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Is competence hurting to your clients?

Here's an interesting dilemma.   In December 1799, three physicians were summoned to the Mount Vernon estate to treat the former first president of the United States for a sore throat.  The accepted therapy of the day was administered skillfully and competently multiple times.  Several hours later, the president was dead.  Historians ...
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September 14, 2020 / Feedback Informed Treatment - FIT

Culture and Psychotherapy: What Does the Research Say?

I remember exactly where I was on April 4th, 1968 -- in a pool doing laps.  I was a junior member of my hometown's swim team.   I'd barely started when the coach blew his whistle calling the practice to an abrupt halt.  As we toweled off, he told us something ...
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August 7, 2020 / Feedback Informed Treatment - FIT

BAD THERAPY

Bad therapy. Are you guilty of it?  A quick internet search turned up only 15 books on the subject.  It's strange, especially when you consider that between 5 and 10% of clients are actually worse off following treatment and an additional 35-40% experience no benefit whatsoever!  (Yep, that's nearly 50%) And what ...
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July 28, 2020 / Feedback Informed Treatment - FIT

Does Teletherapy Work?

With the outbreak of the coronavirus, much of mental health service delivery shifted online. Regulations regarding payment and confidentiality were scaled back in an effort to deal with the unprecedented circumstances, allowing clinicians and their clients to meet virtually in order to reduce the spread of the illness.   But ...
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July 22, 2020 / Feedback Informed Treatment - FIT

Getting Beyond the “Good Idea” Phase in Evidence-based Practice

The year is 1846.  Hungarian-born physician Ignaz Semmelweis is in his first month of employment at Vienna General hospital when he notices a troublingly high death rate among women giving birth in the obstetrics ward.  Medical science at the time attributes the problem to “miasma,” an invisible, poison gas believed responsible ...
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July 9, 2020 / evidence-based practice, Feedback Informed Treatment - FIT, FIT, Implementation

Forgiveness

One warm, summer June day, Marietta Jaeger, her husband Bill, and their five children packed into their borrowed R.V. for a cross-country road trip touring the American west.  "This was going to be the adventure of a lifetime, a grand family vacation, the one we were going to talk about for ...
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July 1, 2020 / Feedback Informed Treatment - FIT

The Expert on Expertise: An Interview with K. Anders Ericsson

I can remember exactly where I was when I first "met" Swedish psychologist, K. Anders Ericsson.  Several hours into a long, overseas flight, I discovered someone had left a magazine in the seat pocket.  I never would have even given the periodical a second thought had I not seen all ...
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June 23, 2020 / deliberate practice, excellence, Feedback, Feedback Informed Treatment - FIT

“My Mother Made Me Do It”: An Interview with Don Meichenbaum on the Origins of CBT (Plus: Tips for Surviving COVID-19)

Imagine having the distinction of being voted one of the top 10 most influential psychotherapists of the 20th Century. Psychologist Don Meichenbaum is that person.  In his spare time, together with Arron Beck and Marvin Goldfried, he created the most popular and researched method of psychotherapy in use today: cognitive-behavior ...
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May 26, 2020 / Behavioral Health, deliberate practice, Dodo Verdict, evidence-based practice, Feedback Informed Treatment - FIT, Therapeutic Relationship

Is the Lack of a Higher Death Toll the Real Tragedy of COVID-19? An Interview with Stephen Jenkinson

This blogpost comes with a "trigger warning."  For most, the last 60 days have been witness to the complete disruption of daily life.  Many people have died -- nearly 250,000 worldwide, 70,000 in the United States -- from a virus that the majority of us had never heard of just ...
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May 4, 2020 / Feedback Informed Treatment - FIT

More Questions and Answers about Feedback Informed Treatment and Deliberate Practice

A recording of a live meeting with professionals around the world interested in FIT and Deliberate Practice. Topics covered are listed below along with times when particular questions are addressed.
  1. How to incorporate deliberate practice (DP) into supervision? (3:10)
  2. How to use DP to address personal issues of the ...
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April 27, 2020 / Feedback Informed Treatment - FIT

Questions and Answers about Feedback Informed Treatment and Deliberate Practice: Another COVID-19 Resource

Since they were developed and tested back in the late 90's, the Outcome and Session Rating Scales have been downloaded by practitioners more than 100,000 times!  Judging by the number of cases entered into the three authorized software applications, the tools have been used inform service delivery for millions of ...
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April 16, 2020 / deliberate practice, Feedback Informed Treatment - FIT, FIT, FIT Software Tools, ICCE, Implementation

Creating a “Culture of Feedback” when working virtually

When I was around 11 years old, a gag quickly circulated through my school. Cornering an unsuspecting chum, you'd ask, "Hey, have you seen my hammerfor?" "What's a hammerfor?" they'd invariably ask, a quizzical look glued to their face. "Pounding nails!" you'd then scream, followed by paroxysms of laughter. Funny ...
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April 7, 2020 / Feedback Informed Treatment - FIT

Far from Normal: More Resources for Feedback Informed Treatment in the Time of COVID-19

I hope this post finds you, your loved ones, and colleagues, safe and healthy. What an amazing few weeks this has been.  Daily life, as most of us know it, has been turned upside down.  The clinicians I've spoken with are working frantically to adjust to the new reality, including ...
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March 31, 2020 / Feedback Informed Treatment - FIT, FIT

Feedback Informed Treatment in the Time of COVID-19

You've been busy!  Stocking up on food.  Telecommuting.  Home schooling your kids.  And figuring out how you are going to pay bills while not drawing a paycheck or being able to meet with clients face to face. Many clinicians I know are rapidly transitioning to providing services online.  As you ...
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March 23, 2020 / Feedback Informed Treatment - FIT

Better Results: Using Deliberate Practice to Improve Your Therapeutic Effectiveness

In 2007, my colleagues and I published an article entitled, Supershrinks: What's the Secret of their Success?  In it, we reported on the status of our then decade long effort to understand why some psychotherapists were consistently more effective than others.  Although the phenomenon had first been reported in the ...
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March 9, 2020 / Feedback Informed Treatment - FIT

Final Making Sense of Making Sense of Negative Research Results about Feedback Informed Treatment

"Everyone understands how a toilet works, don't you?" ask cognitive scientists Sloman and Fernbach. The answer, according to their research, is likely no.  Turns out, peoples' confidence in their knowledge far outstrips their ability to explain how any number of simple, every day items work -- a coffeemaker, zipper, bicycle and ...
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February 19, 2020 / Feedback Informed Treatment - FIT
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