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The Relationship Between Therapist–Client Modality Similarity and Psychotherapy Outcome

Received January 14, 1997; revised August 28, 1997; accepted September 15, 1997. From Richard L. Roudebush Veterans Affairs Medical Center and the Indiana University Medical Center, Department of Psychiatry, Section of Psychology, Indianapolis, Indiana. Address correspondence to Dr. Herman, Richard L. Roudebush VAMC (116P), 1481 W. 10th Street, Indianapolis, IN 46202.

Although disparate views have been published, the theory underlying multimodal therapy suggests that therapist–client similarity would be most advantageous for treatment outcome and client satisfaction. To explore this question, 19 different therapist–client pairs were followed over 12 sessions of psychotherapy. Clients were evaluated with the Brief Symptom Inventory (BSI) after sessions 1 and 12 to determine psychotherapy outcome. Similarity was determined by computing D''² statistics on therapists' and clients' responses to the Structural Profile Inventory (SPI). Similarity on the SPI predicted psychotherapy outcome, showing a statistically significant relationship with the Global Severity Index of the BSI.

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