This review presents a comprehensive evaluation of the effectiveness of routinely delivered psychological therapies across inpatient, outpatient and University-based clinics. This was a pre-registered systematic-review of studies meeting pre-specified inclusion criteria (CRD42020175235). Eligible studies were searched in three databases: MEDLINE,…

Objective: This study was an investigation of the relationships among therapist training variables, psychotherapy process, and session outcome in a psychotherapy training clinic. The aims were to assess the relationship between "training as usual" and intervention use in individual psychotherapy, to investigate the relationship between therapist…

Although improvement of clients' state is a central concern for psychotherapy, relatively little is known about how change in outcome variables unfolds during psychotherapy. Client progress may follow highly variable temporal courses, and this variation in treatment courses may have important clinical implications. By analyzing treatment progress…

The clients' evaluations were unrelated to their therapists' evaluations, but they were highly related to the evaluations made by independent judges. Further analyses suggested that the disagreements between clients and therapists stemmed from the therapists' inaccuracy in perceiving the clients' problem and the therapists' tendency to…

Suggests that current outmoded and inadequate conceptions of the therapeutic process are a major obstacle to the advancement of clinical social work practice. Presents an integrative ecosystem model that expresses the distinctive social work concern with person, situation, and helping relationship, in their reciprocal psychodynamic and…