Discontinuation of Therapeutic Intervention among Depressive Patients: A Phenomenological Study

Authors

  • Dr. Noreena Kausar Assistant Professor, Department of Psychology, University of Gujrat, Gujrat, Punjab, Pakistan.
  • Amna Ishaq PhD Scholar, Department of Psychology, University of Gujrat, Gujrat, Punjab, Pakistan.

DOI:

https://doi.org/10.55737/qjssh.337569481

Keywords:

Therapeutic Intervention, Depressive Patients, Phenomenological Study, DHQ Teaching Hospital, Gujranwala

Abstract

The main idea of present study was to find out reasons why clients with depression discontinue their therapy by using qualitative research design (Interpretative phenomenology analysis). Total five participants took part via purposive sampling technique from DHQ Teaching Hospital Gujranwala. Data were gathered via semi-structured interviews that were carried out face-to-face, the venue and time had been decided on primarily based totally on members’ availability, and every interview lasted among 45 to 50 minutes. By using IPA technique, data were sorted and transcribed and analyzed in to emerging  themes (i.e. inability of rapport building, academic stress, lack of progress, dissatisfaction with psychologist, usage of medication increases by the client, anger issues increases as the sessions were conducted day by day, delaying sessions, psychologist had a confronting style, shortage of time, poor therapeutic alliance and unsatisfactory with the diagnosis given by the psychologist)  and finally into superordinate three (main) themes, communication barriers , work therapy conflict and  dissatisfaction with therapeutic treatment.  So this study concluded that, firstly there is need to create awareness among people of Pakistan about therapeutic treatment for mental health issues and its related concerns (Nisar et al., 2019).

Author Biography

  • Dr. Noreena Kausar, Assistant Professor, Department of Psychology, University of Gujrat, Gujrat, Punjab, Pakistan.

References

Anderson, S. R., Tambling, R., Yorgason, J. B., & Rackham, E. (2018). The mediating role of the therapeutic alliance in understanding early discontinuance. Psychotherapy Research, 29(7), 882–893. https://doi.org/10.1080/10503307.2018.1506949

Ardito, R. B., & Rabellino, D. (2011). Therapeutic Alliance and Outcome of Psychotherapy: Historical Excursus, Measurements, and Prospects for Research. Frontiers in Psychology, 2(270). https://doi.org/10.3389/fpsyg.2011.00270

Biggerstaff, D., & Thompson, A. R. (2008). Interpretative phenomenological analysis (IPA): A qualitative methodology of choice in healthcare research. Qualitative research in psychology, 5(3), 214-224. https://wrap.warwick.ac.uk/id/eprint/3488/1/WRAP_Biggrstaff_QRP_submission_revised_final_version_WRAP_doc.pdf

Cooper, A. A., & Conklin, L. R. (2015). Dropout from individual psychotherapy for major depression: A meta-analysis of randomized clinical trials. Clinical Psychology Review, 40, 57–65. https://doi.org/10.1016/j.cpr.2015.05.001

Cuthbertson, L. M., Robb, Y. A., & Blair, S. (2020). Theory and application of research principles and philosophical underpinning for a study utilising interpretative phenomenological analysis. Radiography, 26(2), e94-e102. https://doi.org/10.1016/j.radi.2019.11.092

Gergov, V., Lindberg, N., Lahti, J., Lipsanen, J., & Marttunen, M. (2021). Effectiveness and Predictors of Outcome for Psychotherapeutic Interventions in Clinical Settings Among Adolescents. Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.628977

Ghaemian, A., Ghomi, M., Wrightman, M., & Ellis-Nee, C. (2020). Therapy discontinuation in a primary care psychological service: why patients drop out. The Cognitive Behaviour Therapist, 13. https://doi.org/10.1017/s1754470x20000240

Gopal, P. S. (2022). Significance of Qualitative Vis a Vis Quantitative approach to Address Poverty. A Review from Malaysian Perspective. Malaysian Journal of Social Sciences and Humanities (MJSSH), 7(9), e001719. https://doi.org/10.47405/mjssh.v7i9.1719

Guxholli, A., Voutilainen, L., & Peräkylä, A. (2021). Safeguarding the Therapeutic Alliance: Managing Disaffiliation in the Course of Work With Psychotherapeutic Projects. Frontiers in Psychology, 11. https://doi.org/10.3389/fpsyg.2020.596972

Jiang, T., Zhou, X., Lin, L., Pan, Y., Zhong, Y., Wang, X., & Zhu, H. (2021). COVID-19-related stigma and its influencing factors: a nationwide cross-sectional study during the early stage of the pandemic in China. BMJ Open, 11(8), e048983. https://doi.org/10.1136/bmjopen-2021-048983

Kullgard, N., Holmqvist, R., & Andersson, G. (2022). Premature dropout from psychotherapy: Prevalence, perceived reasons and consequences as rated by clinicians. Clinical Psychology in Europe, 4(2). https://doi.org/10.32872/cpe.6695

Lavik, K. O., McAleavey, A. A., Kvendseth, E. K., & Moltu, C. (2022). Relationship and Alliance Formation Processes in Psychotherapy: A Dual-Perspective Qualitative Study. Frontiers in Psychology, 13(915932). https://doi.org/10.3389/fpsyg.2022.915932

