For the last 16 years Michael Lambert, professor of psychology at Brigham Young University in America, has been studying the use of client feedback to improve outcomes in psychotherapy.
Lambert explains: 'The baseline for off-track patients is that, on average, 20 per cent will be worse off when they leave treatment than when they started'.
Part of the reason client feedback has such a dramatic effect is that without this information, therapists seldom expect their clients to get worse.
Clinicians generally react with resistance to client feedback systems. Lambert quips: ‘If you think you’re a superior clinician, as all clinicians do, then why would you feel you need it?'
When therapy causes harm, The Psychologist