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Title: Termination in therapy : a comparison of cognitive behaviour therapy and interpersonal psychotherapy
Author: Worthington, Hannah Ruth
Awarding Body: University of Edinburgh
Current Institution: University of Edinburgh
Date of Award: 2006
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A significant amount of literature and research exists exploring the development of the therapeutic relationship in psychotherapy; however in comparison literature on termination remains relatively lacking. This study compares Interpersonal Psychotherapy (IPT) and Cognitive Behaviour Therapy (CBT) on various components of termination and also aims to correlate amount of termination activity with therapeutic outcome. A content analysis of 42 final (or penultimate) therapy sessions was carried out using a coding scheme derived from the Termination Behaviour Checklist – Therapist (Quintana & Holahn, 1992). Qualitative analysis sought to illustrate quantitative findings in more detail. Overall there was a significantly greater amount of termination activity in IPT sessions compared to CBT. In particular, specific findings were significantly more evaluation of therapy, closure of the therapeutic relationship and greater patient expression of affect, in IPT in comparison to final sessions of CBT. There was no significant difference between therapeutic interventions in terms of discussion of the patient’s future. A significant positive correlation between amount of termination activity and a reduction in symptoms of depression was found. These findings are consistent with theoretical orientation, in which IPT explicitly defines a phase of termination of therapy and a cognitive-behavioural approach emphasises relapse prevention. Implications are for a greater focus on other aspects of the termination process in CBT. In addition the finding that amount of termination activity was related to a reduction in symptoms of depression, alerts therapists to an awareness of managing termination when patients have not experienced an expected improvement in presenting symptoms.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available