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Department or Program Affiliation
Master of Science (MS)
King, Jeff J.
Bedi, Robinder P.
Smith, Aaron J.
The present study investigated what incidents adult males believed to have led them to drop out of individual, outpatient psychotherapy within the past four years, utilizing the Enhanced Critical Incident Technique with audio-recorded, Skype interviews and Qualtrics. Participants were 18 men from Bellingham, Seattle, Vancouver (Canada), Houston, Austin, Dallas, Indiana, and Tennessee. Critical Incidents and Wish List items were extracted via structured, open-ended questions. The incidents were organized into categories by two research team members and confirmed from feedback provided during follow-up interviews. The finalized categories of why the men dropped out were labeled the following in descending order of strength: Not the Right Interpersonal Fit, Not the Right Approach, Need to Build Trust, Cost, No Longer Needed, and Time Problems. The finalized categories of what would have helped the men stay were the following in descending order of strength: Change the Approach, Building Rapport, Affordability, Client Engages More, More Availability, and Decided if Needed. Not anticipated, the participants yielded a moderately low level of traditional masculinity ideology (M = 2.90, SD = 0.87) according to the Male Role Norms Inventory–Short Form. The categories can aid psychotherapy researchers in designing measures to attend to men’s needs in order to help reduce the attrition rate, as well as promote further study on whether certain psychotherapy practices are more suited for men, and aid practicing clinicians by providing a clearer understanding and an awareness of potential risk factors that may signal a client with a greater propensity to drop out.
men, counseling, psychotherapy, dropout, ECIT, MRNI-SF
Western Washington University
Subject – LCSH
Men--Psychology; Men--Counseing of; Dropout behavior, Prediction of; Psychotherapy--Case Studies; Mental health counseling
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Springer, Karen L., "Dropout in Individual Psychotherapy From Adult Male Clients’ Perspectives" (2020). WWU Graduate School Collection. 977.