[Why "no" to psychotherapy? Cognitive stereotypes of psychosomatic patients of a population sample in correlation with refusal of offered psychotherapy].
Practical and organizational reasons, e.g. problems of timing, and strain factors in private or professional life are cited predominantly when probands spontaneously utter their motives for the non-acceptance of an offer of psychotherapy. In the second place, a lack of insight into the necessity of this kind of treatment is indicated as motive for the rejection of a therapy offer. An exploration of the probands leads to a change in the frequently distribution of the motives uttered to refuse psychotherapeutic treatment. Basically, the differentiation of the answers increases (indication of more than one category of motives). A negative attitude to or fear of psychotherapy was indicated considerably more often, especially by women. Those--mostly male--probands, who had pointed out that a lack of insight into the necessity of psychotherapeutic treatment was the decisive factor for their non-acceptance of the therapy offer, adhered most consistently to their argumentation also after exploration. The statistical analysis of possible determinants for the different styles in which probands state the motives for their rejection revealed significant sex differences. These findings suggest that the uptake of psychotherapeutic treatment is also guided by sex role sterotypes.
Psychosomatische Klinik, Universität Heidelberg am Zentralinstitut für Seelische Gesundheit Mannheim.
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Dilo
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D000328:Adult; D005260:Female; D006801:Humans; D007389:Internal-External Control; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010552:Personality Assessment; D011602:Psychophysiologic Disorders / Q000523:psychology* / Q000628:therapy; D011613:Psychotherapy; D013240:Stereotyping; D016312:Treatment Refusal