Short-term group psychotherapy: Who succeeds, who fails?

Budman, Simon H.; Demby, Annette; Randall, Mary

doi:10.1007/bf01456623

Cited by 17 publications

(9 citation statements)

References 9 publications

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“…In the present study, neither demographic variables nor pretherapy levels of interpersonal functioning differentiated dropouts from remainers. Those findings were consistent with the Piper et al (1984) study, but not the Budman, Demby & Randall (1980) study. The different findings may reflect differences in the nature of the therapy groups among the studies.…”

Section: Discussionsupporting

confidence: 88%

Dropping out from short-term group therapy.

McCallum¹,

Piper²,

Joyce³

1992

Psychotherapy: Theory, Research, Practice, Training

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A clinical trial investigation of psychoanalytically oriented short-term group therapy has recently been completed. The study involved 16 therapy groups conducted by experienced therapists with outpatients suffering from a person loss. Of the 109 patients who began therapy, 30.3% terminated prematurely. Analyses indicated that three pretherapy variables differentiated dropouts from remainers: psychological mindedness, psychiatric symptomatology, and severity of target objectives. The three variables were used to predict the classification of patients into dropouts versus remainers. The classification was significantly better than chance for dropouts but not for remainers. A clinical understanding of the findings is offered.

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Section: Discussionsupporting

confidence: 88%

Dropping out from short-term group therapy.

McCallum¹,

Piper²,

Joyce³

1992

Psychotherapy: Theory, Research, Practice, Training

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“…It should be noted, however, that although differences in medical utilization prior to the intervention existed between high changers and dropouts, no significant differences existed between the low changers and dropouts. It is interesting to note that in our previous research on this sample (Budman, Demby, & Randall, 1980), except for a significant difference in age and education, dropouts (29.3 years old, 15.5 years of education) and low changers (38.3 years old, 16.4 years of education) were virtually identical on a large battery of psychosocial measures. High changers, on the other hand, were significantly more likely to be at the healthy end of the scale on these same psychosocial measures, both before and after the intervention.…”

Section: Discussionmentioning

confidence: 62%

“…Elsewhere (Budman, Demby, & Randall, 1980) we reported on the pretherapy variables that we found were related to success, failure, and dropping out of the short-term groups studied. Below, we will report on the medical utilization data for the three psychotherapeutic outcome populations described previously (i,e.,;dropouts, low changers, and high changers).…”

Section: Goal Of This Studymentioning

confidence: 99%

Psychotherapeutic outcome and reduction in medical utilization: A cautionary tale.

Budman¹,

Demby²,

Randall³

1982

Professional Psychology

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Clinicians and policymakers are examining with great interest the so-called "offset effect" of psychotherapeutic intervention. The study reported in this article attempts to examine more closely than previous studies the relationship between psychotherapeutic outcome and changes in health cafe utilization. Our data strongly imply that dropouts-patients who might be considered as having the "worst"psychotherapeutic outcomes-also have the "best" medical offset outcomes. These findings have major implications for those who would "sell" psychotherapy on the basis of its being cost-effective.Since the now classical FoIIette and Cummings study in 1967, which indicated that utilization of psychiatric services was associated with major decreases in subsequent medical care utilization for mental health patients, interest has grown in "medicaloffset" research. At this point, 14 years, two reviews (Jones & Vischi, 1979; Mumford, Schlesinger & Glass, 1981), and 15 studies later, the phenomena of medical offset after psychotherapy is still barely understood. Indeed, although the data only seem to indicate the offset potential of brief therapy, this same offset argument has been used to support the cost-effectiveness of long-term therapy and even psychoanalysis (Group for the Advancement of Psychiatry [GAP] 1978;Sharfstein, 1978).The authors of this article hypothesize that when psychotherapy research data, like the offset research referred to above, is indiscriminantly applied, we then risk sawing off the limb on which we sit. 200

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“…Research by Budman and colleagues (Budman, Demby & Randall, 1980;Budman, Randall & Demby, in preparation) indicates that short-term group therapy dropouts tend to be poorer at social interactions and have fewer close friends than those who do well and remain in such groups. Thus, potential dropouts probably begin a group at even a higher level of anxiety and fearfulness than do other patients.…”

Section: )mentioning

confidence: 94%

“…Selection criteria for appropriate group patients is quite vague, although evidence is developing that a good history of at least some positive interaction with others is important for group therapy to be effective (Grunebaum & Solomon, 1980;Budman, Demby & Randall, 1980). Piper and Marrache (in press) found that an experienced clinician was a poor predictor, solely on the basis of an interview, of later group inter-action.…”

Section: ) Improved Patient Selectionmentioning

confidence: 97%