The additional value of self-reflection and feedback on therapy outcome: a pilot study

Patients experienced improvements and might attribute part of their improvement to the relationship with their therapists, evaluating the therapeutic alliance more positively in the later stages of their treatment. Despite methodological challenges, such as varying treatment durations and pre-existing therapist-patient relationships, the findings highlight the value of patient engagement and therapist self-reflection. This study supports the utility of deliberate practice in psychotherapy, suggesting it can enhance therapeutic outcome and laying the groundwork for future research.