The client–therapist relationship
 The client–therapist relationship

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The client–therapist relationship

At the heart of addiction treatment lies client–therapist relationships, across psychosocial therapies a stronger influence on how well clients do than the type of therapy. A collection starting with the analyses most recently added or updated, totalling today 73 documents.

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REVIEW 2018 HTM file
Collecting and delivering progress feedback: a meta-analysis of routine outcome monitoring

Findings amalgamated for the American Psychological Association show that outcomes usually improve when therapists are provided with real-time feedback from the client on their progress and on factors affecting it such as the client–therapist relationship. Especially among clients (including substance use clients) who would otherwise deteriorate or not improve, these systems are among the most effective ways available to services to improve outcomes.

REVIEW 2018 HTM file
Congruence/genuineness: a meta-analysis

Amalgamation of research findings for the American Psychological Association finds that in the (mainly Western) cultures where these studies have been done, outcomes improve the more therapists are seen as genuine by their clients and relating to them human to human rather than as an authority figure.

STUDY 2012 HTM file
A preliminary study of the effects of individual patient-level feedback in outpatient substance abuse treatment programs

Evidence that an earlier study feeding back client progress to counsellors did not find improved outcomes because data was aggregated across a caseload rather than identifying individuals doing poorly and recommending remedial actions. After remedying these deficits, a new system significantly improved mental health and reduced substance use.

REVIEW 2018 HTM file
Meta-analysis of the prospective relation between alliance and outcome in child and adolescent psychotherapy

Amalgamation of research findings for the American Psychological Association finds that the relationship between therapists and young clients and their parents matters nearly as much as for adults. Practice recommendations will aid counsellors, therapists and mental health teams in their work with young substance users.

REVIEW 2018 HTM file
Therapist self-disclosure and immediacy: a qualitative meta-analysis

It’s a dilemma for all therapists and counsellors – how much to disclose about yourself. Another difficult decision is when to directly confront what is happening and being felt then and there in therapy. A review for the American Psychological Association finds that positive reactions generally follow these therapist interventions, but they can also backfire. Guidance is offered on when to try them.

REVIEW 2018 HTM file
The alliance in adult psychotherapy: a meta-analytic synthesis

Comprehensive review for the American Psychological Association concludes that the working relationship between clients and their counsellors or therapists is one of the largest and most consistent determinants of outcomes. Practice recommendations aim to help practitioners foster strong relationships.

REVIEW 2018 HTM file
Alliance rupture repair: a meta-analysis

Amalgamation of research findings commissioned by the American Psychological Association raises the intriguing possibility that experiencing the resolution of breakdowns or tensions (‘ruptures’) in the therapist–client relationship promotes client welfare even more than relationships with no ruptures. Evidence-based tips are given to help therapists resolve ruptures.

REVIEW 2018 HTM file
Therapist empathy and client outcome: an updated meta-analysis

Review commissioned by the American Psychological Association finds that the more therapists empathically communicate their understanding of and compassion for clients, the better the outcomes. Recommendations will help counsellors, therapists, trainers and supervisors foster this important foundation for therapist–client relationships.

REVIEW 2018 HTM file
Positive regard and psychotherapy outcome: a meta-analytic review

Findings amalgamated for the American Psychological Association show that across psychotherapy studies, outcomes improve the more therapists consistently demonstrate warmth and high regard for their clients – given the stigma and low regard attached to dependent substance use(rs), findings with important implications for promoting recovery.

REVIEW 2018 HTM file
The real relationship and its role in psychotherapy outcome: a meta-analysis

Findings amalgamated for the American Psychological Association indicate that patient progress and treatment quality are strongly related to the strength of the personal (‘real’) relationship between client and therapist – more strongly than the working relationship focused on the therapy. Showing that you like, value and care for someone may be therapeutic in itself.


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