Therapist Success and Its Determinants
- 1 June 1985
- journal article
- research article
- Published by American Medical Association (AMA) in Archives of General Psychiatry
- Vol. 42 (6), 602-611
- https://doi.org/10.1001/archpsyc.1985.01790290084010
Abstract
• This study examined the relatively unexplored contribution of the therapist's performance in determining outcomes of treatment. Nine therapists were studied: three performed supportive-expressive psychotherapy; three, cognitive-behavioral psychotherapy; and three, drug counseling. Profound differences were discovered in the therapists' success with the patients in their case loads. Four potential determinants of these differences were explored: (1) patient factors; (2) therapist factors; (3) patient-therapist relationship factors; and (4) therapy factors. Results showed that (1) patient characteristics within each case load (after random assignments) were similar and disclosed no differences that would have explained the differences in success; (2) therapist's personal qualities were correlated with outcomes but not significantly (mean r=.32); (3) an early-in-treatment measure of the patienttherapist relationship, the Helping Alliance Questionnaire, yielded significant correlations with outcomes (mean r=.65); (4) among the therapy techniques, "purity" provided significant correlations with outcomes (mean r=.44), both across therapists and within each therapist's case load. The three therapist-related factors were moderately associated with each other.This publication has 5 references indexed in Scilit:
- Formation of a therapeutic relationship: Experiences during the initial phase of psychotherapy as predictors of treatment duration and outcome.Journal of Consulting and Clinical Psychology, 1976
- The Hopkins Symptom Checklist (HSCL): A self-report symptom inventoryBehavioral Science, 1974
- Screening Depressed Patients in Family PracticePostgraduate Medicine, 1972
- Dimensions of therapist response as causal factors in therapeutic change.Psychological Monographs: General and Applied, 1962
- Improvement and amount of therapeutic contact: An alternative to the use of no-treatment controls in psychotherapy.Journal of Consulting Psychology, 1957