The Influence of Self-Monitoring on Return Rate Following Intake at a Child Guidance Clinic

Research has yet to identify any characteristics of clients, therapists, or treatment dyads which consistently identify those clients most likely to drop out of treatment. A frame of reference which may prove useful in identifying such clients is the social psychological construct of selfmonitoring. This theory proposes that individuals involved in any social encounter differ from each other in their approach to constructing a relevant self-presentation. High self-monitors emphasize matching their behavior to situational cues while low self-monitors match their behavior to perceived internal values and traits. The present study demonstrates the effects that selfmonitoring styles of therapists and clients have on the effectiveness of a therapeutic intake interview and the client's decision whether or not to return for treatment. Additionally examined are the effects of therapist selfmonitoring style on theoretical orientations toward psychotherapy. The hypothesis that pairings of high self-monitors would be most effective is tested by Chi-square and found to be nonsignificant. Using the Chi-square test, low self-monitoring therapists are found to endorse a single approach to therapy and to strongly endorse the psychoanalytical orientation. Low self-monitors are found to be eclectic in approach. Satisfaction with the interview is examined using ANOVA. Results are nonsignificant with the exception that low self-monitoring therapists are more satisfied with the intake interview than are high selfmonitoring therapists. Finally, within-cell Pearson correlations are examined to measure agreement about satisfaction between therapist and client. Pairs of high self-monitors show the highest rate of agreement. Implications for further research in this area are discussed