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Empirical studies of noncompliance to behavioral therapy

Two studies were performed to provide insight into the causes and effects of client
noncompliance to behavioral treatments. An Analogue Study was performed in which
undergraduate participants were taught about progressive muscle relaxation. Participants were
randomly assigned to either a directive condition (which placed an emphasis on describing
relaxation as an expert would) or a supportive condition (which emphasized incorporating
relaxation into the person's daily life). Results indicated that participants in the supportive
condition reported higher levels of enjoyment, satisfaction, and homework compliance than
participants in the directive condition, but did not display significantly different levels of intrasession
noncompliance. As well, a Clinical Study served as a naturalistic study involving six
therapist-mother pairs where the mother was presenting with parenting difficulty and worked with
the therapist during six sessions of behavioral parent training. This study surprisingly found that
mothers were more likely to show noncompliance immediately following therapist supportive
behavior than after directive behavior, but that overall levels of directive behavior resulted in less
homework completion, and that overall levels of supportive therapist behavior corresponded with
higher client satisfaction and lower overall levels of intra-session noncompliance. As well,
therapists were more likely to respond to client noncompliance with supportive rather than
directive behavior. Reconciliation of these results with previous research was discussed, along
with limitations to these studies and potential areas for future research.

Identiferoai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:BVAU.2429/8582
Date05 1900
CreatorsReynolds, Shawn Patrick
Source SetsLibrary and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada
LanguageEnglish
Detected LanguageEnglish
TypeElectronic Thesis or Dissertation
RelationUBC Retrospective Theses Digitization Project [http://www.library.ubc.ca/archives/retro_theses/]

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