This study assessed whether timeliness of case assignment predicted 2 types of patient termination: nonattendance to therapy before intake but after completing the application process and premature termination once therapy had begun. The patients in this study represented all adults applying to an outpatient clinic for therapeutic services over a 5-year period (N ϭ 313, 142 male). Results indicated that the timeliness of case assignment was a significant predictor of whether a patient attended intake, with those enduring a longer delay in case assignment more likely to not pursue therapeutic services. Timeliness of case assignment was not related to premature termination from therapy. Potential moderators, including patient ethnicity, gender, age, personality disorder diagnosis, and symptom severity, did not affect the relationship between the variables of interest.
During the past 2 decades, the popularity of mindfulness as a desirable patient characteristic has increased considerably. Described as the tendency to be attentive to and aware of what is occurring in the moment, mindfulness is incorporated into several established therapeutic techniques, with some impressive outcome data. To our knowledge, there have been no treatment studies investigating the effect of therapist mindfulness on therapy outcome. The current study examined the relation between therapist mindfulness and client treatment outcome in a university-affiliated clinic utilizing manualized, empirically supported treatments. Twenty-three doctoral-level trainees provided services to 144 adult clients. Results suggested that higher levels of therapist mindfulness predicted less reduction in client symptom severity at termination. Current findings suggest consideration of possible limitations regarding mindfulness in therapists utilizing manualized therapies.
This study examined for profiles of positive trait affectivity (PA) and negative trait affectivity (NA) associated with adolescent conduct problems. Prior trait affectivity research has been relatively biased toward the assessment of adults and internalizing symptomatology. Consistent with recent developmental modeling of antisocial behavior, this study proposed that conduct problems are uniquely associated with 2 PA-NA profiles (i.e., high PA-high NA and low PA-low NA). A non-referred sample of 109 adolescents ages 12 to 19 was recruited to assess the independent relations between rating scale measures of the PA-NA dimensions and conduct problems, controlling for related internalizing (anxiety and depression) and externalizing (hyperactivity-impulsivity) symptomatology. The results generally confirmed the proposed interaction between the PA-NA dimensions in the prediction of adolescent conduct problems.
The present study examined whether therapist access to the Minnesota Multiphasic Personality Inventory (MMPI-2) predicted favorable treatment outcome, above and beyond other assessment measures. A manipulated assessment design was used, in which patients were randomly assigned either to a group in which therapists had access to their MMPI-2 data or to a group without therapist access to such information. Illness severity, improvement ratings, number of sessions attended, and premature termination were indicators of therapy outcome. Results indicated that therapist access to the MMPI-2 data did not add to the prediction of positive treatment outcome beyond that predicted by other measures in this setting. Findings from this initial study suggest that, compared with other resources, perhaps in clinical settings with an emphasis on diagnosis-based and evidence-based treatment, the MMPI-2 may not provide incrementally valid information. However, these effects warrant replication across different settings and samples. Guidelines for future studies are discussed.
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