Suzuki R
Department of Psychiatry, Juntendo Medical School, Tokyo, Japan.
J Adolesc. 1989 Jun;12(2):197-205. doi: 10.1016/0140-1971(89)90008-0.
Although adolescent patients are said to have a propensity to drop out from psychotherapy, and clinical experiences seem to support this view, few studies have systematically examined this issue. However, a review of researches on adults' dropout shows that dropout is a serious problem for psychotherapy with adult patients. Moreover, available evidence on adolescents' dropout suggests that there is no significant difference in the rates of dropout from psychotherapy between adolescent patients and adult ones. In order to understand the specific quality of adolescents' dropout, the termination of psychotherapy with an adolescent patient is described and discussed. The view is put forward that it is because of the strong counter-transference feelings evoked in the therapist, when his adolescent patient leaves him prematurely, tends to maintain the impression of adolescents' proclivity to drop out from psychotherapy.
尽管据说青少年患者有从心理治疗中退出的倾向，而且临床经验似乎也支持这一观点，但很少有研究系统地考察过这个问题。然而，一项关于成年人退出心理治疗的研究综述表明，退出对成年患者的心理治疗来说是个严重问题。此外，现有的关于青少年退出心理治疗的证据表明，青少年患者和成年患者退出心理治疗的比例没有显著差异。为了了解青少年退出心理治疗的具体情况，本文描述并讨论了与一名青少年患者终止心理治疗的情况。有人提出，当青少年患者过早离开治疗师时，正是治疗师所引发的强烈反移情情感，往往会强化青少年易于从心理治疗中退出的印象。
