Therapist empathy, genuineness, and warmth and patient therapeutic outcome

A study aimed at cross-validating previous research suggesting that the levels of the therapist's accurate empathy, nonpossessive warmth, and genuineness were causally related to the degree of patient improvement or deterioration. An equal number of "good" or "poor" therapy prospects were randomly assigned to 4 resident psychiatrists (10 patients each) for 4 mo. of psychotherapy. Results tended to confirm the importance of the 3 therapeutic conditions in combination and of empathy and genuineness separately. Negative findings for separate analysis of therapist's warmth were interpreted in terms of its negative correlation with empathy and genuineness in the present sample. On the overall measure for all patients, therapists providing high therapeutic conditions had 90% patient improvement while those providing lower conditions had 50% improvement. (17 ref.)