In Using Client Feedback in Therapy, Barry L. Duncan illustrates his client-directed, outcome-informed approach to psychotherapy, which enlists the use of client feedback to ensure a positive treatment outcome. In this process, the client's voice is a highly integrated part of how the service is delivered, with feedback about therapeutic benefit and the quality of the alliance both shaping how therapy unfolds and demonstrating its effectiveness.

In this session, Dr. Duncan works with a woman in her 40s who is struggling to make sense of the end of her marriage. While the client has successfully moved on from the termination of her relationship, she is still nagged by a lack of understanding of how it happened and what responsibility she carried as a partner.