Psychotherapy dropout : the influence of ethnic identity and stigma on early termination.

psychotherapy outcome;dropout;attrition;stigma;ethnicity

Le'Keldric Jawon Thomas

University:University of Louisville

Department:Counseling and Human Development

关键词: psychotherapy outcome;    dropout;    attrition;    stigma;    ethnicity;   

Others  :  https://ir.library.louisville.edu/cgi/viewcontent.cgi?article=3484&context=etd

美国|英语

来源: The Universite of Louisville's Institutional Repository

【 摘 要 】

Although clients continue to drop out of psychotherapy, researchers have made few inroads into understanding the dropout phenomenon. Clinical studies have reported client dropout rates based on demographic factors (e.g., race, socioeconomic status, educational status). However, few studies have investigated the cultural correlates that may underlie these demographic factors and affect client termination. Furthermore, none have provided an empirically driven explanation as to why some clients drop out more often than others. In two studies, I explore dropout in two settings: a community mental health center and a university counseling center. Guided by current theory and research, I will examine the association between clients’ ethnic identity, the stigma they experience, and their decision to terminate therapy. Through logistic regression, I will seek to explore these cultural influences on the dropout process. It is expected that the study will contribute to current research and assist practitioners in preventing dropout.