The client–therapist relationship
 The client–therapist relationship

Couple in therapyEffectiveness bank home page. Opens new window Collection
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 81 documents.

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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
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.

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 2011 HTM file
Adapting psychotherapy to the individual patient: Resistance/reactance level

Meta-analytic review commissioned by a US task force concludes that psychotherapy patients who characteristically exhibit low levels of resistance or reactance respond better to directive types of treatment, while reactive patients prone to resist direction respond best to non-directive approaches.

MATRIX CELL 2018 HTM file
Drug Treatment Matrix cell B4: Practitioners; Psychosocial therapies

Seminal and key studies on the impact of the practitioner in psychosocial therapies. Takes Carl Rogers’s seminal theories as its starting point and guides you through the complexities which obscure the impact of client-worker relationships despite their patent important to the clients.

STUDY 1988 HTM file
Is the counselor an “active ingredient” in substance abuse rehabilitation? An examination of treatment success among four counselors

The unexpected resignations of two counsellors at a US methadone clinic in early 1985 triggered a unique study of the influence of counsellors on their patients’ recovery. Its insight remains relevant today, and the study has been added to the Effectiveness Bank as a piece of ‘old gold’.

REVIEW 2018 HTM file
A meta-analysis of the association between patients’ early treatment outcome expectation and their posttreatment outcomes

A review commissioned by the American Psychological Association found that patients who enter psychotherapy with positive expectations about outcomes tend to actually have better outcomes, suggesting therapists should regularly assess expectations and if indicated take steps to enhance them.

MATRIX CELL 2018 HTM file
Drug Treatment Matrix cell B3: Practitioners; Medical treatment

Seminal and key research and reviews on the influence of the practitioner in the medical treatment of drug dependence. Investigates the how clinician-patient relationships might be affected by enforcing clinic rules and the potential importance of doctors forming a “whole person’ relationship with patients.

MATRIX CELL 2017 HTM file
Drug Treatment Matrix cell B2: Practitioners; Generic and cross-cutting issues

At the front line the practitioner is to the patient the face of addiction treatment. Key research shows they can matter enormously – not so much in their formal qualifications, but in their manner with the patients. Probe with us the heart of addiction treatment: relationships.

DOCUMENT 2017 HTM file
Drug misuse and dependence: UK guidelines on clinical management

Last published in 2007, there is no more important document for UK clinicians involved in treating problem drug use than the so-called ‘Orange guidelines’. This major update offers detailed guidance on the range of problems, settings and patients clinicians encounter, substantially informing judgements of what constitutes good medical practice.


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