Clinicians' perspectives on the premature termination of treatment in patients with eating disorders.
In-depth interviews concerning the premature termination of treatment (PTT) were conducted with seven clinicians in an inpatient eating disorders program. Motivation to be in the program and work on recovery, and the ability to establish a trusting relationship with staff were thought to be important factors in completing treatment. Patients who are asked to leave the treatment program, termed "administrative discharge" (AD), were believed by clinicians to differ from patients who dropped out of treatment in terms of having more reasons to stay in the program. While AD was described as a stressful process, particularly when there was disagreement among team members, it was considered necessary in order to maintain a recovery-centered community milieu. These findings, their implications and suggestions for future research are discussed.
Masson
Philip C
PC
Department of Psychology, University of Calgary, Calgary, Alberta, Canada.
Sheeshka
Judy D
JD
D000328:Adult; D000856:Anorexia Nervosa / Q000523:psychology* / Q000628:therapy*; D001291:Attitude of Health Personnel; D001364:Awareness; D003674:Defense Mechanisms; D003717:Denial, Psychological; D001068:Feeding and Eating Disorders / Q000523:psychology* / Q000628:therapy*; D005260:Female; D006040:Goals; D006760:Hospitalization; D006801:Humans; D007389:Internal-External Control; D009042:Motivation; D010348:Patient Care Team; D010349:Patient Compliance / Q000523:psychology; D010351:Patient Discharge; D010352:Patient Dropouts / Q000523:psychology*; D012649:Self Concept; D016896:Treatment Outcome; D035502:Trust; D055815:Young Adult