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Exploratory analyses of intake sessions in psychodynamic psychotherapy: do processes differ for engager versus non-engager clients?

ABSTRACT We investigated differences in negative indicators and topics discussed during intakes for one engager and one non-engager (i.e. dropout) client for each of 18 therapists in psychodynamic psychotherapy. Results indicated that engager clients had fewer negative indicators (patient-therapist interaction, errors in techniques) and more coverage of client goals for treatment than did non-engager clients. Engager and non-engager clients did not differ in terms of client pathology, therapist countertransference, or order in which they were seen in the clinic. Preliminary findings suggest that therapists should be educated about negative processes and encouraged to discuss client goals to lessen the likelihood of dropout.