Predictors of dropout in a controlled clinical trial of psychotherapy for moderate depression

A significant number of psychotherapy clients remain untreated, and dropping out is one of the main reasons. Still, the literature around this subject is incoherent. The present study explores potential pre-treatment predictors of dropout in a sample of clients who took part in a clinical trial designed to test the efficacy of narrative therapy for major depressive disorder compared to cognitive-behavioral therapy. Logistic regression analysis showed that: (1) treatment assignment did not predict dropout, (2) clients taking psychiatric medication at intake were 80% less likely to drop out from therapy, compared to clients who were not taking medication, and (3) clients presenting anxious comorbidity at intake were 82% less likely to dropout compared to those clients not presenting anxious comorbidity. Results suggest that clinicians should pay attention to depressed clients who are not taking psychiatric medication or have no comorbid anxiety. More research is needed in order to understand this relationship.

Da transparência

[Excerto] O ecrã assume a fronteira que separa a relação entre o artefacto verdadeiramente dito e o seu receptor. Cinema, Televisão ou Media Interactivos dependem da representação visual para existir contudo a relação que procuram com os seus receptores sejam eles passivos ou activos é de envolvência total. Nesse sentido e tendo em conta esta separação operada pelo ecrã que decorre do enquadramento que circunscreve o espaço ou da separação física que se efectua pelo vidro ou tela existe uma necessidade da parte do medium de se desfazer desse mesmo ecrã. É necessário proceder a mecanismos de transparência que criem a ilusão no espectador/participante de que ele está no mesmo plano do objecto e que nada os separa.