Barriers to Adoption of New Treatments: An Internet Study of Practicing Community Psychotherapists

Original paper


Over 1,600 North American psychotherapists from a wide range of disciplines and practice settings completed an open-ended question on perceived barriers to adoption of new treatments as part of an internet survey. Content analysis indicated that there were five overall themes: clinician attitudes, client characteristics, contextual or institutional factors, training issues and other. The most frequently endorsed theme revolved around training issues, particularly, insufficient time and cost for training, lack of confidence in mastering the technique, and lack of opportunities for refining skills. Specific ideas for overcoming these barriers are identified.


Psychotherapy Education Evidence-based medicine 

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Joan M. Cook
    • 1
    • 2
  • Tatyana Biyanova
    • 3
  • James C. Coyne
    • 4
  1. 1.Department of PsychiatryYale University School of MedicineWest HavenUSA
  2. 2.National Center for PTSDWest HavenUSA
  3. 3.Division of Mental Health Services and Outcomes ResearchYale University School of MedicineWest HavenUSA
  4. 4.University of PennsylvaniaPhiladelphiaUSA

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