Does paying a fee for psychotherapy alter the effectiveness of treatment?


76 undergraduates who expressed interest in having a therapy session were randomly assigned to an experimental group that paid for the session or to a control group that did not pay. Each client received individual counseling from a therapist who was unaware of the client's fee-paying status. Ss completed the Hopkins Symptom Checklist pre- and posttreatment. Following the therapy session, Ss who had not paid a fee reported reliably lower levels of symptom and problem distress. It is suggested that Ss who did pay a fee may have expected more from treatment. Findings may have important implications for public and private support of psychotherapy services. (41 ref) (PsycINFO Database Record (c) 2006 APA, all rights reserved). © 1984 American Psychological Association.

Publication Title

Journal of Consulting and Clinical Psychology