One of the difficulties in identifying how client variables influence treatment outcome is that

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The difficulty in identifying how client variables influence treatment outcome is that it is difficult to detect patterns across studies that use different types of measures. While some studies have examined this issue, it is challenging to synthesize their results due to the heterogeneity of the measures used. As such, it is hard to draw robust conclusions about how client variables affect treatment outcomes.

One of the Difficulties in Identifying How Client Variables Influence