Skip to main content
Log in

Reactance and Therapeutic Noncompliance

  • Published:
Cognitive Therapy and Research Aims and scope Submit manuscript

Abstract

We explored the behavioral correlates ofreactance in actual psychotherapy relationships. Ninetyclient-therapist pairs participated. Clients completeda well-being improvement rating and two reactance measures. Therapists rated improvement inclient global functioning, medication compliance, 61client behaviors during therapy, and prematuretermination. Reactance was negatively associated withglobal improvement, positively with prematuretermination, but not with medication compliance.Reactance was positively associated with a set ofinterpersonal distancing behaviors labeled BoundaryAugmentation and weakly with boundary reducing behaviors.Reactance was not associated with behaviors indicativeof a collaborative relationship nor of disengagementfrom therapy. Improvementwas positively associated with a collaborative relationship andnegatively with boundary-reducing behaviors.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

REFERENCES

  • Beutler,L. E. (1979). Toward specific psychological therapies for specific conditions. Journal of Consulting and Clinical Psychology, 47, 882–897.

    Google Scholar 

  • Brehm, J. W. (1966). A theory of psychological reactance. New York: Academic Press.

    Google Scholar 

  • Brehm, S. S., & Brehm, J. W. (1981). Psychological reactance: A theory of freedom and control. New York: Academic Press.

    Google Scholar 

  • Dowd, E. T. (1993). Motivational and personality correlates of psychological reactance and implications for cognitive therapy. Psicologia Conductual, 1, 145–156.

    Google Scholar 

  • Dowd, E. T., Milne, C. R., & Wise, S. L. (1991). The Therapeutic Reactance Scale: A measure of psychological reactance. Journal of Counseling and Development, 69, 541–545.

    Google Scholar 

  • Dowd, E. T., & Sanders, D. (1994). Resistance, reactance, and the difficult client. Canadian Journal of Counselling, 28, 13–24.

    Google Scholar 

  • Dowd, E. T., & Wallbrown, F. (1993). Motivational components of client reactance. Journal of Counseling and Development, 71, 533–538.

    Google Scholar 

  • Dowd, E. T., Wallbrown, F., Sanders, D., & Yesenosky, J. M. (1994). Cognitive Therapy and Research, 18, 601–612.

    Google Scholar 

  • Graybar, S. R., Antonnuccio, D. O., Boutilier, L. R., & Varble, D. L. (1989). Psychological reactance as a factor affecting patient compliance to physician advice. Scandinavian Journal of Behavior Therap y, 18, 43–51.

    Google Scholar 

  • Horvath, A. O., & Greenberg, L. S. (1989). The development and validation of the Working Alliance Inventory. Journal of Counseling Psychology, 36, 223–233.

    Google Scholar 

  • Merz, J. (1983). Fragebogen zur Messung der Psychologischen Reactanz (Questionnaire for the measurement of psychological reactance ). Diagnostica, 29(1), 75–82.

    Google Scholar 

  • Morgan, R. D. (1986). Individual differences in the occurrence of psychological reactance and therapeutic outcome. Unpublished doctoral dissertation, University of Nebraska.

  • Otani, A. (1989). Client resistance in counseling: Its theoretical rationale and taxonomic classification. Journal of Counseling and Development, 67, 458–461.

    Google Scholar 

  • Pepper, H. F. (1996). An investigation of psychosocial developmental precursors of psychological reactance. Unpublished doctoral dissertation, Kent State Unive rsity.

  • Rohrbaugh, M., Tennen, H., Press, S. & White, L. (1981). Compliance, defiance, and therapeutic paradox: Guidelines for strategic use of paradoxical interventions. American Journal of Orthopsychiatry, 51, 467.

    Google Scholar 

Download references

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Seibel, C.A., Dowd, E.T. Reactance and Therapeutic Noncompliance. Cognitive Therapy and Research 23, 373–379 (1999). https://doi.org/10.1023/A:1018751817046

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1018751817046

Navigation