“…If the participant’s reservations and preliminary negative expectations were confirmed or supported in their initial counseling experience, they reported that they were unlikely to continue to engage in counseling and work with the counselor. Existing literature suggests that a client’s perceptions of the strength of the working alliance in the beginning stages of counseling is related to positive counseling outcomes (e.g., MacFarlane, Anderson, & McClintock, 2015; Principe, Marci, Glick, & Ablon, 2006; Tracey, 1986). For example, in a qualitative study with clients at a university counseling center, MacFarlane et al (2015) found that participants entered counseling with initial misgivings.…”