Some Observations on Studying Therapists Instead of Treatment Packages
Some practical problems are highlighted with regard to studying the outcomes of individual therapists, including the long and inconsistent success in finding therapist variables that explain differential client treatment response. Research on the individual therapist makes it clear that considerable variability in outcome exists at the extreme ends of the normal distribution of therapist effects. Much less is known about the variability of client outcomes within specific therapists’ clients. We encourage further research on therapist effects, but concede that such research is not likely to provide actionable information for routine clinical care. In the meantime, client treatment response needs to be monitored if positive outcomes are to be maximized.
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