The role of fees in therapy and growth motivation : psychotherapy as a function of the protestant work ethic

There is a dearth of literature on the topic of fees in therapy and systematic empirical research is even more rare. Theorists seldom directly address the topic of fees, but many seem to be concerned with such issues as (a) motivation, (b) the mental processes through which behavior persists, and (c) some concept of “self” in relation to society. Cognitive dissonance theory, attribution theory, social learning theory, and self-actualization theory all imply that a client's internal locus of control would be less likely to affect growth in therapy when fees cannot be paid than would an external locus of control. Additional factors concerning the effect of fees upon growth in therapy are seen to be the income level of the client and-whether the client is seen in private practice or at a community clinic. Previous research suggesting that there exists no correlation between fees in therapy and growth motivation needs to be replicated and extended to take such factors into consideration.