Dimensions of psychotherapy: A factor-analytic study of ratings of psychotherapy sessions

Jim Mintz, Lester Luborsky, Arthur H. Auerbach

Research output: Contribution to journalArticlepeer-review

47 Scopus citations


Rated tape recordings of 60 early sessions of psychoanalytically oriented therapy on 110 process variables. The ratings of 3 Os were clustered and factor analyzed. 4 factors were rotated and interpreted as (a) patient health vs. distress, (b) optimal empathic relationship, (c) active directive mode, and (d) interpretive mode with receptive patient. For 27 of the 30 patients, outcome ratings were obtained from the therapist (patient improvement and success + patient satisfaction). Patient improvement was not predicted by any process ratings. Success + patient satisfaction, on which women scored higher than men, was predicted by patient health vs. distress. Patients rated in early sessions as healthy and low in distress had better prognoses. Optimal empathic relationship qualities related positively to success in therapies low in directive mode, but for relatively directive therapies, this relationship was negative. (31 ref.) (PsycINFO Database Record (c) 2006 APA, all rights reserved).

Original languageEnglish (US)
Pages (from-to)106-120
Number of pages15
JournalJournal of consulting and clinical psychology
Issue number1
StatePublished - Feb 1 1971
Externally publishedYes


  • ratings of tape recordings of psychoanalytically oriented therapy sessions, cluster & factor analysis

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health


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