barriers to treatment progress due
to patient motivation
Frequencies of responses associated with problems
due to patient motivation are reported in Table 7,
and indicate that premature termination (60%),
minimal motivation at the beginning of treatment
(60%), and decreased motivation with some symptom
reduction (31%) all interfered with treatment.
barriers to treatment progress due
to patient’s social system
Table 8 reports elements in patients’ social system
that respondents identified as interfering with the
effectiveness of CBT. Most respondents identified
that patients' symptoms were reinforced and
supported by their social network (61%) and that
their patients were trapped in a dysfunctional
environment (57%). Other mitigating factors included
high levels of stress at home or work (48%),
lack of family support for treatment (43%), social
isolation (39%), and family members who were