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Updated: May 8, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Increasing hope by addressing clients' outcome expectations.

Joshua K Swift¹, Annie O Derthick

¹Department of Psychology, University of Alaska Anchorage, Anchorage, AK 99508, USA. joshua.keith.swift@gmail.com

Psychotherapy (Chicago, Ill.)

|September 5, 2013

Summary

Managing client outcome expectations in psychotherapy enhances the therapeutic alliance, improves treatment results, and reduces early dropout. Five key interventions are discussed to foster realistic expectations for better patient outcomes.

Related Experiment Videos

Last Updated: May 8, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

Psychology
Clinical Psychology
Psychotherapy Research

Background:

Setting appropriate client outcome expectations is crucial in psychotherapy.
It positively influences therapeutic alliance, treatment success, and client retention.

Observation:

Clients' expectations significantly impact their engagement and progress in therapy.
Misaligned expectations can lead to dissatisfaction and premature termination.

Findings:

Five interventions effectively foster appropriate outcome expectations: a clear treatment rationale, building client faith in therapists, therapists expressing faith in clients, providing outcome education, and progress-expectation comparisons.
These strategies are supported by clinical examples and research.

Implications:

Clinicians can utilize these interventions to improve patient outcomes and therapeutic relationships.
Implementing these techniques may reduce dropout rates and enhance the overall effectiveness of psychotherapy.