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Although cognitive-behavioral therapy (CBT) is recognized as a “gold standard” treatment for generalized anxiety disorder (GAD), many patients fail to respond or they drop out, with many exhibiting noncompliance and negative attitudes toward or disagreements with therapists. Investigators used data on 30 patients with severe GAD (28 women; mean age, 35) from a 15-week CBT study to examine patients' resistance, their therapists' responses, and the effects on outcomes.
Independent coders watching videotaped sessions rated patients for displays of resistance (specifically, disagreements with the therapist, including behaviors that oppose, impede, or divert the therapist's directions) and rated therapists for CBT competence and for behaviors con…