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Related Concept Videos

Elements Crucial for Effective Psychotherapy01:25

Elements Crucial for Effective Psychotherapy

Research has highlighted several critical factors that influence the effectiveness of psychotherapy, such as the therapeutic alliance, the therapist, and the client.
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
Ending Relationships01:28

Ending Relationships

The dissolution of intimate relationships presents complex emotional and psychological challenges, particularly when emotional bonds are strong, the relationship is long-standing, and perceived alternatives are limited. This distress often intensifies in romantic breakups, where the initiator may experience greater turmoil than the rejected partner. Contributing factors include residual attachment, guilt over causing pain, and uncertainty about how to manage the situation. The stress is further...
Couples Therapy01:26

Couples Therapy

Couples therapy is a therapeutic approach designed to help individuals in intimate relationships address conflicts, improve communication, and foster healthier dynamics. It is appropriate for couples at various stages, including those who are dating, married, or in long-term partnerships, and aims to support partners in navigating their unique relational challenges.
Core Principles and Techniques
Couples therapy often incorporates cognitive-behavioral principles to identify and modify negative...
Humanistic Therapy01:24

Humanistic Therapy

Humanistic therapies emphasize personal growth, self-understanding, and the fulfillment of human potential. Rooted in the belief that individuals inherently strive toward self-actualization, these approaches encourage clients to explore their feelings and experiences in a supportive, nonjudgmental environment. Humanistic therapies differ from psychodynamic approaches by focusing on conscious experiences, present circumstances, and the potential for self-improvement rather than past conflicts...
Psychotherapy01:28

Psychotherapy

Psychotherapy is a versatile, nonmedical approach aimed at helping individuals address emotional, behavioral, and interpersonal issues to enhance their overall well-being. It can involve one-on-one sessions, couples counseling, or small group discussions with a therapist. The therapeutic process includes various techniques such as open discussion, interpretation of thoughts and behaviors, active listening, positive reinforcement, and role modeling. Psychotherapy aims to support individuals in...
Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing01:23

Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing

Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...

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Therapeutic Massage for Psychological Well-being in Geriatric Oncology
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Therapeutic Massage for Psychological Well-being in Geriatric Oncology

Published on: May 22, 2026

Clients' perspectives on therapy termination.

Sarah Knox1, Noah Adrians, Eric Everson

  • 1Department of Counselor Education and Counseling Psychology, Marquette University, Milwaukee, WI, USA. sarah.knox@marquette.edu

Psychotherapy Research : Journal of the Society for Psychotherapy Research
|January 14, 2011
PubMed
Summary
This summary is machine-generated.

Positive psychotherapy termination hinges on strong client-therapist relationships and open discussions about ending therapy, including future plans. Abrupt endings due to ruptures often lead to negative experiences.

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Area of Science:

  • Psychology
  • Clinical Psychology
  • Psychotherapy Research

Background:

  • Understanding client experiences with psychotherapy termination is crucial for improving therapeutic outcomes.
  • Previous research has not fully explored the nuanced factors contributing to positive versus problematic termination experiences.

Purpose of the Study:

  • To explore client perspectives on psychotherapy termination.
  • To identify factors associated with positive and problematic termination experiences.

Main Methods:

  • Consensual qualitative research (CQR) approach.
  • In-depth interviews with 12 clients who had terminated psychotherapy.
  • Thematic analysis of interview data.

Main Results:

  • Positive terminations were linked to strong therapeutic alliances, positive therapy outcomes, and planned endings for logistical/financial reasons, with advance discussion of termination, growth, and future plans.
  • Problematic terminations were associated with weaker therapeutic relationships, mixed outcomes, abrupt endings due to therapeutic ruptures, and lack of planned discussion.

Conclusions:

  • Therapeutic relationship quality and proactive, discussed termination planning are key to positive psychotherapy endings.
  • Addressing therapeutic ruptures and facilitating planned terminations can mitigate negative client experiences.
  • Findings have implications for clinical practice and training in psychotherapy termination.