| 英文摘要 |
Objectives: The purpose of the study is to find the possible causes of dropout in dynamic-interpersonal group psychotherapy for the depressed by qualitative research. Methods: We use qualitative method to analyze the transcript collected by interviewing senior therapists for summarizing the possible causes of dropout. Result: There were 2 major causes for dropout, including ''Fear'' and ''Expecting on other therapists''. Fear was divided into two subcategories: withdrawing on site and good changing. Withdrawing on site came from the painful sensation on exposure of traumatic experience and the venerability of the patient. Good changing came from the mind changed with the environment, the effect of medication, the learning from observation and the initial improvement in the group. Expecting on other therapists for others were divided into two subcategories: not the right man and not the right way. Not the right man came from the group is not warm enough and the questioning on the therapist. Not the right way came from this is not what I want, we live in different world and inappropriate cases were not excluded before the group. Conclusions: According to our study, leaders need to be more active and provide optimal support and adequate safety in early stage of group for preventing dropout. Besides, facilitating interactions between members and leaders under common topics was important. In the middle stage of group, leaders help the formation of group cohesiveness, which would enable the members to face the difference among one and another and promote personal growth by interpersonal feedback and self-awareness. On the other hand, appropriate screening before the group is also important. |
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