The role of empathy in promoting change

Since Rogers identified empathy as an important variable in therapy, it has been found to be a consistent predictor of client change; less clear is how this occurs. The objective in this study was to test a mediation model to determine whether clients' self-reported experience of therapists' empathy contributed to changes in their attachment styles and treatment of self, after 16 weeks of psychotherapy for depression. There was a significant direct relationship between therapists' empathy and outcome and a significant indirect effect, showing that clients' perceptions of therapists' empathy was associated with significant improvement in attachment insecurity and significant decreases in negative self-treatment at the end of therapy as well as reductions on BDI, IIP, DAS and SCL-90-R, GSI, and increases on RSE. The findings suggest that clients' perception of their therapists as empathic is an important mechanism of change in psychotherapy that warrants further investigation.