The Unfolding of the Real Relationship and the Outcome of Brief Psychotherapy

This study sought to assess the association of client- and therapist-rated real relationship with each other and with the outcome of brief psychotherapy. It also aimed to determine whether changes over time in perceptions of the real relationship and increasing convergence between clients' and...

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Bibliographic Details
Published in:	Journal of counseling psychology Vol. 59; no. 4; pp. 495 - 506
Main Authors:	Gelso, Charles J, Kivlighan, Dennis M., Jr, Busa-Knepp, Johnna, Spiegel, Eric B, Ain, Stacie, Hummel, Ann M, Ma, Yueher Emilie, Markin, Rayna D
Format:	Journal Article
Language:	English
Published:	Washington, DC American Psychological Association 01-10-2012
Subjects:	Attitude of Health Personnel Attitude to Health Biological and medical sciences Brief Psychotherapy Client Attitudes Clinical outcomes Convergence Correlation Counseling Counseling Services Counselor Attitudes Counselor Client Relationship Female Human Humans Individual psychotherapy Male Maryland Measures (Individuals) Medical sciences Modeling (Psychology) Models, Psychological Outcome Measures Outcomes of Treatment Perceptions Professional-Patient Relations Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychotherapeutic Processes Psychotherapies. Psychological and clinical counseling Psychotherapist Attitudes Psychotherapy Psychotherapy, Brief Ratings & rankings Resistance (Psychology) Student mental health services Therapeutical relation and framework Therapist patient relationships Therapists Time Treatment Outcome Treatment Outcomes Treatments Universities Virginia Maryland Virginia Human tripartite model therapeutic relationship Psychotherapy Therapeutic relation Brief psychotherapy real relationship Ethics Treatment Follow up study outcomes Evolution Predictive factor
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Summary:	This study sought to assess the association of client- and therapist-rated real relationship with each other and with the outcome of brief psychotherapy. It also aimed to determine whether changes over time in perceptions of the real relationship and increasing convergence between clients' and therapists' ratings of the real relationship were associated with outcome. Forty-two clients and their therapists (n = 19) at 2 university counseling centers completed measures assessing the strength of their real relationship after every session of brief psychotherapy. They also completed an outcome measure at the end of treatment. Clients' ratings of the real relationship after the first session, first quarter of treatment, and after all sessions combined related to outcomes. Therapists' ratings of the real relationship at these time points did not relate to outcome. However, increases over time in therapists' ratings of real relationship strength, as well as increasing convergence with clients' ratings of the real relationship, did relate to outcome. Implications for future research and practice are discussed. (Contains 5 tables.)
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0022-0167 1939-2168
DOI:	10.1037/a0029838