PMID: 11918993Mar 29, 2002Paper

A blind spot for secondary gain affecting therapy outcomes

European Psychiatry : the Journal of the Association of European Psychiatrists
Jacques Van Egmond, Ischa Kummeling

Abstract

A study to determine whether the expectation for secondary gain held by psychiatric outpatients was associated with therapy outcomes. The study was conducted at a Dutch psychiatric outpatient department. Our investigation set out to explore the expectation of obtaining secondary gain by directly asking the patient and clinician via questionnaires whether the patient anticipated to get specific "benefits" from being in therapy. From 166 patients, 70 (42.2%) reported to expect secondary gain while in therapy. We found a significant relation between expectation for secondary gain and treatment outcomes. Patients with expectations for secondary gain were significantly more prone to poor therapy outcome. Only in nine of 147 cases (6%) did patients explicitly express their expectations for secondary gain towards a psychiatrist. Moreover, expectations for secondary gain did not appear to be related to Axis I and Axis II diagnoses. Secondary gain appeared to be a "veiled motive" for getting therapy: patients did not express their expectations for secondary gain explicitly towards a psychiatrist. This aspect of veiled motives is of particular relevance in regard to the fact that expectations for secondary gain appeared to affect therapy...Continue Reading

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Citations

Sep 21, 2005·European Psychiatry : the Journal of the Association of European Psychiatrists·Jacques Van EgmondTon Aan Balkom
Dec 12, 2012·Journal of Clinical and Experimental Neuropsychology·Anne RienstraBen Schmand
Aug 30, 2012·The Clinical Neuropsychologist·Harald Merckelbach, Thomas Merten
Apr 7, 2015·International Journal of Law and Psychiatry·Isabella J M NiestenDavid P Bernstein
Mar 1, 2012·The Psychiatric Clinics of North America·David L Mintz, David F Flynn
Dec 11, 2014·The Clinical Neuropsychologist·Alfons van ImpelenThomas Merten
Mar 10, 2017·Behavioral Sciences & the Law·Thomas Merten, Richard Rogers
Jan 5, 2018·Psychological Injury and Law·Alfons van ImpelenJoost À Campo
Jan 5, 2018·Psychological Injury and Law·Isabella J M NiestenMarko Jelicic
Jun 17, 2005·American Journal of Psychoanalysis·J J van Egmond
Mar 19, 2014·Orvosi hetilap·Csaba DzsinichGabriella Nagy
Dec 14, 2018·European Archives of Psychiatry and Clinical Neuroscience·Stephan GoerigkNina Sarubin

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