The association between patient–therapist MATRIX congruence and treatment outcome

Shlomo Mendlovic, Amit Saad, Uri Roll, Ariel Ben Yehuda, Rivka Tuval-Mashiah, Dana Atzil-Slonim

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Objective: The present study aimed to examine the association between patient–therapist micro-level congruence/incongruence ratio and psychotherapeutic outcome. Method: Nine good- and nine poor-outcome psychodynamic treatments (segregated by comparing pre- and post-treatment BDI-II) were analyzed (N = 18) moment by moment using the MATRIX (total number of MATRIX codes analyzed = 11,125). MATRIX congruence was defined as similar adjacent MATRIX codes. Results: the congruence/incongruence ratio tended to increase as the treatment progressed only in good-outcome treatments. Conclusion: Progression of MATRIX codes’ congruence/incongruence ratio is associated with good outcome of psychotherapy.

Original languageEnglish
Pages (from-to)935-946
Number of pages12
JournalPsychotherapy Research
Issue number7
StatePublished - 8 Oct 2019

Bibliographical note

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© 2018, © 2018 Society for Psychotherapy Research.


  • congruence
  • outcome measures
  • process analysis


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