Working alliance as a mediator and moderator between expectations for counseling success and counseling outcome among Korean clients

Yoo, Sung; Sehee, Hong; Sohn, Nanhee; O’Brien, Karen M.

doi:10.1007/s12564-014-9320-2

Cited by 14 publications

(7 citation statements)

References 42 publications

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“…Note further that although we discussed alliance and expectancy separately, they are not unrelated but rather interdependent constructs (Vîslă et al, 2018). For example, it has been suggested that higher patient pre- or early-treatment expectancy is related to stronger alliance, which in turn correlates with better outcomes (Yoo et al, 2014; Vîslă et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

Not Just Nonspecific Factors: The Roles of Alliance and Expectancy in Treatment, and Their Neurobiological Underpinnings

Zilcha‐Mano

Roose

Brown

et al. 2019

Front. Behav. Neurosci.

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Therapeutic factors such as alliance and expectancy have been found to greatly affect treatment outcome in both psychotherapy and psychopharmacotherapy. Often, these factors are referred to as nonspecific because of their common roles across treatment modalities. Here we argue that conceptualizing such factors as nonspecific is not accurate at best, misleading at worst and may undermine treatment outcome across various modalities. We argue that alliance and expectancy contain both a trait-like common factor component and a state-like specific effect, and that it is clinically, conceptually and methodologically critical to disentangle the two. In other words, both alliance and expectancy may also function as active ingredients of treatment, leading to better outcome. We review the literature regarding the neurobiological underpinnings of alliance and of the expectancy effect, and suggest how future studies on the neurobiological basis of these effects can shed further light on the potentially distinct mechanisms of the trait-like and state-like components of each therapeutic factor.

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Section: Discussionmentioning

confidence: 99%

Not Just Nonspecific Factors: The Roles of Alliance and Expectancy in Treatment, and Their Neurobiological Underpinnings

Zilcha‐Mano

Roose

Brown

et al. 2019

Front. Behav. Neurosci.

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“…Relaying these findings to career counseling, if career counselors could better understand Chinese international students’ expectations about career counseling, they may be able to modify these expectations (e.g., career counselors may help them in ways that friends and family are not able to). Moreover, researchers have found that clients’ expectations about mental health counseling were positively associated with the working alliance (e.g., Patterson, Uhlin, & Anderson, 2008; Yuar & Chen, 2011), which further predicted counseling outcome (e.g., Yoo, Hong, Sohn, & O’Brien, 2014). While research on clients’ expectations about career counseling is sparse, a preliminary study indicated that clients who had more positive expectations about career counseling later showed higher levels of involvement (Tinsley, Tokar, & Helwig, 1994).…”

Section: Underutilization Of Services and Expectations About Counselingmentioning

confidence: 99%

Chinese International Students’ Expectations About Career Counseling

Mitts

Whiston

2019

Journal of Career Development

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Chinese international students are the largest international student body (33.19%) in the United States. However, career services on college campuses are underutilized by this population despite their pressing needs for career guidance. Chinese international students’ expectations about career counseling may explain the disconnection between needs and service utilization. Although clients’ expectations about counseling have been studied extensively, no study has focused on Chinese international students’ expectations about career counseling. The current qualitative study surveyed 58 Chinese international students by using 10 open-ended questions that inquired about their expectations, including preferences and anticipations, about career counseling. Findings highlighted a number of needs and expectations for career counseling, such as outcome-driven activities, specificity of services, rapport with counselor, taking assessments, and culturally sensitive services. Clinical implications for career services on campus and future directions for research were discussed.

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“…10 A study by Yoo, Hong, Sohn, and O'Brien (2014) revealed that the alliance mediated and moderated the relationship between patients' expectations of psychotherapy success. 11 In other words, the findings demonstrated that patients with positive outcome expectations were more able to form a strong alliance with their provider and this strong alliance led to increased therapeutic change. The authors also found that the relationship between expectations, alliance, and treatment outcome was strongest for patients with higher levels of outcome expectations as compared to patients with lower levels of outcome expectations.…”

Section: Findings From Psychotherapymentioning

confidence: 90%

Utilizing Patient Hope and Outcome Expectations to Facilitate Treatment Gains

Parkin¹,

Swift²

2017

MRAJ

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Research indicates that patients' hope and positive outcome expectations are associated with favorable treatment outcomes. The importance of hope and expectations are discussed in relation to psychotherapy in addition to broader healthcare settings such as pain management and surgery.Five suggestions for promoting hope and positive outcome expectations for patients are provided including presenting a convincing treatment rational, sharing successful case examples and the belief that treatment will work, increasing the patient's faith in the health care provider, making sure patients' expectations are not overly optimistic, and allowing patients to have input into treatment decision-making.

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Working alliance as a mediator and moderator between expectations for counseling success and counseling outcome among Korean clients

Cited by 14 publications

References 42 publications

Not Just Nonspecific Factors: The Roles of Alliance and Expectancy in Treatment, and Their Neurobiological Underpinnings

Not Just Nonspecific Factors: The Roles of Alliance and Expectancy in Treatment, and Their Neurobiological Underpinnings

Chinese International Students’ Expectations About Career Counseling

Utilizing Patient Hope and Outcome Expectations to Facilitate Treatment Gains

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