“…Other problems that have been identified by reviewers of the studies on the relationship between empathy and outcome include the time of assessment, sampling methods, and the operationalization of empathy (Duan & Hill, 1996;Gurman, 1977;Mitchell, Bozarth, & Krauft, 1977). First, although numerous studies have found that the experience level of the therapist is an important variable in judges' ratings of empathy (Fiedler, 1950a;Fish, 1970;Gonyea, 1963;Luborsky et al, 1988;Parloff, 1961), it is seldom factored into studies that are investigating the relationship between empathy and outcome. Second, numerous studies have found that the time of assessment is an important variable and that judges' and clients' ratings can change depending on when during therapy the assessment is made (Cartwright & Lerner, 1965;Patterson, 1983;Rice, 1965).…”