Expectations influence experiences and are an important factor in interpersonal exchanges. Within therapy, client expectations are a common factor contributing to client change. It is important for both clinicians and researchers to explore the breadth and nature of their clients’ expectations for treatment in order to provide personalized and effective care. Furthermore, client expectations may be predictive of client outcomes and thus may be a worthwhile target for intervention. Despite the importance of understanding client expectations, little research has been done on this topic in the field of marriage and family therapy. This may be due to a need for a robust measure for client expectations that goes beyond studying individual adult clients and which is also feasible to administer. This article provides information about existing measures in the mental health field and suggests guidelines for the development of a measure that would be appropriate for the field of marriage and family therapy.
ApfelbaumD. (1958). Dimensions of transference in psychotherapy. Berkeley: University of California Press.
2.
BorkovecT. D.NauS. D. (1972). Credibility of analogue therapy rationales. Journal of Behavior Therapy and Experimental Psychiatry, 3, 257–260.
3.
BowdenC. L.SchoenfeldL. S.AdamsR. L. (1980). Mental health attitudes and treatment expectations as treatment variables. Journal of Clinical Psychology, 36, 653–657.
4.
CraneR. D.GriffinW.HillR. D. (1986). Influence of therapist skills on client perceptions of marriage and family therapy outcome: Implications for supervision. Journal of Marital and Family Therapy, 12, 91–96.
5.
FrankenhaeuserM.JärpeG.SvanH.WrangsjöB. (1963). Psychophysiological reactions to two different placebo treatments. Scandinavian Journal of Psychology, 4, 245–250.
6.
GlassC. R.ArnkoffD. B.ShapiroS. J. (2001). Expectations and preferences. Psychotherapy: Theory, Research, Practice, Training, 38, 455–461.
7.
GreenbergR. P.ConstantinoM. J.BruceN. (2006). Are patient expectations still relevant for psychotherapy process and outcome?Clinical Psychology Review, 26, 657–678.
8.
Hare-MustinR. T. (1980). Family therapy may be dangerous for your health. Professional Psychology, 11, 935.
9.
HayesT. J.TinsleyH. E. A. (1989). Identification of the latent dimensions of instruments that measure perceptions of and expectations about counseling. Journal of Counseling Psychology, 36, 492–500.
10.
HogeS. K.LidzC. W.EisenbergM.GardnerW.MonahanJ.MulveyE.…BennettN. (1997). Perceptions of coercion in the admission of voluntary and involuntary psychiatric patients. International Journal of Law and Psychiatry, 20, 167–181.
11.
KirschI. (1990). Changing expectations: A key to effective psychotherapy. Pacific Grove, CA: Brooks/Cole.
12.
LambertM. J.BarleyD. E. (2001). Research summary on the therapeutic relationship and psychotherapy outcome. Psychotherapy: Theory, Research, Practice, Training, 38, 357–361. doi:10.1037/0033-3204.38.4.357
13.
LiebermanP. B.von-RehnS.DickieE.ElliottB.EgerterE. (1992). Therapeutic effects of brief hospitalization: The role of a therapeutic alliance. Journal of Psychotherapy Practice and Research, 1, 56–63.
14.
MacNair-SemandsR. R. (2002). Predicting attendance and expectations for group therapy. Group Dynamics: Theory, Research, and Practice, 6, 219–228.
15.
MartinP. J.SterneA. L. (1975). Prognostic expectations and treatment outcome. Journal of Consulting and Clinical Psychology, 43, 572–576.
16.
McLeodJ. (2001). Qualitative research in counseling and psychotherapy. London, England: Sage.
17.
McKisackC.WallerG. (1996). Why is attendance variable at groups for women with bulimia nervosa? The role of eating psychopathology and other characteristics. International Journal of Eating Disorders, 20, 205–209.
18.
NobleL. M.DouglasB. C.NewmanS. P. (2001). What do patients expect of psychiatric services? A systematic and critical review of empirical studies. Social Science & Medicine, 52, 985–998.
19.
PattersonC. L.UhlinB.AndersonT. (2008). Clients’ pretreatment counseling expectations as predictors of the working alliance. Journal of Counseling Psychology, 55, 528.
20.
RapaportM. H.ZisookS.FrevertT.SeymourS.KelsoeJ. R.JuddL. (1996). A comparison of descriptive variables for clinical patients and symptomatic volunteers with depressive disorders. Journal of Clinical Psychopharmacology, 16, 242–246.
21.
RichardsC. J.RichardsC. S. (1979). Expectations and attitudes about marital counseling: A questionnaire survey of married individuals. Psychological Reports, 44, 582–582.
22.
RizviS.ReynoldsS. K.ComtoisK.LinehanM. M. (2000). Therapeutic alliance in the treatment of borderline personality disorder. Poster presented at the 34th Annual Association for the Advancement of Behavior Therapy Convention, New Orleans, LA.
23.
RosenthalR.JacobsonL. (1968). Pygmalion in the classroom: Teacher expectation and pupils’ intellectual development. Austin, TX: Holt, Rinehart & Winston.
24.
SprenkleD. H.DavisS. D.LebowJ. L. (2009). Common factors in couple and family therapy: The overlooked foundation for effective practice. New York, NY: The Guilford Press.
25.
TamblingR. B. (2008). Expectancy effects in couple therapy (Unpublished doctoral dissertation). The University of Georgia, Athens, GA.
26.
TamblingR. B. (2012). A literature review of therapeutic expectancy effects. Contemporary Family Therapy, 34, 402–415.
27.
TamblingR. B.JohnsonL. N. (2010). Client expectations about couple therapy. The American Journal of Family Therapy, 38, 322–333.
28.
TinsleyH. E. A. (1982). Expectations about counseling. Unpublished test manual, Department of Psychology, Southern Illinois University at Carbondale, IL.
29.
TinsleyH. E. A.BowmanS. L.RayS. B. (1988). Manipulation of expectancies about counseling and psychotherapy: Review and analysis of expectancy manipulation strategies and results. Journal of Counseling Psychology, 35, 99.
30.
TinsleyH. E. A.HarrisD. J. (1976). Client expectations for counseling. Journal of Counseling Psychology, 23, 173–177.
31.
TinsleyH. E. A.WorkmanK. R.KassR. A. (1980). Factor analysis of the domain of client expectancies about counseling. Journal of counseling Psychology, 27, 561–570.
32.
TitchenerE. B. (1909). Lectures on the experimental psychology of the thought-processes. New York, NY: Macmillan.
33.
WestraH. A.AviramA.BarnesM.AngusL. (2010). Therapy was not what I expected: A preliminary qualitative analysis of concordance between client expectations and experience of cognitive–behavioural therapy. Psychotherapy Research, 20, 436–446.
34.
ValienteC. E.BelangerC. J.EstradaA. U. (2002). Helpful and harmful expectations of premarital interventions. Journal of Sex & Marital Therapy, 28, 71–77.
