Predicting Dropout From Psychotherapy In Campus Clinics

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Predicting Dropout from Psychotherapy in Campus Clinics

Author : Henry Xiao
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (943 download)

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Book Synopsis Predicting Dropout from Psychotherapy in Campus Clinics by : Henry Xiao

Download or read book Predicting Dropout from Psychotherapy in Campus Clinics written by Henry Xiao and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Premature termination, or dropout, from psychotherapy has been a pervasive problem for many decades. It can especially a problem at the university counseling center, where there is increased demand for a variety of psychotherapy services at campus centers which can be underfunded. At these centers, a dropout represents an opportunity cost with impacts at the client, therapist, and administrative level where it is most prohibitive. While several predictive factors for dropout have been identified from previous research studies, the current study aims to examine potential predictors using a very large (n=23,144 clients in the final presented model), representative data-set gathered through a practice research network, the Center for Collegiate Mental Health (CCMH), for an in-depth analysis of a specific treatment setting. Using multiple logistic regression, previously empirically validated variables are examined along with clinically derived variables specific to the college counseling demographic, and predictive models for dropout models are presented using these variables available at intake.

Prediction of Early Dropout from Psychotherapy at a Clinic Using a Verbal Content Analysis of the Patient's Ability to Form a Psychotherapeutic Relationship

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Author : Alisa Trugerman
Publisher :
ISBN 13 :
Total Pages : 218 pages
Book Rating : 4.:/5 (15 download)

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Book Synopsis Prediction of Early Dropout from Psychotherapy at a Clinic Using a Verbal Content Analysis of the Patient's Ability to Form a Psychotherapeutic Relationship by : Alisa Trugerman

Download or read book Prediction of Early Dropout from Psychotherapy at a Clinic Using a Verbal Content Analysis of the Patient's Ability to Form a Psychotherapeutic Relationship written by Alisa Trugerman and published by . This book was released on 1986 with total page 218 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Predicting Dropout in a Psychology Training Clinic

Author : Rita J. Anderson
Publisher :
ISBN 13 :
Total Pages : 236 pages
Book Rating : 4.:/5 (4 download)

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Book Synopsis Predicting Dropout in a Psychology Training Clinic by : Rita J. Anderson

Download or read book Predicting Dropout in a Psychology Training Clinic written by Rita J. Anderson and published by . This book was released on 1995 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Therapist-relevant Constructs Predicting Treatment Dropout

Author : Kristen Paige Howard
Publisher :
ISBN 13 :
Total Pages : 77 pages
Book Rating : 4.:/5 (13 download)

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Book Synopsis Therapist-relevant Constructs Predicting Treatment Dropout by : Kristen Paige Howard

Download or read book Therapist-relevant Constructs Predicting Treatment Dropout written by Kristen Paige Howard and published by . This book was released on 2017 with total page 77 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dropout from psychotherapy is an important issue in treatment provision and research. Therapist-related factors that serve to reduce this risk are essential to elucidate given the consequences of premature dropout. The therapeutic alliance is a commonly studied component of psychotherapy (Martin, Garske, & Davis, 2000) and may reduce the risk of dropout from treatment (Cooper et al., 2016; Principe, Marci, Glick, & Ablon, 2006; Tryon & Kane, 1995; Wnuk et al., 2013). Although less well-studied, validation and invalidation are also theorized to be important constructs in therapy outcomes (Linehan, 1997; Lynch, Chapman, Rosenthal, Kuo, & Linehan, 2006). However, these variables have received limited attention in regard to dropout research. I examined the relation between these therapist-relevant constructs (i.e., therapeutic alliance, validation, and invalidation) and dropout from treatment. Participants included clients in psychotherapy (n = 52; 79% female; 83% Caucasian) and therapists (n = 22; 68% female; 86% Caucasian) in three graduate training clinics. Clients, therapists, and outside observers rated therapist validation, invalidation, and the therapeutic alliance (alliance was only rated by clients and therapists) across four early sessions of therapy (i.e., sessions 3-7). Scores for each construct were averaged across the four sessions and examined as predictors of client dropout from treatment. Client ratings of therapist validation, invalidation, and the alliance all independently predicted dropout. Clients who reported a strong alliance and more therapist validation were less likely to dropout, while higher ratings of invalidation predicted a greater risk of dropout. Therapist and observer ratings of these constructs were unrelated to dropout. With regard to these therapist-relevant constructs, only the client’s view significantly predicted treatment dropout. Assessing and attending to client perceptions of alliance and validation/invalidation by the therapist early in treatment, through brief self-reports, can alert therapists to clients at greater risk and, thus, possibly prevent further dropout.

