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Record identifier : 567403
Personal Name - Primary Intelectual Responsibility : Marzano, Joseph T
Title and statement of responsibility : The effects of time limitations in psychotherapy on therapy outcomes [Thesis]
Publication, Distribution,Etc. : Walden University, 2006
Language of the Item : eng
Dissertation of thesis details and type of degree : Ph.D.
Body granting the degree : , Walden University
Summary or Abstract : Within the past 30 years one of the most debated topics in mental health service delivery is the comparison of the benefits of extended versus brief therapy. This study examined the relationship between outcomes in outpatient psychotherapy and time spent receiving treatment. The study postulated that individuals who receive extended treatment defined by more than eight sessions report lower Beck Depression Inventory (BDI-II) scores at the end of treatment than those who receive limited treatment, defined as eight or fewer sessions. Current literature suggests that the therapeutic alliance between the therapist and client in extended treatment is more likely to produce client satisfaction and positive outcomes; this may not occur in brief therapy. This study examined the impact of duration of psychotherapy on psychotherapy outcomes. In addition, the concepts of therapeutic outcome and therapeutic alliance were defined and reviewed by providing a historical background of the development of the theories and research responsible for both constructs. A pretest-posttest design utilizing the BDI-II was used to compare treatment progress between two groups of clients (one group receiving brief psychotherapy---fewer than 9 sessions---and the other receiving longer-duration therapy (9-16 sessions). Data were collected from the records of 128 clients who received treatment through one outpatient mental health practice during 2004. Results indicated those who engaged in longer psychotherapy (9-16 sessions) reported lower depression scores that those who engaged in brief therapy. The implications for social change include the need to reconsider the efficacy of short-duration therapies as well as the restrictions placed on therapy duration in managed care practice..
Topical Name Used as Subject : Psychotherapy, Mental health
Information of biblio record : TL
 
 
 
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