Therapist–client agreement on helpful and wished-for experiences in psychotherapy: Associations with outcome
Document Type
Article
Department or Administrative Unit
Psychology
Publication Date
2020
Abstract
Therapists and clients often have different perspectives about what is helpful and what they wish for in therapy, but it is unclear how their perspectives differ and whether their agreement have implications for therapy outcome. In a mixed-method study, 18 therapists and clients were interviewed separately after termination about their experiences and what they wished had been different about their psychotherapy. Transcripts were analyzed using consensual qualitative research. Therapists and clients agreed moderately that exploration of the therapeutic relationship, therapists’ use of challenges, and therapist validation and support were helpful. In contrast, there was low agreement on wishes. Whereas clients wished that therapists had provided more structure and direction, therapists did not mention any typical wishes. Using multilevel modeling, a high level of agreement on what was helpful was associated with reductions in psychological symptoms and interpersonal problems, although no relationship was found between agreement on wishes and outcome. The findings underscore the importance of therapist–client agreement about helpful aspects of therapy for successful therapy.
Recommended Citation
Chui, H., Palma, B., Jackson, J. L., & Hill, C. E. (2020). Therapist–client agreement on helpful and wished-for experiences in psychotherapy: Associations with outcome. Journal of Counseling Psychology, 67(3), 349–360. https://doi.org/10.1037/cou0000393
Journal
Journal of Counseling Psychology
Rights
© 2019 American Psychological Association
Comments
John Jackson is the Assistant Director for Training at CWU's Counseling Services.
This article was originally published in Journal of Counseling Psychology. The full-text article from the publisher can be found here.
Due to copyright restrictions, this article is not available for free download from ScholarWorks @ CWU.