Therapeutic alliance, cultural competence and minority status in premature termination of psychotherapy

Bibliographic Data

ID9054668
AuthorsKristin Anderson (University of Nebraska–Lincoln), Kristin N Anderson, Chandra L Bautista (0000-0002-2404-779X, University of Nebraska–Lincoln), Debra A Hope (0000-0003-3685-9821, University of Nebraska–Lincoln)
Year2019
Volume89
Issue1
Pages104-114
Publication date2019-01-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Orthopsychiatry (JOURNAL)
Journal identifiersISSN: 0002-9432 • E-ISSN: 1939-0025
PublisherAmerican Psychological Association (APA) (PUBLISHER)
DOI10.1037/ort0000342
PMID30010364
OpenAlexW2883610885
LanguageEN
Citations received19

Premature termination is a pervasive barrier to effective implementation of outpatient psychotherapy that frequently results in poorer outcomes for clients as well as poor resource allocation for clients, therapists, and society. Despite its high prevalence and cost, premature termination remains poorly understood, especially from the clients' perspective. The current study addressed some gaps in the literature using a national online survey design that permitted investigation of a broad range of potential predictors of premature termination. Participants were 278 respondents from Amazon.com's Mechanical Turk who completed an online survey about their treatment history, their most recent outpatient therapy experience and therapist, termination status, reasons for terminating prematurely (if applicable), treatment satisfaction, and demographics. Results indicated that being a woman, identifying as a sexual minority, and having a therapist low in perceived multicultural competence were associated with increased risk of premature termination. However, the best predictors of premature termination were a weak therapeutic alliance and symptoms of depression. These results support previous research that shows both client and therapist variables contribute to premature termination. Potential interventions that can be implemented by providers or agencies to reduce premature termination are discussed, along with limitations of the study and recommendations for future research. (PsycINFO Database Record (c) 2019 APA, all rights reserved)

Alliance · Competence (human resources) · Cultural competence · Empathy · MEDLINE · Psychiatry · Psychological intervention · Psychotherapist · PsycINFO · Clinical Psychology · Medicine · Personality Disorders and Psychopathology · Psychology · Psychotherapy Techniques and Applications · Social Psychology

Tools

Open DOI