What are the Predictors of an Uncollaborative Termination?

Study Aims:

To understand what may lead to an uncollaborative termination (i.e., the patient leaving therapy without discussing termination with the therapist, the patient discontinuing against therapist advice, or the therapist referring the patient out when the patient and therapist cannot collaboratively agree on a treatment plan). We are examining factors including symptoms of anxiety and depression, and aspects of the working relationship between the patient and therapist as potential predictors.

Study Description:

We are looking at data collected from patients at the San Francisco Bay Area Center for Cognitive Therapy between 1981 and 2009 in order to investigate possible predictors of an uncollaborative termination. We hope to find predictors of uncollaborative terminations to aid the therapist in treatment planning and, ultimately, to gain an understanding of how to decrease the occurence of such terminations.

Investigators at the Cognitive Behavior Therapy and Science Center:

Jackie Persons, Lisa Ann Yu, Gening Jin,

Study Status:

We are currently investigating the literature on the subject of dropout and alliance rupture and analyzing the data for this study. We presented a poster on behalf of the Asian American Special Interests Group during the cocktail party of the annual convention of the Association for Behavioral and Cognitive Therapies in November 2015 in Chicago, Illinois.