research and theory - and especially articles which integrate these three areas - from whatever methodological or theoretical standpoint. The journal will also include international peer review commentaries on major issues.
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