Client Factors (40%)
Client factors are the most influential force for change in psychotherapy, which make up approximately 40% of improvement. The personal strengths and resources that clients bring into treatment have a large impact on treatment outcome. These resources include a range of internal and external factors. For example a keen sense of humour and intelligence can be just as helpful as a supportive network of friends. Successful outcomes in therapy are increased when a therapist is able to engage, expand and extend their clients’ plentiful positive features. Clients are often surprised when they realise how resourced they actually are and benefit from having their focus redirected towards utilising their own abilities and rather than focusing on their failures.
Therapeutic Relationship (30%)
At least 30% of all change is accounted for by therapists’ capacity to develop a strong, positive connection with their clients. Research indicates that the below characteristics influence the success of the therapeutic relationship:- Therapist competence for empathy, compassion and caring
- Positive regard towards the client
- How much Mutual affirmation there is between therapist and client
- How much the therapist can promote the client to take risks and increase mastery
- Whether the therapist can facilitatie self-responsibility
- Active collaboration between client and therapist (working as a team)
Placebo or Expectancy (15%)
Interestingly, approximately 15% of the change happens because a client expects it to. Clients who believe their therapist to be trustworthy, competent and experienced are more likely to show positive change.
Model or Technique (15%)
The exact type of intervention or therapeutic approach only explains 15% of the observed change. Therapy is determined to succeed if all four common factors are integrated to their fullest potential during sessions.
Qualities to look for in a therapist are: the ability to attune to you and tell you the truth, kindness, compassion, wisdom, intelligence and experience. It is also vitally important that you like each other and that you see benefit in the therapeutic approach they use. See the first few sessions as a time to explore whether your therapist and their approach are the right fit for you.
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