Michael J. Constantino, Carol R. Glass, Diane B. Arnkoff, Rebecca M. Ametrano and JuliAnna Z. Smith

in Psychotherapy Relationships That Work

Second edition

Published in print April 2011 | ISBN: 9780199737208
Published online May 2011 | e-ISBN: 9780199894635 | DOI:

Show Summary Details


Patients’ expectations have long been considered a contributory factor to successful psychotherapy. Expectations come in different guises, with outcome expectations centered on prognostic beliefs about the consequences of engaging in treatment. This chapter defines outcome expectations and present assessment methods and clinical examples of outcome expectations. The research review includes a comprehensive meta-analysis (N = 8,016 patients across forty-six independent samples) of the association between pre- or early-therapy outcome expectations and posttreatment outcomes. The overall weighted effect size was d = .24, p 〈 .001, indicating a small, but significant positive effect of outcome expectations on adaptive treatment outcomes. This chapter also provides a narrative review of mediators of the expectation–outcome link and patient factors that relate to their outcome expectations. Finally, this chapter discusses limitations of the research base and offer therapeutic practices based on the findings.

Keywords: patient expectations; outcome expectations; treatment outcome; meta-analysis; therapy relationship

Chapter.  11821 words. 

Subjects: Clinical Psychology

Full text: subscription required

How to subscribe Recommend to my Librarian

Buy this work at Oxford University Press »

Users without a subscription are not able to see the full content. Please, subscribe or login to access all content.