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Cited by 330Psychotherapy Techniques and ApplicationsPsychoanalysis and Psychopathology ResearchCounseling Practices and Supervision

The DOI matches its Crossref record; 96 of the 96 references it cites were found in a registry or an index.

Negative outcome in psychotherapy: A critical review.

Mohr, David C.·1995·Clinical Psychology: Science and Practice
DOI 10.1111/j.1468-2850.1995.tb00022.x
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Abstract

This article reviews literature on negative outcome in psychotherapy for adult, non-psychotic individuals. Patient, therapist, and therapy variables are examined, and tentative conclusions are drawn from the existing data. Patients who are borderline or obsessive-compulsive, have severe interpersonal difficulties, are poorly motivated, or who expect psychotherapy to be painless have been found to be at risk for deterioration. On the part of the therapist, lack of empathy, underestimation of the severity of the patient's problems, negative counter transference, poor technique, high concentrations of transference interpretations, and disagreement with the patient about the therapy process all have been associated with negative outcome. Cestalt therapies have produced higher rates of deterioration than other psychotherapy modalities. Issues in research methodology are discussed, including identification of negative responders, outcome measurement, identification of variables related to negative outcome, and the role that ethical dilemmas play in research.

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Crossref · 10.1111/j.1468-2850.1995.tb00022.x

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Citations

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Show all 93 references

Research works printed but not linked: 21

  1. Beutler, 1990, Toward prescriptive psychological treatments
  2. Beutler, 1994, Handbook of psychotherapy and behavior change, 229
  3. Colson, 1985, Negative outcome in psychotherapy and what to do about it, 59
  4. Daldrup, 1988, Focused expressive psychotherapy
  5. Frances, 1984, The art and science of treatment selection
  6. Freud, 1959, Collected Papers, 13
  7. Garfield, 1994, Handbook of psychotherapy and behavior change, 190
  8. Hollon, 1985, Negative outcome in psychotherapy and what to do about it, 210
  9. Kernberg, 1972, Psychotherapy and psychoanalysis: Final report of the Menninger Foundation's psychotherapy research project, Bulletin of the Menninger Clinic, 36
  10. Lambert, 1994, Handbook of psychotherapy and behavior change, 143
  11. Malan, 1976, An example of the convergence of research and clinical practice
  12. Mays, 1985, Negative outcome in psychotherapy and what to do about it
  13. Mohr, 1994, Proscription in Psychotherapy
  14. Ogles, 1993, The clinical significance of the NIMH Treatment of Depression Collaborative Research Program data
  15. Paul, 1977, Psychological treatment of chronic mental patients
  16. Stone, 1985, Negative outcome in psychotherapy and what to do about it, 145
  17. Strupp, 1984, A guide to time-limited dynamic psychotherapy
  18. Strupp, 1977, A tripartite model of mental health and therapeutic outcomes, American Psychologist, 32, 187, 10.1037/0003-066X.32.3.187 · DOI
  19. Strupp, 1977, The problem of negative effects
  20. Vaughan, 1985, Negative outcome in psychotherapy and what to do about it, 192
  21. Weber, 1965, Developments in psychoanalysis at Columbia University: Proceedings of the 20th anniversary conference

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Metadata

Authors
Mohr, D. C.
Affiliations
University of California, San Francisco (US)
Corresponding author
Mohr, David C.
ORCID
Mohr, David C.
Venue
Clinical Psychology: Science and Practice
Publisher
American Psychological Association (APA)
Published
1995
Volume
2
Issue
1
Pages
1-27
ISSN
  • 0969-5893 (ISSN-L)
  • 1468-2850
DOI
10.1111/j.1468-2850.1995.tb00022.x
OpenAlex
W2070633071
Cited by
330
References
93
Citations by year
2026: 7 · 2025: 6 · 2024: 8 · 2023: 6 · 2022: 10 · 2021: 18 · 2020: 16 · 2019: 16 · 2018: 14 · 2017: 13 · 2016: 13 · 2015: 15 · 2014: 15 · 2013: 14 · 2012: 17
FWCI
6.50
Type
journal article
Language
en
Open access
closed
Licence
doi.wiley.com/10.1002/tdm_license_1.1 (tdm, 7548 d)
Locations
Clinical Psychology Science and Practice (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
  • Social Sciences › Psychology › Clinical Psychology › Counseling Practices and Supervision
Keywords
treatment discontinuation, therapist empathy, countertransference, transference, patient motivation, borderline personality, obsessive-compulsive disorder, interpersonal problems, cognitive behavioral therapy, outcome measurement, research ethics

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