M. Stoolmiller et al., SOME PROBLEMS AND SOLUTIONS IN THE STUDY OF CHANGE - SIGNIFICANT PATTERNS IN CLIENT RESISTANCE, Journal of consulting and clinical psychology, 61(6), 1993, pp. 920-928
Latent growth curve methodology was applied to the study of patterns o
f change in client resistance during parent training therapy. The clin
ical sample consisted of 68 mothers of children, 52 boys and 16 girls,
ages 5 through 12 years, with confirmed conduct problems. Simple line
ar and linear spline growth models were fit to the three repeated obse
rvational measures of maternal resistance during therapy and found ina
dequate. Instead, a quadratic growth model was used. Pretherapy matern
al characteristics of inept discipline and antisocial behavior predict
ed chronically high levels of resistance. Maternal depressed mood pred
icted less negative quadratic curvature. No significant predictors of
overall change in resistance were detected. Lack of negative curvature
of the resistance growth curves predicted child court offenses during
a 2-year posttermination follow-up. Results are discussed with refere
nce to the struggle-and-working-through hypothesis of client resistanc
e.