Unbalancing the imbalance: a qualitative exploration of why patients drop out of psychoanalytic psychotherapy.
Similar to other therapeutic methods, the issue of patient dropout from psychoanalytic psychotherapy presents significant challenges for patients, therapists, and the overall mental health system. While quantitative studies in solution-focused therapies have often explored this issue, a more in-dept...
| Published in: | Psychoanalytic Psychotherapy Vol. 39; no. 1; pp. 40 - 63 |
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| Main Authors: | , , , |
| Format: | Article |
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Taylor & Francis Ltd
Mar2025
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=184106426&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 184106426 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 02668734 GX8 jtl: Psychoanalytic Psychotherapy issn: 02668734 maglogo: N pubinfo: dt: Mar2025 vid: 39 iid: 1 pid: 377 pub: Taylor & Francis Ltd artinfo: ui: 184106426 10.1080/02668734.2024.2408249 ppf: 40 ppct: 23 formats: tig: atl: Unbalancing the imbalance: a qualitative exploration of why patients drop out of psychoanalytic psychotherapy. aug: au: Jalali, Payvand Zarani, Fariba Panaghi, Leili Shelby, R. Dennis affil: Department of Psychology, Shahid Beheshti University, Tehran, Iran Family Research Institute, Shahid Beheshti University, Tehran, Iran Emeritus, Institute For Clinical Social Work, Chicago, IL, USA su: United States Psychotherapy Psychotherapists Qualitative research Mental health Termination of treatment Interviewing Psychological adaptation Psychoanalysis Patient-professional relations Illegitimacy Psychosocial factors Patients' attitudes Nursing care plans Psychodynamic psychotherapy Long-term health care Descriptive statistics Treatment effectiveness Experimental design Thematic analysis Patient dropouts Mathematical models Research methodology Theory Patient decision making Therapeutic alliance Grounded theory sug: subj: Psychotherapy Psychotherapists Qualitative research Mental health Termination of treatment Interviewing Psychological adaptation Psychoanalysis Patient-professional relations Illegitimacy Psychosocial factors Patients' attitudes United States Offices of Mental Health Practitioners (except Physicians) Nursing care plans Psychodynamic psychotherapy Long-term health care Descriptive statistics Treatment effectiveness Experimental design Thematic analysis Patient dropouts Mathematical models Research methodology Theory Patient decision making Therapeutic alliance Grounded theory keyword: grounded theory method psychoanalytic psychotherapy psychodynamic psychotherapy treatment dropout unilateral termination grounded theory method psychoanalytic psychotherapy psychodynamic psychotherapy treatment dropout unilateral termination ab: Similar to other therapeutic methods, the issue of patient dropout from psychoanalytic psychotherapy presents significant challenges for patients, therapists, and the overall mental health system. While quantitative studies in solution-focused therapies have often explored this issue, a more in-depth understanding can be gained by approaching it qualitatively within the framework of long-term, open-ended psychoanalytic psychotherapy. Eleven patients and four therapists with direct experience of dropout participated in twenty-six in-depth interviews, guided by Corbin and Strauss's grounded theory methodology. The analysis identified the central theme of dropout as a 'departure from the imbalanced binary system', which includes contextual, action-interaction, and consequence categories. The conceptual model underscores key factors contributing to dropout, encompassing both cross-theoretical elements such as the therapeutic alliance and coping strategies, and more specific factors like perceptions of psychoanalytic therapy's legitimacy in a specific culture and patients' beliefs about its effectiveness as a therapeutic approach. These findings provide valuable insights into the complex nature of treatment dropout, offering important clinical and scientific implications. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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