An investigation of self-assessment bias in mental health providers
Abstract
Previous research has consistently found self-assessment bias (an overly positive assessment of personal performance) to be present in a wide variety of work situations. The present investigation extended this area of research with a multi-disciplinary sample of mental health professionals. Respondents were asked to: (a) compare their own overall clinical skills and performance to others in their profession, and (b) indicate the percentage of their clients who improved, remained the same, or deteriorated as a result of treatment with them. Results indicated that 25% of mental health professionals viewed their skill to be at the 90th percentile when compared to their peers, and none viewed themselves as below average. Further, when compared to the published literature, clinicians tended to overestimate their rates of client improvement and underestimate their rates of client deterioration. The implications of this self-assessment bias for improvement of psychotherapy outcomes are discussed.
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Clinicians and supervisors tend to believe that they are far better than the average clinician.
“Why should we be concerned about our abilities if we already believe that we (and our supervisees) are far better than the average clinician (e.g., Dennhag et al., 2012; Parker & Waller, 2015; Walfish et al, 2012)?”
From Therapist drift redux: Why well-meaning clinicians fail to deliver evidence-based therapy, and how to get back on track (2016) · cites this paper as Walfish et al, 2012
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An Exploration of Supervisory and Therapeutic Relationships and Client Outcomes
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- Authors
- Walfish, S., McAlister, B., O'Donnell, P., & Lambert, M. J.
- Affiliations
- Brigham Young University (US)
- Kennesaw State University (US)
- Kennesaw State University
- ORCID
- Lambert, Michael J.
- Venue
- Psychological Reports
- Publisher
- SAGE Publications
- Published
- 2012-04
- Volume
- 110
- Issue
- 2
- Pages
- 639-644
- ISSN
- 0033-2941 (ISSN-L)
- 1558-691X
- OpenAlex
- W2067920169
- Cited by
- 394
- References
- 15
- Citations by year
- 2026: 26 · 2025: 16 · 2024: 33 · 2023: 25 · 2022: 41 · 2021: 38 · 2020: 34 · 2019: 34 · 2018: 35 · 2017: 39 · 2016: 21 · 2015: 25 · 2014: 20 · 2013: 6
- FWCI
- 18.47
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychological Reports (publishedVersion)
- PubMed (publishedVersion)
- DigitalCommons - Kennesaw State University (Kennesaw State University) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- self-assessment bias, mental health professionals, overconfidence, clinical skills, peer comparison, client outcomes, treatment outcome expectations, psychotherapy outcome, self-perception
- MeSH terms
- Culture, Data Collection, Female, Humans, Male, Middle Aged, Private Practice, Professional Competence, Psychotherapy, Self-Assessment, United States, Bias, Treatment Outcome
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