Lynch, M. (2012). Factors Influencing Successful Psychotherapy Outcomes. Social Work Master’s Clinical Research Papers. https://ir.stthomas.edu/ssw_mstrp/72?utm_source=ir.stthomas.edu%2Fssw_mstrp%2F72&utm_medium=PDF&utm_campaign=PDFCoverPages

Marmarosh, C. (2022). Clients’ experiences of therapy ending. 351–378. https://doi.org/10.1037/0000303-013

Moitra, M., Santomauro, D., Degenhardt, L., Collins, P. Y., Whiteford, H., Vos, T., & Ferrari, A. (2021). Estimating the risk of suicide associated with mental disorders: A systematic review and meta-regression analysis. Journal of Psychiatric Research, 137, 242–249. https://doi.org/10.1016/j.jpsychires.2021.02.053

Moors, F., & Zech, E. (2017). The Effects of Psychotherapist’s and Clients’ Interpersonal Behaviors during a First Simulated Session: A Lab Study Investigating Client Satisfaction. Frontiers in Psychology, 8. https://doi.org/10.3389/fpsyg.2017.01868

Nisar, M., Mohammad, R. M., Fatima, S., Shaikh, P. R., & Rehman, M. (2019). Perceptions Pertaining to Clinical Depression in Karachi, Pakistan. Cureus, 11(7). https://doi.org/10.7759/cureus.5094

O'Keeffe, S. (2019). ‘I just stopped going’: A mixed methods investigation into dropout from psychological treatment in adolescents with depression [Doctoral dissertation, UCL] University College London.

Palinkas, L., Horwitz, S., Green, C., Wisdom, J., Duan, N., & Hoagwood, K. (2015). Purposeful Sampling for Qualitative Data Collection and Analysis in Mixed Method Implementation Research. Administration and Policy in Mental Health and Mental Health Services Research, 42(5), 533–544. https://doi.org/10.1007/s10488-013-0528-y

Poulin, L. E. (2023). Therapist Emotional Reactivity and Performance Following a Motivational Interviewing Workshop With and Without Deliberate Practice. Handle.net. https://hdl.handle.net/10315/41659

Roberts, H., Jacobs, R. H., Bessette, K. L., Crowell, S. E., Westlund-Schreiner, M., Thomas, L., Easter, R. E., Pocius, S. L., Dillahunt, A., Frandsen, S., Schubert, B., Farstead, B., Kerig, P., Welsh, R. C., Jago, D., Langenecker, S. A., & Watkins, E. R. (2021). Mechanisms of rumination change in adolescent depression (RuMeChange): study protocol for a randomised controlled trial of rumination-focused cognitive behavioural therapy to reduce ruminative habit and risk of depressive relapse in high-ruminating adolescents. BMC Psychiatry, 21(1). https://doi.org/10.1186/s12888-021-03193-3

Saxon, D., Firth, N., & Barkham, M. (2016). The Relationship Between Therapist Effects and Therapy Delivery Factors: Therapy Modality, Dosage, and Non-completion. Administration and Policy in Mental Health and Mental Health Services Research, 44(5), 705–715. https://doi.org/10.1007/s10488-016-0750-5

Seidinger-Leibovitz, F. M., Malta, A. R., Rodrigues, L., Bastos, R. A., Leme, P. A. T., Silva, D. F. A., Turato, E. R., & Vieira, C. M. (2020). Premature Termination of Treatment among Adults Attending Treatment for Eating Disorders: A Critical Review. Open Journal of Medical Psychology, 9(3), 123–140. https://doi.org/10.4236/ojmp.2020.93010

Shafiq, S. (2020). Perceptions of Pakistani community towards their mental health problems: a systematic review. Global Psychiatry, 3(1), 28–50. https://doi.org/10.2478/gp-2020-0001

Smith, J. A., & Fieldsend, M. (2021). Interpretative phenomenological analysis. Qualitative Research in Psychology: Expanding Perspectives in Methodology and Design (2nd Ed.)., 147–166. https://doi.org/10.1037/0000252-008

Swift, J. K., Greenberg, R. P., Tompkins, K. A., & Parkin, S. R. (2017). Treatment refusal and premature termination in psychotherapy, pharmacotherapy, and their combination: A meta-analysis of head-to-head comparisons. Psychotherapy, 54(1), 47–57. https://doi.org/10.1037/pst0000104

Tschuschke, V., Koemeda-Lutz, M., von Wyl, A., Crameri, A., & Schulthess, P. (2020). The Impact of Patientsʼ and Therapistsʼ Views of the Therapeutic Alliance on Treatment Outcome in Psychotherapy. The Journal of Nervous and Mental Disease, 208(1), 56–64. https://doi.org/10.1097/nmd.0000000000001111

Westmacott, R., Hunsley, J., Best, M., Rumstein-McKean, O., & Schindler, D. (2010). Client and therapist views of contextual factors related to termination from psychotherapy: A comparison between unilateral and mutual terminators. Psychotherapy Research, 20(4), 423–435. https://doi.org/10.1080/10503301003645796

Published

2024-09-30

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Articles

How to Cite

Kausar, N., & Ishaq , A. (2024). Discontinuation of Therapeutic Intervention among Depressive Patients: A Phenomenological Study. Qlantic Journal of Social Sciences and Humanities, 5(3), 9-20. https://doi.org/10.55737/qjssh.337569481

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