ERIC Number: ED354458
Record Type: RIE
Publication Date: 1992
Client vs. Therapist Perceptions of Psychotherapy Dropout and Outcome.
Nichols, Kathie; Pekarik, Gene
Therapy dropout is a statistically significant problem. The causes and effects of the high dropout rate still are not known. In this study the therapists' and clients' opinions of the desirability of staying in treatment were compared. At treatment termination clients (N=176) and their therapists (N=22) independently identified clients' termination status. Measures used included the Brief Symptom Inventory; the Child Behavior Checklist; the Therapist Problem Rating; the Client Problem Rating; and Client Satisfaction Rating. Client termination reasons fell into these categories: problem improved; dislike of therapist/therapy; and environmental restraints or considerations. Outcome and satisfaction data were also gathered. There was substantial disagreement between the two (client and therapist) sets of termination classifications. While traditional outcome measures were little related to termination status, satisfaction was highly related to both client and therapist classifications and their interaction. Satisfaction was best explained as a joint function of both client and therapist classification. Results help to explain inconsistencies between client and therapist ratings of outcome. Future research would do well to try to identify client factors that are associated with satisfaction, the most robust measure employed in this study. (ABL)
Publication Type: Reports - Research; Speeches/Meeting Papers
Education Level: N/A
Authoring Institution: N/A
Note: Paper presented at the Annual Meeting of the Midwestern Psychological Association (64th, Chicago, IL, May 1992).