Title:
Predicting clinician and client decision-making during forced termination at a training clinic
Author:
Corey M. Davis
Thesis Advisor:
Mary Jo Coiro
Committee Member:
Matthew W. Kirkhart
Committee Member:
Jason M. Prenoveau
Committee Member:
Amanda M. Thomas
Degree Granting Institution:
Loyola University Maryland--College of Arts and Sciences
Place:
Baltimore (Md.)
Publisher:
Loyola University Maryland
Date Created:
2016
Type of Resource:
text
Genre:
thesis
Language:
eng
Format:
application/pdf
Physical Form:
electronic
Digital Source:
born digital
Abstract:
Termination is an inevitable aspect of therapeutic relationships, which can provoke positive and negative reactions in both the client and clinician. Forced termination occurs when the clinician must terminate the therapeutic relationship for reasons external to the client, and is particularly common in training clinics. Among 139 adults receiving psychotherapy at a university training clinic during a period of forced termination, this study examined the prevalence of clinicians' recommendations for termination versus transfer, the prevalence of clients' successful versus unsuccessful transfer, and client and treatment characteristics that may predict both of these decisions. Results indicated that the majority of clients (75.5%) were recommended to transfer to a new clinician, and that clients' rating of greater subjective well-being at the point of termination was associated with a decreased likelihood of being recommended for transfer. Of those recommended for transfer, 50.5% transferred successfully, defined as attending at least four sessions with the new clinician. Clients who had been in therapy longer were significantly more likely to transfer successfully. These findings have implications for termination decision-making in training clinics, including the need to develop and evaluate formal protocols to determine client's readiness for termination and to increase the likelihood of successful transfer for those recommended for transfer, as well as the need to improve students' use of formal outcome monitoring measures. Further research is needed to better understand client outcomes at forced termination, predictors of outcomes and decisions at forced termination, and client and clinician reactions to forced termination.
Subject:
Electronic dissertations
Degree:
Doctor of Clinical Psychology
Level:
Doctoral
Discipline:
Psychology
Restrictions on Access:
Author has given permission to make this work available online.
Use and Reproduction:
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Identifier:
DavisCM-16
