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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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Goal Consensus and Collaboration

Goal Consensus and Collaboration

(p.153) Chapter 7 Goal Consensus and Collaboration
Psychotherapy Relationships That Work

Georgiana Shick Tryon

Greta Winograd

Oxford University Press

This chapter examines via meta-analyses results of recent studies, published from 2000 through 2009, that relate goal consensus and collaboration to treatment outcome. Specifically, fifteen studies with a total sample size of 1,302 yielded a goal consensus–psychotherapy outcome effect size of .34 (SD = .19), indicating that better outcomes can be expected when patient and therapist agree on therapeutic goals and the processes to achieve these goals. The collaboration–outcome meta-analysis based on 19 studies with a total sample of 2,260 patients yielded a mean correlation of .33 (SD = .17), suggesting that psychotherapy outcome appears to be considerably enhanced when patient and therapist are actively involved in a cooperative relationship. We discuss therapeutic practices that follow from these findings.

Keywords:   collaboration, goal consensus, therapeutic alliance, therapy relationship, meta-analysis

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