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Congruence/genuineness: A meta-analysis.

Gregory G Kolden1, Chia-Chiang Wang2, Sara B Austin3

  • 1Department of Psychiatry, University of Wisconsin School of Medicine and Public Health.

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|October 19, 2018
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Summary
This summary is machine-generated.

Therapist congruence, or genuineness, positively impacts psychotherapy outcomes. This meta-analysis of 21 studies found a significant association between therapist congruence and improved patient results, highlighting its therapeutic value.

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Area of Science:

  • Psychology
  • Psychotherapy Research

Background:

  • Congruence, or genuineness, is a key element in the therapeutic relationship, encompassing both intrapersonal (authenticity, self-awareness) and interpersonal (transparent communication) facets.
  • While prominent in person-centered therapy, congruence is valued across various theoretical orientations.
  • Understanding congruence is crucial for enhancing the effectiveness of psychotherapy.

Purpose of the Study:

  • To define and illustrate congruence in clinical practice.
  • To conduct a meta-analysis examining the relationship between therapist congruence and psychotherapy improvement.
  • To investigate moderators influencing this association.

Main Methods:

  • A meta-analysis was performed on 21 studies, including data from 1,192 patients.
  • The analysis calculated a weighted aggregate effect size (r = .23, d = .46) for the congruence-outcome relationship.
  • Moderators of the congruence-outcome link were also explored.

Main Results:

  • A significant positive association was found between therapist congruence and psychotherapy outcomes.
  • The overall effect size indicates a moderate positive relationship.
  • Several factors potentially moderate the impact of congruence on treatment success.

Conclusions:

  • Therapist congruence is a significant predictor of positive psychotherapy outcomes.
  • Clinical practices that foster congruence may enhance therapeutic effectiveness.
  • Further research is needed to address diversity considerations and patient contributions to congruence.