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In therapeutic settings, the term "congruence" specifically refers to authenticity. This concept emphasizes the importance of therapists being genuine and transparent in their interactions with clients. When therapists exhibit congruence, they communicate their true thoughts, feelings, and values, which fosters a trusting and open relationship. This authenticity allows clients to feel safe and understood, enhancing the therapeutic alliance and promoting effective communication.

Congruence contrasts with merely adhering to strict protocols, as it prioritizes the genuine connection between therapist and client over rigid frameworks. While unconditional acceptance is an important aspect of therapeutic practice, it specifically relates to the therapist’s non-judgmental regard for the client rather than the therapist's authenticity. Structured goal setting is a separate concept that focuses on establishing clear objectives in therapy, which does not encompass the essence of being authentic. Therefore, authenticity accurately captures the meaning of congruence in a therapeutic context.