Age Matters in the Therapeutic Relationship

A strong therapeutic bond is imperative in order to achieve a successful outcome in psychotherapy. This bond must begin with the initial intake session. Research indicates that clients who feel disconnected from the clinician due to cultural, ethnic, or even religious differences, are more likely to terminate treatment as early as the first session.

To understand what factors influence this dynamic, Daniel C. Rosen of the Counseling and Health Psychology Department at Bastyr University led a study examining race/ethnicity and age among a mixed sample of clients and therapists. He focused his research on complementarity, the level of relational harmony, between the client and therapist, to determine which factors were most significantly related to developing a strong therapeutic bond upon intake.

Rose and his colleagues assessed 114 videos of intake sessions and found, contrary to their hypothesis, that ethnicity did affect complementarity, but only mildly. “Results indicated a significant interaction between Black client and Latino provider, as Affiliation complementarity scores were lower for this pairing compared to their White counterparts,” said Rosen. He also discovered that age impacted complementarity significantly more than race.

Specifically, the researchers found that clients who were matched with therapists close in age developed a stronger bond at intake. This could be due to the fact that people of the same age view life events with a similar perspective and have similar ideals. Additionally, major life concerns, such as growing older, divorce, or health issues, are ones that may be dealt with uniquely based on age. Rosen believes that taking these factors into account during the intake session could benefit the levels of adherence. He suggests that therapists address complementarity when they first meet a client by clearly outlining the purpose of the intake session and the overall plan of treatment. He also feels explaining expectations for future sessions will serve to enrich the relationship between the client and therapist and may help to break down any barriers of race or age.

Rosen, D. C., Miller, A. B., Nakash, O., Halpern, L., & Alegría, M. (2012, January 23). Interpersonal Complementarity in the Mental Health Intake: A Mixed-Methods Study. Journal of Counseling Psychology. Advance online publication. doi: 10.1037/a0027045

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The preceding article was solely written by the author named above. Any views and opinions expressed are not necessarily shared by Questions or concerns about the preceding article can be directed to the author or posted as a comment below.

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  • Benji


    January 30th, 2012 at 4:54 PM

    you have to have something that you can immediately connect with during intake and age is gojing to factor into this heavily for all demographics

  • Andy


    January 30th, 2012 at 6:13 PM

    Although bein of the same ago group would help,the life situation also matters.Someone who has been away but always yearned for his father would find it a lot better with a professional of his father’s age, and so on….

  • Haven T

    Haven T

    January 31st, 2012 at 5:23 AM

    Might be kinda hard to relate to someone not even in your own age bracket.

  • K.Browning


    January 31st, 2012 at 9:01 AM

    I’d definitely be able to connect better with someone of y own age group.Its the same reason friends are usually of the same age group.There is that connection,the shared perspectives and everything that makes it good.

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Title   Content   Author is not intended to be a substitute for professional advice, diagnosis, medical treatment, or therapy. Always seek the advice of your physician or qualified mental health provider with any questions you may have regarding any mental health symptom or medical condition. Never disregard professional psychological or medical advice nor delay in seeking professional advice or treatment because of something you have read on