Browsing by Author "Deane, Frank Patrick"

Now showing 1 - 2 of 2
  • Thumbnail Image
    Item
    The effects of videotaped preparatory information on clients' expectations, anxiety and psychotherapy outcome : a thesis presented in partial fulfilment of the requirements for the degree of Doctor of Philosophy in Psychology at Massey University
    (Massey University, 1991) Deane, Frank Patrick
    The aim of the present study was to determine the effects of videotaped preparatory information on the accuracy of clients' expectations about psychotherapy, state anxiety, and psychotherapy outcome using a Solomon four-group design. The relationships among these variables were also investigated. One hundred and thirty-eight adult clients attending for their first psychotherapy session with a clinical psychologist participated in the research. Clients were randomly assigned to either the experimental condition where the preparatory video was seen prior to the session, or to the control condition where clients followed usual clinic procedure and waited to be seen prior to their first session. Half of the clients completed both pre- and posttest [sic] measures while half completed posttest [sic] measures only. At the end of the first session, symptom severity and target complaint measures were completed by the psychologist. After two months, or at the completion of treatment if this occurred sooner, follow-up measures were completed by both clients and psychologists. The results confirmed that clients who viewed the video had more accurate expectations about psychotherapy and experienced a significant reduction in state anxiety when compared to control group subjects. These differences were not maintained at two month follow-up. Expectations did not mediate the effects of preparation on state anxiety. In addition, at follow-up there was significantly greater improvement on only one of the ten outcome measures for the group viewing the preparatory video. To conclude, the video preparation had immediate effects on the accuracy of clients' expectations and reduced state anxiety. The relationships between these variables were not as hypothesised and need further clarification. Longer-term effects of the preparation on psychotherapy outcome were almost nonexistent. It is argued that long-term effects may be difficult to detect because they are relatively small and most studies which incorporate alternative treatments in their design have insufficient power. Changes in the accuracy of clients' expectations and state anxiety which occur naturally over the course of psychotherapy may also contribute to the lack of consistent long-term benefits being found as result of pretherapy preparations.
  • Thumbnail Image
    Item
    Patients' treatment requests, psychiatrists' understanding of patient requests, and adherence to treatment : a thesis presented ... for the degree of Master of Science in Clinical Psychology at Massey University
    (Massey University, 1982) Deane, Frank Patrick
    This study aimed to determine the treatment requests of patients in the initial psychiatric interview and to compare the relative preference or these requests to those of other patient samples. It also aimed to determine psychiatrists accuracy in estimating the importance their patients placed on their requests, and to explore the relationship between psychiatrist understanding of patient requests to patient adherence to treatment. The study was carried out on 269 consecutive new patients to a psychiatric unit attached to a public hospital of whom 85 completed a 14 item Patient Request Form before their initial interview, and their psychiatrists completed an equivalent form at the conclusion of the interview. Patients adhered if they returned for their next appointment. Generally it was found that patients wanted psychologically based treatments most and medical oriented treatment least, and that the rank orders of the requests provided significant positive correlations with all other samples. It was found that psychiatrists significantly underestimated six request categories and overestimated one, supporting nine of the 14 differences hypothesised. No significant relationship was found between adherence and psychiatrists understanding of patients requests. Results are discussed in terms of their implications for helping therapists understand their patients requests.