Posts Tagged ‘therapeutic factors’

Alliance Matters More Than Technique

Wednesday, January 9th, 2008

The alliance, or relationship, between a counselor and a client has been shown to be more important in the therapy outcome than the counseling technique or model used. Also, the client (including his/her life influences) is the most important factor in whether therapy works. Reviews of the research on therapy outcomes, by Hubble, Duncan and Miller, determined the amount of improvement in therapy was the result of 4 major factors: the techniques used (15%), client expectations and placebo (15%), the relationship with a therapist (30%), and the client (including resources such as social support, positive events, and strengths, (40%). Meta-analysis by Bruce Wampold in 2001 actually shows that the client accounts for 87% of the therapy outcome, with the alliance still having a greater impact than techniques used. If you are interested in reading the relevant books and research, please see the following:

The Great Psychotherapy Debate > by Bruce Wampold
The Heart & Soul of Change: What Works in Therapy > by Hubble, Duncan, & Miller

My focus in my counseling practice is on building an alliance with you, the client. Whether you seek services from me, or from someone else, it is important for you to feel the therapist genuinely hears you and seeks your feedback about how the counseling is working for you.