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August 1959

Patients’ and Physicians’ Judgments of Outcome of Psychotherapy in an Outpatient ClinicA Questionnaire Investigation

Author Affiliations

Washington, D. C.
From the Institute for Psychosomatic and Psychiatric Research and Training of Michael Reese Hospital, Chicago.
Supported by a Career Investigation Grant, IMH RCF M997, from U. S. Public Health Service, Department of Health, Education, and Welfare.

AMA Arch Gen Psychiatry. 1959;1(2):185-196. doi:10.1001/archpsyc.1959.03590020081007

In this study of the outcome of psychotherapy, these questions are being asked: Does the patient who has had psychotherapy agree with his therapist on the success of the experience? Is there disagreement, and what is the nature of this disagreement? What factors seem important for the “successfully treated” patient, and what factors may be responsible for the failure of the “unsuccessful” patient?

Psychotherapy and psychoanalysis as therapeutic procedures have recently been scrutinized closely in an effort to determine what contributes to various degrees of effectiveness.1-15 With few exceptions, these investigations have focused on the theory and technique of therapy, the therapists’ attitudes, and the patients undergoing treatment. Follow-up data obtained from former patients through interviews or questionnaires have been mainly utilized to determine the prognosis of various disorders,16-28 their spontaneous rate of recovery,29-35 or the outcome of various forms

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