Mental Health Services Research

, Volume 7, Issue 1, pp 21–33

Client Expectancies About Therapy


Client expectancies about therapy are considered a common factor, that is, a feature of therapy that is not specific to any particular technique or approach. This review includes both child- and adult-focused studies from the expectancies literature, emphasizing findings about the relationship between expectancies and factors including client improvement, attrition, and therapeutic alliance (TA). Results suggest that expectancies are related to both client improvement and TA, but do not support a relationship between expectancies and attrition. We then present two preliminary hypothesized pathways of how pretreatment client characteristics and therapy outcomes relate to role and outcome expectancies. Implications of these pathways are discussed.

Key words

client expectancies common factors therapy 


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Copyright information

© Springer Science + Business Media, Inc. 2005

Authors and Affiliations

  1. 1.Center for Evaluation and Program ImprovementPeabody College, Vanderbilt UniversityNew York
  2. 2.Nashville

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