You do not currently have permission to view the full text for this document. Please sign in to an account with an active subscription or contact support.
Psychotherapy Research 11(3), 239-257, 2001
The present study investigates (a) factors that determine length of treatment and (b) the effect of treatment duration and other factors on outcome for patients with eating disorders. In this observational study, the symptomatic status of 1,171 patients was observed for 2.5 years after admission to 1 of 43 participating hospitals. Treatment and outcome were modelled using hierarchical linear models and logistic regression. To control for possible confounding factors, propensity score adjustment was used. Treatment modalities, especially length and intensity, varied considerably between and within hospitals and were related to patient characteristics to a very small degree. At 2.5 year follow-up, 33% of anorexia patients and 25% of bulimia patients were symptom free. Length of treatment showed a weak effect on outcome and only in interaction with other patient characteristics of relevance, whereas treatment intensity was not related to outcome. Implications for treatment planning are discussed.
Psychotherapy Research 11(3), 295-309, 2001
Empirical studies examined silences in psychotherapy by measuring the duration of pauses and studying this variable as a homogeneous factor. This approach produced a body of inconclusive findings dealing with the relation between silences and therapeutic outcome or alliance. In the present study, interpersonal process recall interviews of 7 clients' self-reported experiences of in-session pauses were analysed. A qualitative analysis, based on grounded theory methodology, was used. In this inductive process, researches are guided by the analysis of data to develop an understanding of phenomena grounded in empirical observation. A pausing i