Psychotherapy refusers

A systematic review of 414 terminated cases on a semiprivate psychotherapy service revealed that 16.7% of patients never began therapy despite being accepted after an extensive and lengthy screening process. This is lower than in previous studies. Except for ethnicity, comparison between the refusers and acceptors of 42 variables failed to replicate the correlations found in previous studies. In our sample, psychotherapy refusers were characterized by (1) having less family psychiatric history, (2) being more likely to elaborate their problems, (3) having less alcohol abuse history, (4) being less likely to be offered long-term individual therapy, and (5) having waited less time for their screening appointment. Such variables as age, gender, diagnosis, severity, income, and education were all nonsignificant. Although we offer some hypotheses for our significant correlations, we suspect that the interaction with the screener is more important than patient variables in determining acceptance of psychotherapy.