PATIENT-THERAPIST MISMATCHING ON LOCUS OF CONTROL AND ITS EFFECT ON TREATMENT REJECTION BY LOWER SOCIO-ECONOMIC, MINORITY PATIENTS.
Item
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Title
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PATIENT-THERAPIST MISMATCHING ON LOCUS OF CONTROL AND ITS EFFECT ON TREATMENT REJECTION BY LOWER SOCIO-ECONOMIC, MINORITY PATIENTS.
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Identifier
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AAI8501132
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identifier
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8501132
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Creator
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GONG, VINCENT WAH.
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Contributor
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A. J. Franklin
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Date
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1984
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Language
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English
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Publisher
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City University of New York.
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Subject
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Psychology, Clinical
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Abstract
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The present study investigated the effects of patient-therapist locus of control mismatching on treatment rejection by lower socio-economic, minority patients. It was hypothesized that patients who reject treatment following the intake process have dissimilar locus of control scores from their therapists. The perceived quality of the interview relationship was also examined in relation to patient-therapist locus of control matching/mismatching and to treatment rejection. In addition, other factors related to treatment rejection, such as sex, ethnicity, and social class of therapists and patients were investigated.;Forty-four patient-therapist pairs at a university psychological center were included in the sample. Seventy-five percent of the patient sample and fifty-two percent of the therapist sample were minority group members.;The Rotter I-E Control Scale (1966) was administered to both the therapist and the patient before the first intake interview. Following the intake process, the Weibe-Pierce version of the Barrett-Lennard Relationship Inventory was administered to both therapists and patients to evaluate the perceived quality of the intake relationship.;An analysis of the data revealed that patient-therapist locus of control mismatching was not significantly related to treatment rejection. There was also no significant relationship between the perceived quality of the intake relationship and locus of control mismatching or treatment rejection. In addition, unlike previous locus of control studies, the data indicated that external patients do not reject treatment significantly more often than internal patients, nor do internal therapists lose more minority patients. Further analysis revealed several significant correlations among those patient-therapist pairs where the patient accepted treatment. Therapist sex and patient-therapist sex matching were significantly correlated with the patient's evaluation of the interview relationship.;The results are reviewed in light of difficulties typical to clinic-based research. These include: (a) clinic/therapist resistance to research; (b) limitations in research procedure; (c) sample characteristics; and (d) relative inexperience of the therapists.
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Type
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dissertation
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Source
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PQT Legacy CUNY.xlsx
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degree
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Ph.D.
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Program
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Psychology
