The Power of Clients' Feedback In Therapy
Clinical Update December 2014
By Zur Institute
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Most therapists believe they understand how their clients are feeling about therapy, but in fact research consistently shows that therapists and clients often have divergent viewpoints. This helps explain those rather common surprising therapy dropouts. Years of research conclusively prove that when clients give feedback about how they feel therapy is going, the therapeutic alliance--one of the best predictors of successful outcome--is more positive, therapy dropouts are reduced, and those clients whom therapists predict will do poorly in therapy actually do better than expected.
In this day and age, clients - like most modern consumers - are used to giving feedback (online) whether they are being asked for it or not. Quick, easy feedback forms are available for therapists to give to clients, preferably at the end of each session. These forms not only put therapists and clients on the same page, but they can enrich and deepen therapy. The feedback becomes part of the ongoing process of therapy, and that works better for all therapists, whether CBT, psychodynamic, postmodern or client-centered. Today's informed therapist knows how to deliberately ask for feedback and what to ask about.
Client feedback has also become an important part of supervision and training. Today's supervisors and trainers should consider becoming familiar with client feedback tools and consider encouraging their trainees and supervisees to utilize these forms in their therapy sessions and bring the results to supervision. Doing this not only enhances therapists' skills but opens up deeper levels of processing and discovery.