Predicting Psychotherapy Dropout

Author : Diane Duchon Young
Publisher :
ISBN 13 :
Total Pages : 140 pages
Book Rating : 4.:/5 (361 download)

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Book Synopsis Predicting Psychotherapy Dropout by : Diane Duchon Young

Download or read book Predicting Psychotherapy Dropout written by Diane Duchon Young and published by . This book was released on 1996 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Predicting Therapy Dropout and Its Relationship to the Working Alliance

Author : Cynthia P. Lucas
Publisher :
ISBN 13 :
Total Pages : 242 pages
Book Rating : 4.:/5 (478 download)

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Book Synopsis Predicting Therapy Dropout and Its Relationship to the Working Alliance by : Cynthia P. Lucas

Download or read book Predicting Therapy Dropout and Its Relationship to the Working Alliance written by Cynthia P. Lucas and published by . This book was released on 2000 with total page 242 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Factors Predicting Change and Dropout in Adult Psychotherapy

Author : Silke Elisabeth Newman
Publisher :
ISBN 13 :
Total Pages : 262 pages
Book Rating : 4.:/5 (544 download)

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Book Synopsis Factors Predicting Change and Dropout in Adult Psychotherapy by : Silke Elisabeth Newman

Download or read book Factors Predicting Change and Dropout in Adult Psychotherapy written by Silke Elisabeth Newman and published by . This book was released on 2003 with total page 262 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Predicting Psychotherapy Client Dropout from In-treatment Client-reported Outcome

Author : Jason Juijen Yu
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (779 download)

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Book Synopsis Predicting Psychotherapy Client Dropout from In-treatment Client-reported Outcome by : Jason Juijen Yu

Download or read book Predicting Psychotherapy Client Dropout from In-treatment Client-reported Outcome written by Jason Juijen Yu and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Treatment dropout is a pervasive phenomenon that can preclude clients from benefiting fully from psychotherapy. Research efforts to understand the phenomenon in the preceding decades yielded few consistent results. The investigation of intrinsic client and therapist factors gave way to the more recent exploration of dynamic therapeutic process factors potentially influencing the dropout process. The availability of periodic treatment outcome measurement instruments has helped client-focused research explore the effects of treatment response as a process factor on aspects of psychotherapy. As an added benefit, real-time treatment response measures, such as the Outcome Questionnaire, offer the possibility of timely adjustment in clinical intervention to meet evolving client needs and enhance therapeutic treatment. This present study primarily sought to explore the relationship between psychotherapy dropout and treatment response patterns in terms of clients' psychosocial well-being as measured by the Outcome Questionnaire. The results suggest that treatment response patterns alone may not effectively predict dropout probabilities. Even so, the measure's sub-component assessing the client's subjective experience of symptom distress is shown to be more accurate in predicting dropout than the composite Outcome Questionnaire measure or any other component scale. This finding conceivably highlights the relative importance of symptom distress in the dropout process for the sampled clients. Those clients reporting higher levels of symptom distress appeared to be associated with greater probabilities of dropout termination. Additionally, prior research has recognized a likely mediated relationship between higher client educational attainment and lower dropout probabilities - a trend also observed in this study's sampled population. As one of its expressed intents, this study examined educational attainment's moderating effect on the relationship between aspects of client treatment response and dropout probabilities. While showing educational attainment to be a relevant factor in assessing dropout risks, the analysis results indicate that this client characteristic variable's interactional effect on the evaluated treatment response pattern feature is weak and statistically nonsignificant. The present study contributes to the research literature through providing some clarification to the importance of treatment response in the prediction of psychotherapy client dropout.

