This follow-up study presents a helpful factor design to compare patients and therapist’s experience of change and outcome in 17 systemic-oriented individual, marital and family psychotherapies completed with the same therapist in an Italian public mental health service. Through individual interviews of the therapist and the patients, the respective ideas on changes linked to the therapeutic path and on the factors that generated them are compared. From the analysis of the interviews, client-identified important outcomes in psychotherapy are the same 8 pointed out by their therapist. In this article, the author focalizes her attention on the multiple therapeutic relations as key variables in defining the constellation of specific factors from time to time, but typeable in relation to the critical semantics presented.
Keywords: Follow-Up; Change; Therapeutic Relationship; Helpful Factors; Patients and Therapist’s Perspective; IPA.