4.3 Article

Therapeutic Assessment Efficacy: A Meta-Analysis

Journal

PSYCHOLOGICAL ASSESSMENT
Volume 33, Issue 10, Pages 962-972

Publisher

AMER PSYCHOLOGICAL ASSOC
DOI: 10.1037/pas0001038

Keywords

therapeutic assessment; collaborative assessment; psychological assessment; meta-analysis; psychological test

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Therapeutic Assessment is a brief, collaborative psychological intervention where assessors and clients work together throughout the process. Studies have shown significant effects of Therapeutic Assessment on treatment process, clients' symptoms, and clients' self-enhancement, while also demonstrating its resilience to factors like supervision, intervention elements, and hours of intervention. This suggests that the philosophy and values underlying Therapeutic Assessment may be more important than the specific implementation details.
Therapeutic Assessment is a brief semistructured and collaborative psychological intervention developed by Stephen E. Finn (1996, 2007). In Therapeutic Assessment, the assessor and clients are collaboratively involved in all the phases of the process and psychological tests are used as empathy magnifiers in order to promote positive change throughout an assessment. Over the years, many authors have tested the efficacy of Therapeutic Assessment procedures in different contexts and have concluded that Therapeutic Assessment is well-suited for use with a broad array of clients. Despite some studies documenting the benefits of Therapeutic Assessment, results of individual studies have not been meta-analytically analyzed. Therefore, we performed a series of three-level meta-analyses to examine the efficacy of Therapeutic Assessment with adult clients. We included nine studies with 42 dependent variables, grouped into three types of outcomes: treatment process (6 studies, 18 nonindependent variables), clients' symptoms (6 studies, 17 nonindependent variables), and clients' self-enhancement (5 studies, 7 nonindependent variables). The results revealed statistically significant effects for each outcome, treatment process: g =.46, 95% CI [.33;.59]; p <.001; clients' symptoms: g =.34, 95% CI [.06;.63]; p =.021; clients' self-enhancement: g =.37, 95% CI [.05;.69]; p =.029. Moderator analyses also suggested that Therapeutic Assessment is resilient, since supervision, the inclusion of more Therapeutic Assessment elements, and additional hours of intervention do not impact substantially its outcomes. These results suggest that the most important aspect of Therapeutic Assessment may be its underlying philosophy and values, and not so much the exact way in which it is implemented.

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