title: Clients', therapists', and observers' agreement on the amount, temporal location, and content of psychotherapeutic change and its relation to outcome.
abstract: Clients', therapists', and observers' identification of change was studied in 27 therapeutic processes, and agreement on the amount, temporal location, and content of change was related to outcome. Results show that clients reported more changes in successful therapies. Client-therapist temporal match of change moments was low irrespective of outcome. Results from all three perspectives were consistent in that manifestation of new behaviors and emotions was the most representative content of change among all therapies. Meanwhile, client-therapist agreement on the frequency of grouped change indicators reported was associated with positive outcome, whereas client-observer agreement was related to negative outcome. Therapists and observers agreed in both successful and nonsuccessful therapies. The relationship between agreement and therapeutic outcome is discussed in relation to each dimension of analysis.
authors.affiliation: Department of Psychology, Pontiﬁcia Universidad Católica de Chile, Santiago, Chile.
authors.forename: Carolina
authors.initials: C
authors.lastname: Altimir
authors.forename: Mariane
authors.initials: M
authors.lastname: Krause
authors.forename: Guillermo
authors.initials: G
authors.lastname: de la Parra
authors.forename: Paula
authors.initials: P
authors.lastname: Dagnino
authors.forename: Alemka
authors.initials: A
authors.lastname: Tomicic
authors.forename: Nelson
authors.initials: N
authors.lastname: Valdés
authors.forename: J Carola
authors.initials: JC
authors.lastname: Perez
authors.forename: Orietta
authors.initials: O
authors.lastname: Echávarri
authors.forename: Oriana
authors.initials: O
authors.lastname: Vilches
mesh_terms: D000293:Adolescent; D000328:Adult; D004644:Emotions; D005260:Female; D006801:Humans; D008297:Male; D011939:Mental Recall; D008875:Middle Aged; D011369:Professional-Patient Relations; D013811:Psychotherapeutic Processes; D011613:Psychotherapy / Q000379:methods / Q000592:standards; D016896:Treatment Outcome; D055815:Young Adult