Abstract
Since psychotherapy failures and early dropouts represent a sizable percentage of the clients who start psychotherapy, it is clearly important to devise a methodologically sound and effective process of treatment selection. In this study, a negotiation approach to treatment selection is proposed and situated in the context of an integrative viewpoint on psychotherapy. The preferences of the client, the client's control of the situation of choice, and the compatibility of differing views of client and therapist constitute the typical characteristics of this negotiation approach. The first part of this study gives a careful description of the negotiation approach. The second part examines the influence of the negotiation approach on the dropout rate and on initial therapeutical contacts. Results indicate a significant effect of negotiation on dropout, suggesting that clients who perceive treatment selection as a negotiation process are more successful in their initial therapeutical contacts.
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