The Nature of Client Agency Prior to Therapy: A Qualitative Study on Clients’ Narratives

Client agency is considered a crucial contributor to good treatment outcome. Recent studies, however, differ strongly in how they conceptualise and investigate agency. The current study explores the nature of client agency in ten clients’ pre-treatment interviews. Applying Consensual Qualitative Res...

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Bibliographic Details
Published in:Psychologica Belgica 2022-01, Vol.62 (1), p.17-28
Main Authors: Acke, Emma, De Smet, Melissa Miléna, Van Nieuwenhove, Kimberly, Meganck, Reitske
Format: Article
Language:English
Subjects:
client agency
client characteristics
qualitative research methods
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Summary:Client agency is considered a crucial contributor to good treatment outcome. Recent studies, however, differ strongly in how they conceptualise and investigate agency. The current study explores the nature of client agency in ten clients’ pre-treatment interviews. Applying Consensual Qualitative Research, we constructed three overarching categories, subdivided into 14 sub-categories capturing both between- and within-person differences in agency before therapy. We found that all participants oscillated between the experience of a lack of grip on problems on the one hand and noticing their involvement in the problem and taking action on the other. These results present a dynamic conceptualisation of client agency. This allows us to ask pertinent questions for both future research and clinical practice.
ISSN:0033-2879
2054-670X
DOI:10.5334/pb.1104