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Psychotherapy Relationships That WorkEvidence-Based Responsiveness$
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John C. Norcross

Print publication date: 2011

Print ISBN-13: 9780199737208

Published to Oxford Scholarship Online: May 2011

DOI: 10.1093/acprof:oso/9780199737208.001.0001

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Collecting Client Feedback

Collecting Client Feedback

(p.203) Chapter 10 Collecting Client Feedback
Psychotherapy Relationships That Work

Michael J. Lambert

Kenichi Shimokawa

Oxford University Press

While highly effective, psychotherapy outcome studies suggest 5%–14% of clients worsen while in treatment and that therapists are unable to identify a substantial portion of such cases. Methods to systematically collect feedback from psychotherapy clients are discussed, and two systems for monitoring treatment response, feeding back this information and assisting in problem solving with such cases, are described. Within these systems, obtaining client ratings of their relationship appear to be highly important. This chapter summarizes an original meta-analysis of the effects of these feedback systems. The number of psychotherapy patients who deteriorate can be cut in half by use of these systems. The chapter concludes with a series of practice implications, including that clinicians seriously consider making formal methods of collecting client feedback a routine part of their daily practice.

Keywords:   client feedback, Outcome Questionnaire-45, Outcome Questionnaire-45, therapy relationship, meta-analysis

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