Empathy Reconsidered

Author : Arthur C. Bohart
Publisher : Washington, DC : American Psychological Association
ISBN 13 : 9781557984104
Total Pages : 477 pages
Book Rating : 4.9/5 (841 download)

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Book Synopsis Empathy Reconsidered by : Arthur C. Bohart

Download or read book Empathy Reconsidered written by Arthur C. Bohart and published by Washington, DC : American Psychological Association. This book was released on 1997-01-01 with total page 477 pages. Available in PDF, EPUB and Kindle. Book excerpt: [This book is intended] for clinicians, theoreticians, and researchers. (PsycINFO Database Record (c) 2004 APA, all rights reserved).

Predicting Dropout of Depressed and Dysthymic Subjects from Therapy

Author : Alisha L. Wagner
Publisher :
ISBN 13 :
Total Pages : 240 pages
Book Rating : 4.:/5 (357 download)

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Book Synopsis Predicting Dropout of Depressed and Dysthymic Subjects from Therapy by : Alisha L. Wagner

Download or read book Predicting Dropout of Depressed and Dysthymic Subjects from Therapy written by Alisha L. Wagner and published by . This book was released on 1996 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Predicting Couple Therapy Dropouts in Veteran Administration Medical Centers

Author : Annie Hsueh
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (818 download)

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Book Synopsis Predicting Couple Therapy Dropouts in Veteran Administration Medical Centers by : Annie Hsueh

Download or read book Predicting Couple Therapy Dropouts in Veteran Administration Medical Centers written by Annie Hsueh and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The present study examined predictors of couple therapy dropout in the VA medical centers using six different dropout criteria. The most accurate dropout definitions included using a statistical modeling procedure to determine whether the client's rate of change at the final session was greater than average of change for all clients; clients who were still demonstrating gains greater than the average rate of change at the final session were considered to have terminated prematurely. A total of 177 couples (354 individuals) who sought therapy in the VA medical centers in Charleston, SC and San Diego, CA were examined. With a few exceptions, demographic variables generally did not predict dropout. A couple's relationship adjustment and response to conflict were significant predictors of dropout. The content of therapy sessions predicted dropout only when dropout was defined, at least in part, by client's rate of change at the final session, suggesting that such methods of defining premature termination are the most sensitive to the therapy process. Therapists' characteristics, including gender and level of experience, did not predict dropout across all six definitions of dropout.

Psychotherapy Dropout

Author : Jennie Sharf
Publisher :
ISBN 13 : 9780549236702
Total Pages : 190 pages
Book Rating : 4.2/5 (367 download)

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Book Synopsis Psychotherapy Dropout by : Jennie Sharf

Download or read book Psychotherapy Dropout written by Jennie Sharf and published by . This book was released on 2007 with total page 190 pages. Available in PDF, EPUB and Kindle. Book excerpt: The primary goal of this study was to provide an updated meta-analytic review of the psychotherapy dropout literature in a methodologically rigorous fashion. In addition to analyzing research that had not yet been included in a meta-analytical review of premature termination, this study analyzed variables that were not examined in the most recent meta-analysis of premature termination (Wierzbicki & Pekarik, 1993). The meta-analysis was conducted using 73 studies published from 1990 to 2006. Study descriptor variables and empirical findings were coded, and effect size was calculated using Cohen's d (Cohen, 1988). Data were analyzed according to Shadish and Haddock (1994) and Hedges and Olkin (1985). Moderator analyses were conducted to examine the potential impact of study descriptor variables according to Hedges (1994). Therapeutic alliance, treatment expectations, patient motivation, patient self-efficacy, patient hostility, and patient impulsivity were found to be moderately strong predictors of premature termination. Patient psychological variables (symptom severity and diagnosis), therapy and therapist variables (treatment length, treatment type, and therapist training), were less strongly related to premature termination, consistent with previous reviews of psychotherapy dropout literature. Simple patient demographic variables (age, gender, marital status, and level of education) were found to be weak predictors of premature termination. An additional analysis calculated a 35.26% average dropout rate across 110 studies; average dropout rate varied significantly according to country of study, study design, and primary diagnosis. The current study did not find that dropout rate varied as a function of dropout definition. Limitations of the present meta-analysis as well as directions for future research were discussed.

