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Article   |    
Patient-Therapist Mismatch: We Would Rather Switch Than Fight
Sarah Andrews; Annette Leavy; Neal DeChillo; Allen Frances
Psychiatric Services 1986; doi:
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New York Hospital-Cornell University Medical Center

Cornell University Medical College, The Outpatient Department at the Payne Whitney Psychiatric Clinic

1986 American Psychiatric Association

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Abstract

The authors studied 21 psychiatric outpatients who were granted a change in therapist at their request. The study sample did not differ signtficantly from other outpatients in demographic characteristics or diagnosis. Results indicated that the great majority of requests for a change in therapists resultedfrom patient-therapist mismatch, and the majority of patients who changed therapists remained in treatment with the new therapist and reported being satisfied with the change. The authors believe that a flexible policy regarding changes in therapists will enhance treatment effectiveness, and they offer suggestions on how to manage transfers.

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