2025 Theses Doctoral

Clients’ Assessment of Their Therapists’ Dishonesty: A Mixed Methods Analysis

Crumb, Catherine

Although honest communication is a crucial component of psychotherapy, previous research indicates that therapists, like most individuals, are occasionally dishonest in session. This study examined the topic of therapist dishonesty through the clients’ perspective – a previously unexplored area of research. Specifically, the present study asked clients about instances where they perceived their therapists to be somewhat dishonest and how perceived therapist dishonesty might impact the client, the therapeutic relationship, and the process of therapy.

Findings revealed that most clients perceive their therapists to be dishonest at least once over the course of therapy. Clients reported short-term negative effects on their emotions and engagement following the dishonesty, yet most clients did not confront their therapists about the suspected dishonesty. Clients reported minimal long-term impacts on the working alliance and overall opinions of the therapist. The vast majority of clients found occasional therapist dishonesty to be an acceptable practice when utilized in service of the client, the alliance, or professional boundaries.

The perception of therapist dishonesty and its relationship to the working alliance, attachment styles, ruptures/repairs, and clinical tact is discussed. Directions for future research as well as implications for clinical training are discussed.

Keywords: Client perceptions, therapist dishonesty, working alliance, therapeutic relationship, self-disclosure, non-disclosure