The Prediction of Psychotherapy Dropout Using Select Client Variables

Author : Ann Marie Saver
Publisher :
ISBN 13 :
Total Pages : 296 pages
Book Rating : 4.:/5 (156 download)

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Book Synopsis The Prediction of Psychotherapy Dropout Using Select Client Variables by : Ann Marie Saver

Download or read book The Prediction of Psychotherapy Dropout Using Select Client Variables written by Ann Marie Saver and published by . This book was released on 1986 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Predicting Therapy Dropout

Author : Brendali Reis
Publisher :
ISBN 13 :
Total Pages : 177 pages
Book Rating : 4.:/5 (392 download)

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Book Synopsis Predicting Therapy Dropout by : Brendali Reis

Download or read book Predicting Therapy Dropout written by Brendali Reis and published by . This book was released on 1997 with total page 177 pages. Available in PDF, EPUB and Kindle. Book excerpt:

When Clients Leave

Author : Jennifer A. Fray
Publisher :
ISBN 13 :
Total Pages : 138 pages
Book Rating : 4.:/5 (479 download)

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Book Synopsis When Clients Leave by : Jennifer A. Fray

Download or read book When Clients Leave written by Jennifer A. Fray and published by . This book was released on 2000 with total page 138 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Premature Termination in Psychotherapy

Author : Joshua K. Swift
Publisher : American Psychological Association (APA)
ISBN 13 : 9781433818011
Total Pages : 0 pages
Book Rating : 4.8/5 (18 download)

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Book Synopsis Premature Termination in Psychotherapy by : Joshua K. Swift

Download or read book Premature Termination in Psychotherapy written by Joshua K. Swift and published by American Psychological Association (APA). This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Premature termination is a significant yet often neglected problem in psychotherapy with significant consequences for clients and therapists alike. According to some estimates, as many as 20% of adult clients terminate psychotherapy prematurely. Even experienced practitioners using the best evidence-based techniques cannot successfully promote positive, long-term change in clients who do not complete the full course of treatment. This book helps therapists and clinical researchers identify the common factors that lead to premature termination, and it presents eight strategies to address these factors and reduce client dropout rates. Such evidence-based techniques will help therapists establish proper roles and behaviors, work with client preferences, educate clients on patterns of change, and plan for appropriate termination within the first few sessions. Additional strategies can be used throughout therapy to help strengthen and reinforce clients' feelings of hope, enhance their motivation to create change, develop and maintain the therapeutic alliance, and continually evaluate overall treatment progress. Case examples demonstrate how these strategies can be employed in real-life scenarios.

Short-term Psychoanalytic Psychotherapy for Adolescents with Depression

Author : Simon Cregeen
Publisher : Routledge
ISBN 13 : 0429919166
Total Pages : 239 pages
Book Rating : 4.4/5 (299 download)

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Book Synopsis Short-term Psychoanalytic Psychotherapy for Adolescents with Depression by : Simon Cregeen

Download or read book Short-term Psychoanalytic Psychotherapy for Adolescents with Depression written by Simon Cregeen and published by Routledge. This book was released on 2018-03-08 with total page 239 pages. Available in PDF, EPUB and Kindle. Book excerpt: Short-term Psychoanalytic Psychotherapy (STPP) is a manualised, time-limited model of psychoanalytic psychotherapy comprising twenty-eight weekly sessions for the adolescent patient and seven sessions for parents or carers, designed so that it can be delivered within a public mental health system, such as Child and Adolescent Mental Health Services in the UK. It has its origins in psychoanalytic theoretical principles, clinical experience, and empirical research suggesting that psychoanalytic treatment of this duration can be effective for a range of disorders, including depression, in children and young people. The manual explicitly focuses on the treatment of moderate to severe depression, both by detailing the psychoanalytic understanding of depression in young people and through careful consideration of clinical work with this group. It is the first treatment manual to describe psychoanalytic psychotherapy for adolescents with depression.