This article discusses a grounded theory project designed to explore client satisfaction
within a community-based counselling centre. Twenty-two client participants and seven
worker participants shared their perspectives. It was found that elements related to the
client, the worker, the therapeutic relationship and the organizational setting factored
into assessments of satisfaction and/or dissatisfaction with the helping/healing process.
The analogy of the dance was used to frame the findings.
BloomSL
(2005) The system bites back: Politics, parallel process and
the notion of change. Therapeutic Community: The International
Journal for Therapeutic and Supportive Organizations26(4, Silver Jubilee Issue):
337–354.
4.
CahalaneHSitesEW
(2008) The climate of child welfare employee
retention. Child Welfare87: 91–114.
5.
CalsynRJMorseGAKlinkenbergWDYonkerRDTrustyML
(2002) Moderators and mediators of client satisfaction in
case management programs for clients with severe mental illness.
Mental Health Services Research4(4): 267–275.
6.
CharmazK
(2006) Constructing Grounded Theory: A Practical Guide through
Qualitative Analysis, Los Angeles:
SAGE Publications.
7.
ClarkeAE
(2005) Situational Analysis: Grounded Theory After the Postmodern
Turn, Thousand Oaks, CA: SAGE
Publications.
8.
ClearyPDMcNeilBJ
(1988) Patient satisfaction as an indicator of quality
care. Inquiry: A Journal of Medical Care Organization,
Provision, and Financing25(1): 25–36.
9.
ConteHRRattoRClutzKKarasuTB
(1995) Determinants of outpatients’ satisfaction with
therapists: Relation to outcome. Journal of Psychotherapy
Practice and Research4(1): 43–51.
10.
CreswellJW
(1998) Qualitative Inquiry and Research Design: Choosing Among Five
Traditions, Thousand Oaks, CA:
SAGE Publications.
11.
DalenbergCJ
(2004) Maintaining the safe and effective therapeutic
relationship in the context of distrust and anger: Countertransference and complex
trauma. Psychotherapy: Theory, Research, Practice, Training.
Special Issue: The Psychological Impact of Trauma: Theory, Research, Assessment, and
Intervention41(4): 438–447.
12.
DaubCL
(2005) The relationship between staff burnout and patient
satisfaction in outpatient community mental health
[www.il.proquest.com/umi]. Dissertation Abstracts International:
Section B: The Sciences and Engineering65(10-B): 5395–5395.
(Print).
13.
DearingRLBarrickCDermenKHWalitzerKS
(2005) Indicators of client engagement: Influences on
alcohol treatment satisfaction and outcomes. Psychology of
Addictive Behaviors19(1): 71–78.
14.
DewSEBickmanL
(2005) Client expectancies about therapy.
Mental Health Services Research7(1): 21–33.
15.
DeyI
(1999) Grounding Grounded Theory, San
Diego: Academic Press.
16.
de
Zeeuw WrightM
(2010) The Dance in Contexts: Exploring the Complexity of the
Helping/Healing Process with a Focus on Client Satisfaction.
Dissertation Abstracts International, A 71-08 (UMI No.
NR64399).
17.
de
Zeeuw WrightM (in
press) The Importance of Context in Client
Satisfaction.
18.
DistefanoMKPryerMWGarrisonJL
(1980) Attitudinal demographic, and outcome correlates of
clients’ satisfaction. Psychological Reports47(1): 287–290.
19.
DominelliL
(2005) Social inclusion in research: Reflecting on a
research project involving young mothers in care. International
Journal of Social Welfare14(1): 13–22.
20.
DrauckerCBPetrovicK
(1997) Therapy with male survivors of sexual abuse: The
client perspective. Issues in Mental Health Nursing18(2): 139–155.
21.
DriskoJW
(2004) Common factors in psychotherapy outcome:
Meta-analytic findings and their implications for practice and research.
Families in Society85(1): 81–90.
22.
DrussBGRosenheckRAStolarM
(1999) Patient satisfaction and administrative measures as
indicators of the quality of mental health care. Psychiatric
Services50(8): 1053–1058.
23.
DuckroPBealDGeorgeC
(1979) Research on the effects of disconfirmed client role
expectations in psychotherapy: A critical review. Psychological
Bulletin86: 260–275.
24.
FettermanDM(2005)
A window into the heart and soul of empowerment evaluation: Looking
through the lens of empowerment evaluation principles. In: FettermanDMWandersmanA
(eds) Empowerment Evaluation Principles in Practice, New
York: Guilford Press,
1–26.
25.
FontanaAFordJDRosenheckR
(2003) A multivariate model of patients’ satisfaction with
treatment for posttraumatic stress disorder. Journal of
Traumatic Stress16(1): 93–106.
26.
FrankJ
(1961) Persuasion and Healing: A Comparative Study of
Psychotherapy, Baltimore: Johns
Hopkins University Press.
27.
GarmanANCorriganPWMorrisS
(2002) Staff burnout and patient satisfaction: Evidence of
relationships at the care unit level. Journal of Occupational
Health Psychology7(3): 235–241.
28.
GlaserBGStraussAL
(1967) The Discovery of Grounded Theory,
Chicago:
Aldine.
29.
GlissonC
(2000) Children’s Services Organizational Climate Survey,
Knoxville: University of Tennessee
Children’s Mental Health Services Research Center.
30.
