The Influence of Demand Characteristics and Social Desirability on Clients' Ratings of the Therapeutic Alliance

ObjectiveTo examine demand characteristics, social desirability on clients' rating of working alliance using the Session Rating Scale (SRS; Miller, Duncan, & Johnson, 2000). Method Clients (N = 102) at two sites were randomly assigned to one of three alliance feedback conditions: (a) IFSRS completed in presence of therapist and the results discussed immediately afterward; (b) Next Session FeedbackSRS completed alone and results discussed next session; or (c) No FeedbackSRS completed alone and results not available to therapist. Clients completed the SRS for the first three sessions of treatment. Results No statistically significant differences in SRS scores across the feedback conditions were found. Additionally, the analysis showed that SRS scores were not correlated with a measure of social desirability but were correlated with an established alliance measure. Conclusions The results indicate that alliance scores were not inflated due to the presence of a therapist or knowing that the scores would be observed by the therapist. (C) 2013 Wiley Periodicals, Inc.