Dropout from cognitive behavioural treatment in a case of bulimia nervosa: The role of the therapeutic alliance

Submitted: January 19, 2013
Accepted: September 16, 2013
Published: January 12, 2014
Abstract Views: 1263
PDF: 1054
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Despite the refinement of the cognitive treatment for eating disorders, relatively high dropout rates represent a major problem for therapists and researchers. This study investigated the case of a patient with a diagnosis of bulimia nervosa, who dropped out of outpatient CBT after 28 weekly sessions. In addition to standard clinical outcome assessment, we examined how patient's psychological functioning and therapeutic alliance changed across sessions by applying observer-rating scales to the therapy transcripts. Although the patient reported some improvement at the six-month retest, observer ratings showed persistence of impaired functioning and frequent ruptures in the patient-therapist relationship throughout the treatment. We concluded that a thorough examination of the therapy process might help to understand the factors that lead to premature treatment termination.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

How to Cite

Sarracino, D., Garavaglia, A., Gritti, E. S., Parolin, L., & Innamorati, M. (2014). Dropout from cognitive behavioural treatment in a case of bulimia nervosa: The role of the therapeutic alliance. Research in Psychotherapy: Psychopathology, Process and Outcome, 16(2), 71–84. https://doi.org/10.4081/ripppo.2013.138

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.