Premature Termination in Marriage and Family Therapy within a Bowenian Perspective

The theoretical foundation for this investigation was Bowen Family Systems Theory (Bowen, 1978). The purpose of this study was to investigate premature termination (as defined by the therapist), predicted by presenting problem, psychological symptoms, and differentiation in a sample of 194 clients who came for at least one session of individual or family therapy to a university marriage and family therapy clinic. Premature termination was defined as “no show” after one or more sessions, or clients' leaving against therapist's recommendation. Findings suggested a complex relationship between differentiation and premature termination depending on the type of case. These findings are discussed as well as implications for clinicians.

[1]  Shayne R Anderson,et al.  Is Bowen theory valid? A review of basic research. , 2004, Journal of marital and family therapy.

[2]  Michael S. Robbins,et al.  Alliance and dropout in family therapy for adolescents with behavior problems: individual and systemic effects. , 2003, Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association.

[3]  T. Schmitt,et al.  Assessing interpersonal fusion: reliability and validity of a new DSI fusion with others subscale. , 2003, Journal of marital and family therapy.

[4]  Richard B. Miller,et al.  Differences in Dropout Rates Among Individual, Couple, and Family Therapy Clients , 2003 .

[5]  K. McCabe.  Factors That Predict Premature Termination Among Mexican-American Children in Outpatient Psychotherapy , 2002 .

[6]  M. Nock,et al.  Parent Expectancies for Child Therapy: Assessment and Relation to Participation in Treatment , 2001 .

[7]  W. Shadish,et al.  Outcome, attrition, and family-couples treatment for drug abuse: a meta-analysis and review of the controlled, comparative studies. , 1997, Psychological bulletin.

[8]  E. Skowron,et al.  What We Do and Don't Know About the Process of Family Therapy , 1994 .

[9]  M. Wierzbicki,et al.  A meta-analysis of psychotherapy dropout. , 1993 .

[10]  R. Richmond.  Discriminating variables among psychotherapy dropouts from a psychological training clinic. , 1992 .

[11]  R. Sabatelli,et al.  The differentiation in the family system scale (difs) , 1992 .

[12]  C. Shields,et al.  Anatomy of an initial interview: The importance of joining and structuring skills , 1991 .

[13]  H. Davis,et al.  Prediction of Early Attrition from Couple Therapy , 1989, Psychological reports.

[14]  M. Bowen,et al.  Family Evaluation: An Approach Based on Bowen Theory , 1988 .

[15]  David V. Keith,et al.  Family Therapy in Clinical Practice , 1980 .

[16]  C. Barton,et al.  Systems-behavioral intervention with families of delinquents: therapist characteristics, family behavior, and outcome. , 1976, Journal of consulting and clinical psychology.

[17]  G. S. Tryon,et al.  Relationship of Working Alliance to Mutual and Unilateral Termination. , 1993 .

[18]  D. Crane,et al.  PREDICTING MARITAL THERAPY DROPOUTS , 1991 .

[19]  T. Tracey,et al.  Working alliance in the early phase of counseling. , 1990 .

[20]  T. Tracey,et al.  Premature termination at a university counseling center. , 1987 .

[21]  L. Covi,et al.  The Hopkins Symptom Checklist (HSCL). A measure of primary symptom dimensions. , 1974, Modern problems of pharmacopsychiatry.