What are secondary gains in the context of therapeutic outcomes?

Secondary gains refer to the unexpected and unplanned outcomes that arise during the course of therapy. In a therapeutic setting, while a primary aim may be to achieve specific goals related to the patient’s mental health or well-being, there can be additional, often unforeseen advantages that emerge as a result of therapy. These might include improved relationships with family and friends, increased self-esteem, or an unexpected insight about one’s life. These gains are not the primary objectives of the therapeutic process but can play a significant role in the overall progress and enrichment of the individual’s experience.

In therapeutic contexts, recognizing and understanding these secondary gains can be important for both the therapist and the individual. They might contribute to the overall effectiveness of treatment or highlight areas that require further exploration. Therefore, acknowledging them can provide additional insights into the therapeutic process and outcomes.