The therapeutic alliance (Bordin, 1979) remains one of the most studied constructs in psychotherapy outcome research (Norcross & Lambert, 2019), and is a robust predictor of client outcome (Flückiger et al., 2018; 2020; Wampold & Imel, 2015). It has been established that therapists vary in their ability to build and maintain an effective alliance, which […]
Abstract Aim This paper presents analyses of outcome data for 615 clinicians treating 107,194 patients over a three-year period to determine if clinicians’ mean effect sizes increased over time. Method A standardized measure client global distress was used to measure patient improvement over the course of therapy. Improvement is reported in a statistic known as […]