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Related Experiment Videos

Therapists prophesy

P J Martin, J E Moore, A L Sterne

    Journal of Clinical Psychology
    |April 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Therapists' beliefs about patient improvement significantly predict treatment success in schizophrenia. However, these expectancies do not directly cause better outcomes, suggesting a predictive rather than causative link.

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    Area of Science:

    • Psychology
    • Psychiatry
    • Clinical Psychology

    Background:

    • Therapist expectancies are theorized to influence patient treatment outcomes.
    • Empirical evidence directly linking therapist expectancies to patient outcomes, particularly in severe mental illness, is limited.
    • The precise nature of this relationship (causative vs. predictive) remains largely unexplored.

    Purpose of the Study:

    • To investigate the relationship between therapist expectancies and treatment outcomes in hospitalized schizophrenic patients.
    • To differentiate between a causative and a predictive model for the association between therapist expectancies and treatment success.
    • To understand the factors contributing to the formation of therapist expectancies.

    Main Methods:

    • Multiple regression analyses were employed to examine the data.

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  • Therapist expectancies were assessed and correlated with patient treatment outcomes.
  • Factors influencing therapist expectancies, such as knowledge of psychopathology and perceived patient adjustment, were analyzed.

    • Main Results:

    • Therapist expectancies were found to be multi-dimensional, influenced by general psychopathology knowledge and patient pretreatment adjustment perceptions.
    • A significant association was observed between therapist expectancies and treatment outcomes for patients with schizophrenia.
    • The findings supported a predictive role for therapist expectancies, rather than a direct causative effect.

    Conclusions:

    • Therapist expectancies are significantly associated with treatment outcomes in schizophrenia.
    • The data indicate that therapist expectancies predict outcomes, rather than directly causing them.
    • Understanding the basis of therapist expectancies may offer insights into improving therapeutic alliance and patient prognosis.