Therapist success and its determinants.
This study examined the relatively unexplored contribution of the therapist's performance in determining outcomes of treatment. Nine therapists were studied: three performed supportive-expressive psychotherapy; three, cognitive-behavioral psychotherapy; and three, drug counseling. Profound differences were discovered in the therapists' success with the patients in their case loads. Four potential determinants of these differences were explored: patient factors; therapist factors; patient-therapist relationship factors; and therapy factors. Results showed that patient characteristics within each case load (after random assignments) were similar and disclosed no differences that would have explained the differences in success; therapist's personal qualities were correlated with outcomes but not significantly (mean r = .32); an early-in-treatment measure of the patient-therapist relationship, the Helping Alliance Questionnaire, yielded significant correlations with outcomes (mean r = .65); among the therapy techniques, "purity" provided significant correlations with outcomes (mean r = .44), both across therapists and within each therapist's case load. The three therapist-related factors were moderately associated with each other.
D000293:Adolescent; D000328:Adult; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D001521:Behavior Therapy / Q000592:standards; D002983:Clinical Competence; D003071:Cognition; D003376:Counseling / Q000592:standards; D006801:Humans; D008297:Male; D008370:Manuals as Topic; D008691:Methadone / Q000627:therapeutic use; D008875:Middle Aged; D009293:Opioid-Related Disorders / Q000523:psychology / Q000534:rehabilitation / Q000628:therapy; D010043:Outcome and Process Assessment, Health Care; D010551:Personality; D010555:Personality Inventory; D011369:Professional-Patient Relations; D011569:Psychiatric Status Rating Scales; D011575:Psychoanalytic Therapy / Q000592:standards; D011613:Psychotherapy / Q000379:methods* / Q000592:standards
D008691:Methadone