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 81 documents.

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REVIEW 2018 HTM file
Meta-analysis of the alliance–outcome relation in couple and family therapy

Amalgamation and review of research findings commissioned by the American Psychological Association reveals that working relationships in couple and family therapies are at least as important as in individual therapies. Practice recommendations will help therapists develop these relationships, augmenting the impacts of some of the most effective ways to treat substance use problems.

REVIEW 2018 HTM file
Countertransference management and effective psychotherapy: meta-analytic findings

‘Therapist know thyself’ is the Socratic injunction strongly suggested by findings amalgamated for the American Psychological Association. Across all relevant studies, counsellors and therapists with the self-awareness and abilities to recognise, understand and use their reactions to clients – even when these are driven by the practitioner’s own internal conflicts – conduct better therapy and have more satisfied clients.

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
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
Congruence/genuineness: a meta-analysis

Research findings amalgamated for the American Psychological Association show 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.

REVIEW 2018 HTM file
Therapist and client emotional expression and psychotherapy outcomes: a meta-analysis

Research findings amalgamated for the American Psychological Association show that the outcomes of psychotherapy are substantially and significantly better the more the therapist or especially the client display emotional arousal during therapy – though among substance use clients, focusing on emotions has not been universally helpful.

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
Meta-analyses of the relation of goal consensus and collaboration to psychotherapy outcome

Research findings amalgamated for the American Psychological Association show that outcomes are substantially better the more clients and therapists agree on goals and methods and form collaborative working relationships to implement those agreements. The findings support engaging patients as partners in setting treatment goals and methods.

REVIEW 2018 HTM file
Cohesion in group therapy: a meta-analysis

A review commissioned by the American Psychological Association suggests that fostering cohesion between leaders and groups and within groups is an important way to improve group therapy outcomes. Practice recommendations are offered to help group leaders make the most of this common substance use treatment modality.


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