The authors of this review demonstrate the correlation between the cultural features, social factors and the patients’ expectations from the psychotherapy. Russian psychologists have been paying very little attention to client expectations. It is very often that convergence between the patient´s expectations from psychotherapy and that the psychotherapist offers the patient - often depends on the success of the therapy. The results of many studies confirm that clients´ expectations are an important factor with regards to the efficiency of psy-chotherapy as well as to the rate of drop-outs. Reliable methods of assessment of clients´ expectations allow to create and to implement strategies of pre-therapy interventions. The theoretical structure of patients´ expectations is complex, as is the set of their determinants. Patients´ choices reflect their mentality, the social stratum and cultural tradition they belong to, their personal traits and value systems, inner dynamic factors including the type of attachment and particularities of the psychopathology, and so on. The paper covers multiple aspects of determination of the construct «patient´s expectations». Particular focus is on the cultural determinants of Russian patients´ expectations. In the analysis of cultural determinants of therapy expectations the authors used approaches of Ruth Benedict and Geert Hofstede. According to Benedict´s classification Russian culture might be considered more as so-called Dionysian culture. According to authors’ analysis more pertinent patients´ expectations formed by Russian culture might be such psychotherapies as psychodrama, NLP, Gestalt-therapy Holotropic Breathwork; and in a less degree – psychoanalysis.
psychotherapy, patients´ expectation from psychotherapy, type of culture, cultural dimensions, socio-psychological determinants, inner representation of disorder.
1. Agarkov V.A. Bazovye printsipy psikhoterapii posledstviy psikhicheskoy travmy. Narushenie regulyatsii vozbuzhdeniya. Voprosy psikhologii ekstremal´nykh situatsiy 2010. №1. S. 11–16.
2. Agarkov V.A. Bazovye printsipy psikhoterapii posledstviy psikhicheskoy travmy. Pamyat´ posle psikhotravmiruyushchego perezhivaniya. Voprosy psikhologii ekstremal´nykh situatsiy. 2010. №3. S. 7–15.
3. Karvasarskiy B. D. Psikhoterapevticheskaya entsiklopediya 2-e izd., 2002.
4. Karvasarskiy B. D. Psikhoterapiya, 2-e izd., 2002.
5. Koshelev V.V. Sistema meditsinskoy reabilitatsii patsientov pri sostoyaniyakh klinicheskoy de-zadaptatsii s preobladaniem astenicheskikh narusheniy na osnove kompleksnogo etapnogo primeneniya vosstanovitel´nykh tekhnologiy / Avtoref. diss. na d.m.n. Moskva, 2009.
6. Luriya R.A. Vnutrennyaya kartina bolezni i yatrogennye zabolevaniya. M.: Meditsina, 1977. 112 s.
7. Pugovkina O.D., Nikitina I.V., Kholmogorova A.B. Nauchnye issledovaniya protsessa psikhote-rapii i ee effektivnosti: istoriya problemy. Konsul´tativnaya psikhologiya i psikhoterapiya. 2009. №1.
8. Sokolova E.T. Psikhoterapiya: teoriya i praktika: uchebn. posobie dlya stud. vyssh. ucheb. zavede-niy. 4-e izd., ster.. M.: Izdatel´skiy tsentr «Akademiya», 2010. 368 s.
9. Tashlykov V.A. Kliniko. psikhologicheskoe issledovanie vnutrenney kartiny bolezni pri nev-rozakh v protsesse ikh psikhoterapii. Zhurnal nevropatologii i psikhiatrii im. S.S. Korsakova. 1981. № 11. S. 1704–1708.
10. Freyd Z. Sobranie sochineniy v 10 tomakh. Dopolnitel´nyy tom. Sochineniya po tekhnike leche-niya. M.: Firma STD, 2008. 440 s.
11. Ajzen I. The Theory of Planned Behavior. Organizational Behavior and Human Decision Processes. 1991. V. 50. Issue 2. P. 179–211.
12. Aronson E. The return of the repressed: Dissonance theory makes a comeback. Psychological In-quiry. 1992. V. 3. N 4. P. 303–311.
13. Bateman A., Fonagy P. Psychotherapy for borderline personality disorders: Mentalization based treatment. Oxford, UK: Oxford University Press. 2004. 408 p.
14. Benedict R. Patterns of Culture. New York: Mentor Books. 1960. 254 p.
15. Clarkin F.J., Fonagy P., Gabbard G.O. (Eds.) Psychodynamic psychotherapy for personality disorders. A Clincal hanbook. Washington, London: American Psychiatric Publishing. 2010, 486 p.
16. Clinton D. Why do eating disorder patients drop out?. Psychotherapy and Psychosomatic.1996. V. 65. N 1. P. 29–35.
17. Cialdini R.B. Influence: Science and practice (3rd ed.). New York: HarperCollins, 1993.
18. Constantino M.J., Glass C.R., Arnkoff D.B., Ametrano R.M., Smith J.Z. 2011 Expectations / Norcross J.C. (Ed.) Psychotherapy relationships that work: Evidence-based responsiveness (2nd ed). New York, NY: Ox-ford University Press, Inc, 2011. P. 354–376.
19. Elkin I., Parloff M.B., Hadley S.W., Autry J.H. Treatment of Depression Collaborative Research Pro-gram. Archives of General Psychiatry. 1985. V.42. N 3. P. 305–316.
20. Fishbein M., Ajzen I., Belief, Attitude, Intemtion and Behavior / Addison-Wesley Publishing Com-pany, 1975. 578 p.
21. Garfield S.L. Research on client variables in psychotherapy / Bergin A.E., Garfild S. Handbook of psychotherapy and behavior change. New York: John Willey & Sons, 1995. P. 190–227.
22. Holmes J. Exploring in security. London and New York: Routlege, 2010. 200 p.
23. Hofstede G. Culture’s Consequences, Comparing Values, Behaviors, Institutions, and Organizations Across Nations. Thousand Oaks / CA: Sage Publications, 2001.
24. Lambert M. Implications of outcome research for psychotherapy integration. / Norcross J., Goldstein J. (Eds.) Handbook of Psychotherapy Integration. New York: Basic Books, 1992. P. 94–129.
25. Pekarik G., Wierzbicki M. The Relationships Between Clients´ Expected and Actual Treatment Dura-tion. Psychotherapy. 1986. V. 23. Issue 4. P. 532–534.
26. Saltzman C., Luetgert M.J., Roth C.H., Creaser J., Howard L. Formation of Therapeutic Relation-ships: Expectancies During the Initial Phase of Psychotherapy as Predictors of Treatment Duration and Out-come. Journal of Consulting and Clinical Psychology. 1976. V. 44. Issue 4. P. 267–273.
27. Swift J., Callahan J. Early Psychotherapy Processes: An Examination of Client and Trainee Clinician Perspective Convergence. Clinical Psychology and Psychotherapy. 2009. V. 16. P. 228–236.
28. Weber J.J., Bachrach H.M., Solomon M. Characteristics of Psychoanalytic Clinic Patients: Report of the Columbia Psychoanalytic Center Research Project (I). International Review of Psychoanalysis. 1985. V.12. P. 13–26.
