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When ‘good outcome’ does not correspond to ‘good therapy’ : reflections on discrepancies between outcome scores and patients’ therapy satisfaction

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Abstract
In the present paper we examine four cases in which the assumption that "good outcome" necessarily means "good therapy" did not hold. Cases were selected that reported good pre-post outcome (i.e., clinically reliable decrease in symptom severity) but a negative (disappointing) therapy experience, drawn from a randomized controlled trial (the Ghent Psychotherapy Study) and a naturalistic outcome study (the Stockholm Young Adults Psychotherapy Project). Analysis of these seemingly contrasting findings made it possible to identify three distinct patterns of client experience of outcome. Implications for research and practice are discussed.
Keywords
Clinical Psychology, Psychiatry and Mental health, outcome, patient experiences, psychotherapy, therapy effect, PSYCHOANALYTIC PSYCHOTHERAPY, PSYCHODYNAMIC THERAPY, PRIVATE THEORIES, PATIENTS VIEW, YOUNG-ADULTS, AGENCY, EXPERIENCES, FAILURE, MODEL

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MLA
De Smet, Melissa, et al. “When ‘good Outcome’ Does Not Correspond to ‘Good Therapy’ : Reflections on Discrepancies between Outcome Scores and Patients’ Therapy Satisfaction.” EUROPEAN JOURNAL OF PSYCHOTHERAPY & COUNSELLING, 2021, pp. 1–21, doi:10.1080/13642537.2021.1923049.
APA
De Smet, M., Von below, C., Acke, E., Werbart, A., Meganck, R., & Desmet, M. (2021). When “good outcome” does not correspond to “good therapy’ : reflections on discrepancies between outcome scores and patients” therapy satisfaction. EUROPEAN JOURNAL OF PSYCHOTHERAPY & COUNSELLING, 1–21. https://doi.org/10.1080/13642537.2021.1923049
Chicago author-date
De Smet, Melissa, Camilla Von below, Emma Acke, Andrzej Werbart, Reitske Meganck, and Mattias Desmet. 2021. “When ‘good Outcome’ Does Not Correspond to ‘Good Therapy’ : Reflections on Discrepancies between Outcome Scores and Patients’ Therapy Satisfaction.” EUROPEAN JOURNAL OF PSYCHOTHERAPY & COUNSELLING, 1–21. https://doi.org/10.1080/13642537.2021.1923049.
Chicago author-date (all authors)
De Smet, Melissa, Camilla Von below, Emma Acke, Andrzej Werbart, Reitske Meganck, and Mattias Desmet. 2021. “When ‘good Outcome’ Does Not Correspond to ‘Good Therapy’ : Reflections on Discrepancies between Outcome Scores and Patients’ Therapy Satisfaction.” EUROPEAN JOURNAL OF PSYCHOTHERAPY & COUNSELLING: 1–21. doi:10.1080/13642537.2021.1923049.
Vancouver
1.
De Smet M, Von below C, Acke E, Werbart A, Meganck R, Desmet M. When “good outcome” does not correspond to “good therapy’ : reflections on discrepancies between outcome scores and patients” therapy satisfaction. EUROPEAN JOURNAL OF PSYCHOTHERAPY & COUNSELLING. 2021;1–21.
IEEE
[1]
M. De Smet, C. Von below, E. Acke, A. Werbart, R. Meganck, and M. Desmet, “When ‘good outcome’ does not correspond to ‘good therapy’ : reflections on discrepancies between outcome scores and patients’ therapy satisfaction,” EUROPEAN JOURNAL OF PSYCHOTHERAPY & COUNSELLING, pp. 1–21, 2021.
@article{8715603,
  abstract     = {{In the present paper we examine four cases in which the assumption that "good outcome" necessarily means "good therapy" did not hold. Cases were selected that reported good pre-post outcome (i.e., clinically reliable decrease in symptom severity) but a negative (disappointing) therapy experience, drawn from a randomized controlled trial (the Ghent Psychotherapy Study) and a naturalistic outcome study (the Stockholm Young Adults Psychotherapy Project). Analysis of these seemingly contrasting findings made it possible to identify three distinct patterns of client experience of outcome. Implications for research and practice are discussed.}},
  author       = {{De Smet, Melissa and Von below, Camilla and Acke, Emma and Werbart, Andrzej and Meganck, Reitske and Desmet, Mattias}},
  issn         = {{1364-2537}},
  journal      = {{EUROPEAN JOURNAL OF PSYCHOTHERAPY & COUNSELLING}},
  keywords     = {{Clinical Psychology,Psychiatry and Mental health,outcome,patient experiences,psychotherapy,therapy effect,PSYCHOANALYTIC PSYCHOTHERAPY,PSYCHODYNAMIC THERAPY,PRIVATE THEORIES,PATIENTS VIEW,YOUNG-ADULTS,AGENCY,EXPERIENCES,FAILURE,MODEL}},
  language     = {{eng}},
  pages        = {{1--21}},
  title        = {{When ‘good outcome’ does not correspond to ‘good therapy’ : reflections on discrepancies between outcome scores and patients’ therapy satisfaction}},
  url          = {{http://dx.doi.org/10.1080/13642537.2021.1923049}},
  year         = {{2021}},
}

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