A national survey of practicing psychologists' use and attitudes toward homework in psychotherapy

J Consult Clin Psychol. 2005 Aug;73(4):742-8. doi: 10.1037/0022-006X.73.4.742.

Abstract

Homework assignments have been studied extensively in psychotherapy research, but there is little data on the way in which homework is transferred to clinical practice. A survey was conducted of 827 practicing psychologists nationwide regarding their use and attitudes toward homework. Overall, 68% of the present sample indicated that they "often" or "almost always" used homework assignments. Factor analysis revealed that practitioners have a range of attitudes that can be classified as reflecting the notion that homework has (a) a negative impact on in-session therapeutic work and (b) a positive effect on therapy outcomes. More positive attitudes were reported among those with a cognitive-behavioral theoretical orientation. Nevertheless, the use of homework among psychodynamic/analytic practitioners reported in the present sample was unexpected and suggests that theoretical and empirical work is required to examine homework's effects in a range of psychotherapy approaches.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Attitude of Health Personnel*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Patient Compliance*
  • Practice, Psychological*
  • Psychology*
  • Psychotherapy / methods*
  • Reinforcement, Psychology*
  • Surveys and Questionnaires*
  • Treatment Outcome