Termination of psychotherapy : the relationship between the termination process, judgements of the client's need for further treatment and psychotherapy outcome : a thesis presented in fulfilment of the requirements for the degree of Master of Arts in Psychology at Massey University
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Date
1994
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Massey University
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Abstract
This study was based on the data gained from eighty one terminating clients and their therapists at a university Psychological Services Centre. The study investigated the frequency with which clients and therapists agreed about three components of the termination process and if agreement was related to client outcome. The three components of termination investigated were, the reasons therapy was terminated, the mutuality of termination and the degree of need for further therapy. Client narrative responses to the question "Why is your therapy ending?" were coded into categories of reason and mutuality of termination. Raters reliably coded the majority of narrative answers. No difference in the ability of raters to make a coding with regard to the raters experience in Clinical Psychology was found. In approximately fifty percent of cases, therapists and clients did not agree about these three components of termination. It was also found that in those cases where there was agreement, the clients had better psychological outcomes, than in cases where there was no agreement.
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Psychotherapy, Evaluation, Termination, Psychotherapist and patient