The influence of demand characteristics and social desirability on clients' ratings of the therapeutic alliance

J Clin Psychol. 2013 Jul;69(7):696-709. doi: 10.1002/jclp.21946. Epub 2013 Jan 24.

Abstract

Objective: To examine demand characteristics, social desirability on clients' rating of working alliance using the Session Rating Scale (SRS; Miller, Duncan, & Johnson, 2000).

Method: Clients (N = 102) at two sites were randomly assigned to one of three alliance feedback conditions: (a) IF--SRS completed in presence of therapist and the results discussed immediately afterward; (b) Next Session Feedback--SRS completed alone and results discussed next session; or (c) No Feedback--SRS completed alone and results not available to therapist. Clients completed the SRS for the first three sessions of treatment.

Results: No statistically significant differences in SRS scores across the feedback conditions were found. Additionally, the analysis showed that SRS scores were not correlated with a measure of social desirability but were correlated with an established alliance measure.

Conclusions: The results indicate that alliance scores were not inflated due to the presence of a therapist or knowing that the scores would be observed by the therapist.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Adult
  • Attitude to Health*
  • Data Collection / methods
  • Female
  • Humans
  • Linear Models
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Outcome and Process Assessment, Health Care / methods*
  • Professional-Patient Relations*
  • Psychotherapy*
  • Reproducibility of Results
  • Self Report*
  • Social Desirability*
  • United States