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Therapist and relationship factors influencing dropout from individual psychotherapy: A literature review
Stockholm University, Faculty of Social Sciences, Department of Psychology.
2013 (English)In: Psychotherapy Research, ISSN 1050-3307, E-ISSN 1468-4381, Vol. 23, no 4, 394-418 p.Article, review/survey (Refereed) Published
Abstract [en]

Among potential predictors of dropout, client variables are most thoroughly examined. This qualitative literature review examines the current state of knowledge about therapist, relationship and process factors influencing dropout. Databases searches identified 44 relevant studies published January 2000-June 2011. Dropout rates varied widely with a weighted rate of 35%. Fewer than half of the studies directly addressed questions of dropout rates in relation to therapist, relationship or process factors. Therapists' experience, training and skills, together with providing concrete support and being emotionally supportive, had an impact on dropout rates. Furthermore, the quality of therapeutic alliance, client dissatisfaction and pre-therapy preparation influenced dropout. To reduce dropout rates, therapists need enhanced skills in building and repairing the therapeutic relationship.

Place, publisher, year, edition, pages
2013. Vol. 23, no 4, 394-418 p.
Keyword [en]
individual psychotherapy, dropout, premature termination, therapist variables, relationship variables, process variables
National Category
URN: urn:nbn:se:su:diva-92262DOI: 10.1080/10503307.2013.775528ISI: 000320863000003OAI: diva2:638077


Available from: 2013-07-25 Created: 2013-07-25 Last updated: 2013-07-25Bibliographically approved

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Werbart, Andrzej
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