Despite the refinement of the cognitive treatment for eating disorders, relatively highdropout 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. © 2013 Italian Area Group of the Society for Psychotherapy Research.

Sarracino, D., Garavaglia, A., Gritti, E., Parolin, L., Innamorati, M. (2013). Dropout from cognitive behavioural treatment in a case of bulimia nervosa: the role of the therapeutic alliance. RESEARCH IN PSYCHOTHERAPY, 16(2), 71-89 [10.7411/RP.2013.009].

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

SARRACINO, DIEGO;GRITTI, EMANUELA SAVERIA VALENTINA;PAROLIN, LAURA ANTONIA LUCIA;
2013

Abstract

Despite the refinement of the cognitive treatment for eating disorders, relatively highdropout 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. © 2013 Italian Area Group of the Society for Psychotherapy Research.
Articolo in rivista - Articolo scientifico
Dropout; CBT; therapeutic alliance
English
2013
16
2
71
89
none
Sarracino, D., Garavaglia, A., Gritti, E., Parolin, L., Innamorati, M. (2013). Dropout from cognitive behavioural treatment in a case of bulimia nervosa: the role of the therapeutic alliance. RESEARCH IN PSYCHOTHERAPY, 16(2), 71-89 [10.7411/RP.2013.009].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/49297
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