Early Termination from Couple Therapy in a Naturalistic Setting: The Role of Therapeutic Mandates and Romantic Attachment

Drawing on a series of 141 couple therapy cases, the main goal of the present study was to determine whether romantic attachment, pre-treatment relationship distress and therapeutic mandates (i.e., reduction of couple distress or ambivalence resolution) are prognostic indicators of early termination. Couples completed the Dyadic Adjustment Scale (Spanier 1976) and the Experiences in Close Relationships Questionnaire (Brennan et al. 1998) at intake, whereas therapists filled in the Classification of Therapeutic Mandates (Poitras-Wright and St-Père 2004) after the 4th session. Results showed that an ambivalence resolution mandate, elevated couple distress and higher levels of attachment anxiety were associated with early termination. The implications of these findings to further understand early termination in couple therapy are discussed.