Exploring attitudes towards a written contract in psychotherapy: insights from a qualitative research of professionals

Objective: The therapeutic contract covers agreements, expectations, and norms, usually established orally. This study examined professionals’ attitudes toward moving to a written therapeutic contract. Method: Fifteen active psychologists and four other professionals participated in structured qualitative interviews. Results: Four central themes emerged. Most therapists resisted written contracts, fearing they would harm the therapeutic relationship, while some believed they could foster collaboration and autonomy. All emphasised clarity about the legal consequences of written contracts in potential lawsuits. Conclusions: This research underscores the need to examine written therapeutic contracts and the tension between procedural clarity and their impact on the therapeutic alliance.