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July 8, 2026Psychotherapy Research

Dropping out of therapy in context of an RCT: a qualitative analysis

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Authors

LNLiza NotaertsRMReitske MeganckLTLadislav Timulák

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Overview

Qualitative analysis identifies layered reasons for psychotherapy dropout in a randomized trial, suggesting complex influences.

Key Points

  • This study aims to explore the complex reasons behind psychotherapy dropout using qualitative methods.
  • Conducted a qualitative analysis of logbooks, therapist reports, and post-interviews from 46 dropout cases in an RCT.
  • Utilized descriptive-interpretative qualitative research to identify common themes.
  • Applied ideal-type analysis to distinguish case-wise variations in dropout reasons.
  • Identified four major themes related to dropout, including interpersonal patterns and therapist unresponsiveness.
  • Differentiated six types of dropout experiences, highlighting varied perceptions and expectations.
  • Revealed that dropout reasons involve complex interactions among patient, therapist, and contextual factors.

Cite This Study

Notaerts et al. (2026) studied this question.

synapsesocial.com/papers/6a4de9add2ea289ef6283bc6https://doi.org/10.1080/10503307.2026.2689635
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