Client implementation of therapist recommendations predicted by client perception of fit, difficulty of implementation, and therapist influence 6
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ABSTRACT : This study examined the occurrence of therapist recommendations and client implementation of recommendations based on client perceptions of (a) fit, (b) difficulties of implementation, and (c) therapist influence. Therapists (Nā=ā27) volunteered to list any recommendations that occurred in a single session, and clients (Nā=ā102) agreed to complete 2 measures of acceptability and 1 measure of implementation concerning the primary recommendation. Results indicated a high frequency of recommendations, with most sessions containing multiple recommendations. Therapists provided 8 types of recommendations; validation of internal experienced, reframing meanings, decision making, and social interactions were most frequent. Clients who returned tended to report a high level of implementation. Client perceptions of difficulties and therapist influence were predictive of client-reported implementation. (PsycINFO Database Record (c) 2012 APA, all rights reserved)