A brief, multidimensional measure of clients’ therapy preferences: The Cooper-Norcross Inventory of Preferences (C-NIP)

Mick Cooper, John C. Norcross

Research output: Contribution to journalArticlepeer-review


Addressing and accommodating client preferences in psychotherapy have been consistently associated with improved treatment outcomes; however, few clinically useful and psychometrically acceptable measures are available for this purpose. The aim of this study was to develop a brief, multidimensional clinical tool to help clients articulate the therapist style they desire in psychotherapy or counseling. An online survey composed of 40 therapy preference items was completed by 860 respondents, primarily female (n = 699), British (n = 650), White (n = 761), and mental health professionals themselves (n = 615). Principal components analysis resulted in four scales that accounted for 39% of the total variance: Therapist Directiveness vs. Client Directiveness, Emotional Intensity vs. Emotional Reserve, Past Orientation vs. Present Orientation, and Warm Support vs. Focused Challenge. These scales map well onto dimensions of therapist activity and cover most of the major preference dimensions
Original languageEnglish
Pages (from-to)87-98
JournalInternational Journal of Clinical and Health Psychology
Issue number1
Early online date18 Sep 2015
Publication statusPublished - 1 Jan 2016


  • Client preferences, Therapy preferences, Therapeutic processes, Therapeutic alliance, Instrumental study, 2016, Inventories, Preferences, Psychometrics, Psychotherapy, Client Treatment Matching, Counseling, Test Reliability, Test Validity, 2016

Cite this