Research

Research and literature reviews on therapy, compiled by Freudche.

May 27, 2026 · 5 min read

The five-star ghost

On the national client-experience index, the dimension closest to being treated as a person, bejegening en serieus nemen, scores 4.8 out of 5, near the ceiling. But the CQi is filled in after the treatment trajectory ends, so it surveys the finishers. The person who felt like a number and stopped showing up, the one never admitted, is structurally outside the frame. Satisfaction surveys over-represent the satisfied: in one peer-reviewed study only 16.5% responded, and responders differed systematically from those who stayed silent. So 4.8 and niet gehoord, niet gezien are not a contradiction. They are two instruments pointed at two different people.

therapeutic-process Freudche

May 25, 2026 · 6 min read

The therapist who holds everyone in her head

Dutch mental health care held 101,134 waiting spots in October 2025, with the average wait at 24 weeks, and the clinicians already inside carry the overflow. Working memory holds three to five things at once, while a full caseload is twenty or thirty people, each with a history to reload before the hour starts. The cost is not only the therapist's exhaustion. In one study, patients of burned-out therapists reached meaningful improvement 28.3% of the time against 36.8% for the rest, 37% lower odds. The load is invisible, and it reaches the chair across the desk.

therapeutic-process Freudche