Kealy, David ORCID: 0000-0002-3679-6085, Joyce, Anthony S., Ogrodniczuk, John S., Ehrenthal, Johannes C. and Weber, Rainer (2018). Reactance and Engagement in Integrative Group Psychotherapy for Personality Dysfunction. J. Psychother. Integr., 28 (4). S. 462 - 475. WASHINGTON: AMER PSYCHOLOGICAL ASSOC. ISSN 1053-0479

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Abstract

Reactance refers to an oppositional tendency, and may have the potential to interfere with patients' engagement in intensive group psychotherapy. Using data from an integrative group treatment program for patients with personality dysfunction, the present study investigated reactance with regard to program attendance and premature termination, and with patients' perceptions of the group therapy process. Patients with personality dysfunction (N = 138) completed pretreatment assessments of reactance and symptom distress, along with measures of group process during the early phase of treatment. Nonparametric tests were used to examine patients' attendance and termination status. Mediation analyses were conducted to examine reactance as a potential mechanism in the relationship between personality dysfunction and patients' perceptions of group climate. Reactance was associated with reduced attendance and both patient-initiated and administratively determined premature termination. Among patients who provided ratings of group process (n = 117), reactance served as a significant mediator of the relationship between personality dysfunction and perceptions of both avoidant and conflictual group climate. Reactance is a potential impediment to treatment completion, and contributes to patients' negative perceptions of the group therapy process. The findings indicate a need for clinical attention regarding reactance early in the assessment and treatment-preparation process.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Kealy, DavidUNSPECIFIEDorcid.org/0000-0002-3679-6085UNSPECIFIED
Joyce, Anthony S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ogrodniczuk, John S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ehrenthal, Johannes C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Weber, RainerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-164572
DOI: 10.1037/int0000129
Journal or Publication Title: J. Psychother. Integr.
Volume: 28
Number: 4
Page Range: S. 462 - 475
Date: 2018
Publisher: AMER PSYCHOLOGICAL ASSOC
Place of Publication: WASHINGTON
ISSN: 1053-0479
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
PSYCHOLOGICAL REACTANCE; THERAPEUTIC REACTANCE; DISORDERS; LEVELMultiple languages
Psychology, ClinicalMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/16457

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