Persistent Link:
http://hdl.handle.net/10150/185524
Title:
Negative outcome and attrition in psychotherapy.
Author:
Mohr, David Curtis.
Issue Date:
1991
Publisher:
The University of Arizona.
Rights:
Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
Abstract:
Although the rate of negative outcome in psychotherapy is around 10%, there are virtually no studies that examine the phenomenon empirically using objective data. This study attempted to identify patients who would drop out of or remain in therapy using pretreatment subjective distress variables and pretreatment interpersonal functioning. Of those who remained, this study then distinguished among positive responders, negative responders, and nonresponders. Subjective distress was linearly related to outcome such that patients with higher levels of subjective distress improved while patients with lower levels deteriorated. Interpersonal functioning was curvilinearly related to outcome such that higher levels of difficulty were associated with positive and negative responders while lower levels were associated with non-responders. There was also an interaction between coping style and type of treatment such that more directive treatments were more effective with patients exhibiting externalizing coping styles than with patients exhibiting internalizing coping styles. The reverse was true for non-directive therapies.
Type:
text; Dissertation-Reproduction (electronic)
Keywords:
Dissertations, Academic; Clinical psychology.
Degree Name:
Ph.D.
Degree Level:
doctoral
Degree Program:
Psychology; Graduate College
Degree Grantor:
University of Arizona
Advisor:
Beutler, Larry E.

Full metadata record

DC FieldValue Language
dc.language.isoenen_US
dc.titleNegative outcome and attrition in psychotherapy.en_US
dc.creatorMohr, David Curtis.en_US
dc.contributor.authorMohr, David Curtis.en_US
dc.date.issued1991en_US
dc.publisherThe University of Arizona.en_US
dc.rightsCopyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.en_US
dc.description.abstractAlthough the rate of negative outcome in psychotherapy is around 10%, there are virtually no studies that examine the phenomenon empirically using objective data. This study attempted to identify patients who would drop out of or remain in therapy using pretreatment subjective distress variables and pretreatment interpersonal functioning. Of those who remained, this study then distinguished among positive responders, negative responders, and nonresponders. Subjective distress was linearly related to outcome such that patients with higher levels of subjective distress improved while patients with lower levels deteriorated. Interpersonal functioning was curvilinearly related to outcome such that higher levels of difficulty were associated with positive and negative responders while lower levels were associated with non-responders. There was also an interaction between coping style and type of treatment such that more directive treatments were more effective with patients exhibiting externalizing coping styles than with patients exhibiting internalizing coping styles. The reverse was true for non-directive therapies.en_US
dc.typetexten_US
dc.typeDissertation-Reproduction (electronic)en_US
dc.subjectDissertations, Academicen_US
dc.subjectClinical psychology.en_US
thesis.degree.namePh.D.en_US
thesis.degree.leveldoctoralen_US
thesis.degree.disciplinePsychologyen_US
thesis.degree.disciplineGraduate Collegeen_US
thesis.degree.grantorUniversity of Arizonaen_US
dc.contributor.advisorBeutler, Larry E.en_US
dc.contributor.committeememberShoham-Salomon, Vardaen_US
dc.contributor.committeememberBootzin, Richard R.en_US
dc.contributor.committeememberKaszniak, Alfred W.en_US
dc.contributor.committeememberYost, Elizabeth B.en_US
dc.identifier.proquest9136855en_US
dc.identifier.oclc711689266en_US
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