Therapists and clients often have different perspectives about what is helpful and what they wish for in therapy, but it is unclear how their perspectives differ and whether their agreement have implications for therapy outcome. In a mixed-method study, 18 therapists and clients were interviewed separately after termination about their experiences and what they wished had been different about their psychotherapy. Transcripts were analyzed using consensual qualitative research. Therapists and clients agreed moderately that exploration of the therapeutic relationship, therapists' use of challenges, and therapist validation and support were helpful. In contrast, there was low agreement on wishes. Whereas clients wished that therapists had provided more structure and direction, therapists did not mention any typical wishes. Using multilevel modeling, a high level of agreement on what was helpful was associated with reductions in psychological symptoms and interpersonal problems, although no relationship was found between agreement on wishes and outcome. The findings underscore the importance of therapist-client agreement about helpful aspects of therapy for successful therapy. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

中文翻译：

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治疗师 - 客户就心理治疗中的有益和希望体验达成一致：与结果的关联。

治疗师和来访者通常对治疗中什么有帮助以及他们希望什么有不同的看法，但尚不清楚他们的观点有何不同以及他们的协议是否对治疗结果有影响。在一项混合方法研究中，18 名治疗师和来访者在终止后分别接受了关于他们的经历以及他们希望心理治疗有所不同的采访。使用双方同意的定性研究分析了成绩单。治疗师和来访者适度同意探索治疗关系、治疗师对挑战的使用以及治疗师的验证和支持是有帮助的。相比之下，人们对愿望的认同度很低。虽然客户希望治疗师提供更多的结构和方向，但治疗师没有提到任何典型的愿望。使用多层次模型，对什么有帮助的高度一致与心理症状和人际关系问题的减少有关，尽管在愿望和结果的一致之间没有发现任何关系。研究结果强调了治疗师-客户就成功治疗的有用方面达成一致的重要性。（PsycINFO 数据库记录 (c) 2019 APA，保留所有权利）。