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Interrupted treatment and forced terminations

S Smith

    International Journal of Psychoanalytic Psychotherapy
    |January 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    This paper explores therapist-initiated and patient-initiated premature termination in psychotherapy. It highlights the under-addressed issue of forced endings and their impact on treatment and future help-seeking.

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    Area of Science:

    • Psychology
    • Psychotherapy Research

    Background:

    • Psychotherapy literature extensively covers treatment initiation.
    • The process of termination, especially premature endings, receives limited scholarly attention.
    • Forced terminations, whether therapist- or patient-initiated, are particularly under-examined.

    Observation:

    • Premature termination can be detrimental to patients, exacerbating ambivalence about seeking future mental health support.
    • This paper analyzes the circumstances and therapist motivations behind therapist-invoked forced terminations.
    • It also investigates the conscious and unconscious factors influencing patient-initiated premature termination.

    Findings:

    • Therapist-initiated terminations stem from diverse circumstances and motivations.
    • Patient-initiated terminations involve complex conscious and unconscious psychological dynamics.

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  • Both forms of premature termination disrupt treatment continuity and can negatively impact patient outcomes.

    • Implications:

    • Increased attention to termination processes is crucial for effective psychotherapy.
    • Understanding the dynamics of forced termination can inform clinical practice and training.
    • Developing strategies to manage and mitigate the negative effects of premature termination is essential for improving patient care and treatment efficacy.