Clients, Counselors, and Fees: Ingredients of a Myth?

Adams, Wesley J.

doi:10.2307/582056

The Family Coordinator

1968

DOI: 10.2307/582056

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Clients, Counselors, and Fees: Ingredients of a Myth?

Wesley J. Adams¹

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1983

1986

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Cited by 3 publications

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“…Goodman (1960) found that patients paying a fee were less likely to terminate than patients paying no fee, while Lazar (1974) obtained similar results comparing payment of high fees with payment of low fees. Adams (1968) and Borghi (1968), however, found that type of payment had no effect on dropout rates.…”

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confidence: 92%

Factors in premature termination in long-term psychotherapy.

Greenspan¹,

Kulish²

1985

Psychotherapy: Theory, Research, Practice, Training

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Rather than define premature termination in psychotherapy by arbitrary cutoffs of time or sessions, the present investigators utilized direct examination of therapists' reports to study ten patient variables and nine therapist variables. 718 cases of longterm psychotherapy in a private clinic were reviewed and 273 cases judged to be premature terminators. Compared to the general clinic patient population, premature terminators were found to differ significantly as to age, race, referral source, employment, type of payment, presenting complaint, and diagnosis (but not as to sex, residence, or marital status). For 27 psychotherapists, rates of premature termination were tabulated. Ph.D. psychologists were found to have significantly lower rates of premature termination than M.D.s or M.S.W.s. Therapists who had undergone personal therapy showed significantly lower rates than those who had no therapy. Therapists' defense style and life stresses did not relate significantly to rates of premature termination. Results were viewed in terms of motivational Portions of this paper are taken from M. G.'s Ph.D. thesis in clinical psychology, June 1982, University of Detroit. The authors would like to acknowledge the generous editorial assistance of Martin Mayman.Requests for reprints should be sent to Nancy Kulish,

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confidence: 92%

Factors in premature termination in long-term psychotherapy.

Greenspan¹,

Kulish²

1985

Psychotherapy: Theory, Research, Practice, Training

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“…The effects of the payment of fees on the outcome of therapy have proved extremely difficult to unravel, a major reason being the problems encountered in conducting appropriately-controlled studies. Those studies using real clients and therapists have tended to be methodologically loose (e.g., Adams, 1968;Goodman, 1960) while those that are more rigorous are more like analogue studies, using students as clients, charging minimal fees and providing minimal amounts of counselling (e.g., Shipton & Spain, 1980;Yoken & Berman, 1984). Reviewing the relevant issues Shipton and Spain (1981) concluded that there was only limited experimental evidence to support or refute the argument on fees.…”

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confidence: 99%

Choice of psychologist based on prior knowledge of fees and level of rebate

Lowe

Howard²,

Dawson

1986

Australian Psychologist

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This study investigated the relationship between different levels of psychologists' fees and expectations of therapeutic outcome. Subjects were presented with a scenario concerning their need to seek therapy, and then asked to choose from four psychologists differing in amount of fee charged per session: no fee, $25, $35 or $45. The influence of real cost on choice was studied by using three groups of subjects differing in amount of health‐fund rebate they could expect: nil, 50% or 100%. The “free” category was most favoured in each group but there was a significant trend towards payment for therapy as the amount of rebate increased. Few subjects, however, chose the highest fee, irrespective of rebate level. The relevance of the data to the issues of fees and rebates was discussed.

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Economic Factors in Service Delivery

Newkirk

1983

The Counseling Psychologist

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Clients, Counselors, and Fees: Ingredients of a Myth?

Cited by 3 publications

References 5 publications

Factors in premature termination in long-term psychotherapy.

Factors in premature termination in long-term psychotherapy.

Choice of psychologist based on prior knowledge of fees and level of rebate

Economic Factors in Service Delivery

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