PATIENT AND THERAPIST VALUES RELATED TO DROPOUT.
Item
-
Title
-
PATIENT AND THERAPIST VALUES RELATED TO DROPOUT.
-
Identifier
-
AAI8601663
-
identifier
-
8601663
-
Creator
-
KAUFMAN, STEVEN E.
-
Contributor
-
Harold Wilensky
-
Date
-
1985
-
Language
-
English
-
Publisher
-
City University of New York.
-
Subject
-
Psychology, General
-
Abstract
-
Prior research has pointed to the relationship between client's dropping out of therapy and several variables. This study investigated the effects that status of patient and therapist values had on the process of dropping out.;It was hypothesized that long term commitment would be facilitated by presence of certain personal values in patients and therapists. Secondarily, other factors related to dropping out, such as, ethnicity, age, sex, educational level, marital status, religion and diagnosis, were explored.;Sixty nine patients applying for outpatient individual psychotherapy at two mental health outpatient clinics were included in the sample. After intake interview, and before the first therapy appointment, measures tapping patient personal values, self concepts, and symptoms, were administered to the patients. Therapist values, self concepts, and theoretical orientations were measured twice over a one year period.;Patient values, self concept and level of initial disturbance were measured by the Survey of Interpersonal Values (SIV), Survey of Personal Values (SPV), Symlog Value scale, The Semantic Differential (SD) and the Psychotherapy Problem Checklist (PPC). Therapists' (N = 36) values, self concepts and theoretical orientation were measured by the Survey of Interpersonal Values (SIV), the Survey of Personal Values (SPV), the Symlog scale and the Therapist Orientation Questionaire (TOQ).;Terminating patients (N = 46) were distinguished from remainers (N = 23) according to the number of sessions attended. Measures of difference were calculated within patient and therapist groups and for each patient and therapist dyad.;The results supported the hypotheses that terminated relationships are characterized by certain patient values (patient dominance, goal orientation, achievement, and decisiveness), certain therapist values, (opposition to task oriented behavior) and the interaction between patient and therapist values. Therapist orientation did not change on the two TOQ administrations during the year.;The findings suggested that premature termination could be reduced by the therapist's active pursuit of an accurate and honest exploration of values with their patients, and/or by identifying patients and therapists in order to produce productive dyads. The SPV, SIV, Symlog and TOQ scales provided a basis for identifying high and low risk therapy dyads.
-
Type
-
dissertation
-
Source
-
PQT Legacy CUNY.xlsx
-
degree
-
Ph.D.
-
Program
-
Psychology
