Chapter

Goal Consensus and Collaboration

Georgiana Shick Tryon and Greta Winograd

in Psychotherapy Relationships That Work

Second edition

Published in print April 2011 | ISBN: 9780199737208
Published online May 2011 | e-ISBN: 9780199894635 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780199737208.003.0007
Goal Consensus and Collaboration

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This chapter examines via meta-analyses results of recent studies, published from 2000 through 2009, that relate goal consensus and collaboration to treatment outcome. Specifically, fifteen studies with a total sample size of 1,302 yielded a goal consensus–psychotherapy outcome effect size of .34 (SD = .19), indicating that better outcomes can be expected when patient and therapist agree on therapeutic goals and the processes to achieve these goals. The collaboration–outcome meta-analysis based on 19 studies with a total sample of 2,260 patients yielded a mean correlation of .33 (SD = .17), suggesting that psychotherapy outcome appears to be considerably enhanced when patient and therapist are actively involved in a cooperative relationship. We discuss therapeutic practices that follow from these findings.

Keywords: collaboration; goal consensus; therapeutic alliance; therapy relationship; meta-analysis

Chapter.  7299 words. 

Subjects: Clinical Psychology

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