Research finds involving clients in therapy decisions enhances outcomes, highlighting the importance of collaborative approaches.
Solution-focused (SF) therapists often advise that if a client requests particular therapeutic processes then therapists should redirect the conversation towards outcomes. If the client hasn’t yet consented to SF therapeutic processes – or has requested different processes – then controlling the conversation in such a manner could be described as an act of dominance and could be counter-therapeutic. Alternatively, responding to the request would demonstrate respect. Research suggests involving clients in decisions about their therapy has clinical benefits.
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David Blowers (2025) studied this question.