The mechanisms underlying the effects of progress feedback on individual therapy outcome are not yet fully understood, and a number of possible mediators have been proposed. For example, identifying a client as “off-track” could lead the therapist and/or client to increase their efforts in therapy without changing approach, or might prompt the therapist to attend to the alliance more closely, or might lead to a change in the therapy approach.
Whatever the mechanism of effects, the implicit assumption in the use of progress feedback is
that clients are identified as off track sufficiently early in the course
of therapy to allow corrective action to be taken to improve the
ultimate outcome. Consistent with this assumption, individual
outpatient therapy clients who do not improve after the first few
sessions are likely to end therapy prematurely, and unlikely to
benefit from therapy even if they do not drop-out
The mechanisms underlying the effects of progress feedback on individual therapy outcome are not yet fully understood, and a number of possible mediators have been proposed. For example, identifying a client as “off-track” could lead the therapist and/or client to increase their efforts in therapy without changing approach, or might prompt the therapist to attend to the alliance more closely, or might lead to a change in the therapy approach.
Whatever the mechanism of effects, the implicit assumption in the use of progress feedback is
that clients are identified as off track sufficiently early in the course
of therapy to allow corrective action to be taken to improve the
ultimate outcome. Consistent with this assumption, individual
outpatient therapy clients who do not improve after the first few
sessions are likely to end therapy prematurely, and unlikely to
benefit from therapy even if they do not drop-out
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