Clients' assessment of the affective environment of the psychotherapy session: relationship to session quality and treatment effectiveness.

Abstract:

:This study investigated clients' affective experience during therapy. Clients (N= 268) completed Therapy Session Reports (TSR) in an early session of treatment. The two sections of the TSR that assess how the client felt and how the client perceived the therapist to be feeling were combined and factor analyzed. Six stable and meaningful factors were derived (Client Distressed, Client Remoralized, Reciprocal Intimacy, Therapist Confident Involvement, Client Inhibited, and Therapist Distracted). Affect scale scores were created and compared to session quality and treatment effectiveness. Clients' affective experience was highly correlated with patient-rated session quality. The association between clients' affective experience during the session and treatment effectiveness was fairly strong for relatively brief therapy but insignificant for relatively lengthy treatment. The implications for practitioners, who--in contrast to most measures of therapeutic process--have easy access to clients' in-session emotional experiences, are discussed.

journal_name

J Clin Psychol

authors

Saunders SM

doi

10.1002/(sici)1097-4679(199905)55:5<597::aid-jclp7

keywords:

subject

Has Abstract

pub_date

1999-05-01 00:00:00

pages

597-605

issue

5

eissn

0021-9762

issn

1097-4679

pii

10.1002/(SICI)1097-4679(199905)55:5<597::AID-JCLP7

journal_volume

55

pub_type

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