The authors reported that Initial moments in first sessions of therapy are thought to afford an opportunity to establish a shared understanding of how therapy will proceed. However there is little evidence from analysis of actual sessions of therapy to support this. The primary focus of analysis was expectation management during the initial moments of first sessions, with a secondary focus on expectations at subsequent points. The authors concluded that clients may more readily engage from the outset of therapy when provided with an explanation that manages their expectation of what is involved. Therapists can accomplish this by projecting how therapy will proceed, particularly beyond the initial session.
Ekberg, StuartBarnes, Rebecca K., Kessler, David S., Malpass, Alice, & Shaw, Alison R.G. (2014) Managing clients’ expectations at the outset of online Cognitive Behavioural Therapy (CBT) for depression. Health Expectations. http://eprints.qut.edu.au/73348/