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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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(p.187) Chapter 9 Congruence/Genuineness
Psychotherapy Relationships That Work

Gregory G. Kolden

Marjorie H. Klein

Chia-Chiang Wang

Sara B. Austin

Oxford University Press

Congruence or genuineness is a relational quality that has been highly prized throughout the history of psychotherapy, but of diminished research interest in recent years. This chapter defines and provides examples of this attribute of the therapy relationship and present an original meta-analytic review of the empirical literature showing its relation to improvement. Moderators of the association between congruence and treatment outcome are examined, and limitations of the extant research are discussed as well. In closing, this chapter advances several therapist practices that are likely to foster congruence and thus improve psychotherapy outcomes.

Keywords:   congruence, genuineness, therapy relationships, meta-analysis

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