GlissonCHemmelgarnA
(1998) The effects of organizational climate and
interorganizational coordination on the quality and outcomes of children’s service
systems. Child Abuse and Neglect22: 401–421.
31.
GreenfieldTKAttkissonCC(2004)
The UCSF Client Satisfaction Scales: II. The Service Satisfaction Scale –
30. In: MaruishME
(ed.) The Use of Psychological Testing for Treatment Planning and Outcomes
Assessment: Volume 3: Instruments for Adults, (3rd edn).
Mahwah, NJ: Lawrence Erlbaum Associates
Publishers, 813–837.
32.
GreenleyJRSchoenherrRA
(1981) Organization effects on client satisfaction with
humaneness of service. Journal of Health and Social
Behavior22(1): 2–18.
33.
GrencavageLMNorcrossJC
(1990) Where are the commonalities among the therapeutic
common factors?. Professional Psychology: Research and
Practice21(5): 372–378.
34.
HelgesonVSReynoldsKATomichPL
(2006) A meta-analytic review of benefit finding and
growth. Journal of Consulting and Clinical Psychology. Special
Issue: Benefit-Finding74(5): 797–816.
35.
HeppnerPPHeesackerM
(1983) Perceived counselor characteristics, client
expectations, and client satisfaction with counseling. Journal
of Counseling Psychology30(1): 31–39.
36.
JohanssonHEklundM
(2003) Patients’ opinion on what constitutes good
psychiatric care. Scandinavian Journal of Caring
Sciences17(4): 339–346.
37.
KemperEAStringfieldSTeddlieC(2003)
Mixed methods sampling strategies in social science
research. In: TashakkoriATeddlieC
(eds) Handbook of Mixed Methods in Social and Behavioral Research,
Thousand Oaks, CA: SAGE
Publications, 273–296.
38.
LayderD
(1998) Sociological Practice: Linking Theory and Social
Research, London:
SAGE.
39.
LebowJL
(1983) Research assessing consumer satisfaction with mental
health treatment: A review of findings. Evaluation and Program
Planning6: 211–223.
40.
LeiterMPHarviePFrizzellC
(1998) The correspondence of patient satisfaction and nurse
burnout. Social Science and Medicine47(10):
1611–1617.
41.
MeterkoMMohrDCYoungGJ
(2004) Teamwork culture and patient satisfaction in
hospitals. Medical Care42(5): 492–498.
42.
MoosRHMoosBS
(1998) The staff workplace and the quality and outcome of
substance abuse treatment. Journal of Studies on
Alcohol59(1): 43–51.
43.
Mor
BarakMENisslyJALevinA
(2001) Antecedents to retention and turnover among child
welfare, social work, and other human service employees: What can we learn from past
research? A review and metanalysis. Social Service
Review75(4): 625–661.
44.
MorrowSLSmithML
(1995) Constructions of survival and coping by women who
have survived childhood sexual abuse. Journal of Counseling
Psychology42: 24–33.
45.
NelsonGLordJOchockaJ
(2001) Shifting the Paradigm in Community Mental Health: Towards
Empowerment and Community, Toronto:
University of Toronto Press.
46.
PadgettDK
(1998) Qualitative Methods in Social Work Research: Challenges and
Rewards, Thousand Oaks, CA: SAGE
Publications.
47.
PattonMQ
(1990) Qualitative Evaluation and Research Methods,
(2nd edn). Newbury Park, CA:
SAGE.
48.
RhudyDL
(1999) Satisfaction with brief or time-limited therapy in
four Texas community mental health centers (brief therapy)
[www.il.proquest.com/umi]). Dissertation Abstracts International
Section A: Humanities and Social Sciences60(4-A):
1029–1029.
49.
RosenzweigS
(1936) Some implicit common factors in diverse methods of
psychotherapy. American Journal of Orthopsychiatry6: 412–415.
50.
RossiterA
(2001) Innocence lost and suspicion found: Do we educate for
or against social work?. Critical Social Work2(1): Available at:
http://www.criticalsocialwork.com/units/socialwork/critical.nsf (consulted 24 April
2007).
SextonTLWhistonSC
(1994) The status of the counseling relationship: An
empirical review, theoretical implications, and research directions.
Counseling Psychologist22(1): 6–78.
53.
SixmaHJSpreeuwenbergPMMvan
der PaschMAA
(1998) Patient satisfaction with the general practitioner: A
two-level analysis. Medical Care36(2): 212–229.
54.
StraussACorbinJ
(1998) Basics of Qualitative Research: Grounded Theory Procedures
and Techniques, (2nd edn). Thousand Oaks,
CA: SAGE.
55.
StrolinJSMcCarthyMCaringiJ
(2007) Causes and effects of child welfare workforce
turnover: Current state of knowledge and future directions.
Journal of Public Child Welfare1(2): 29–52.
56.
SueSZaneNYoungK(1994)
Research on psychotherapy with culturally diverse
populations. In: BerginAGarfieldS
(eds) Handbook of Psychotherapy and Behavior Change: An Empirical
Analysis, (4th edn). New
York: Wiley,
783–820.
57.
SvenssonBHanssonL
(2006) Satisfaction with mental health services. A user
participation approach. Nordic Journal of Psychiatry60(5): 365–371.
58.
WilliamsB
(1994) Patient satisfaction: A valid
concept?. Social Science and Medicine38(4): 61–67.
