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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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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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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More Making Sense of Negative Research Results about Feedback Informed Treatment
Is it just me or has public discourse gone mad? A brief perusal of social media largely finds accusation, name calling, and outrage instead of exploration, dialogue and debate. Not that any of the latter options were ever simple, straightforward, or successful, but somehow, somewhere, taking a stand has replaced ...
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Making Sense of Negative Research Results about Feedback Informed Treatment
A ship's captain who successfully sails through a strait at night learns nothing, and adds nothing, to their knowledge of the world. (Please hang with me. I promise this post will not be a long, metaphysical rant). Returning to the example. As paradoxical as it may strike one at first blush, ...
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Supervision: Time for a New Way or to Dump the Practice Altogether?
Therapists value supervision. How do we know? Research. In their massive, long-term international study of therapist development, for example, Orlinsky and Rønnestad (2005) found, “practitioners at all experience levels, theoretical orientations, professions, and nationalities report that supervised client experience is highly important for their current and career development” (p. 188). Regulatory boards deem ...
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Do you ever have “Anticipointment?”
As a mental health professional, how are you approaching the New Year? Are you filled with hope for our field? Suffering a twinge (or more) of despair? Maybe you're in reflective mood, longing for the 'good ole days'? Or is the difference between December 31st and January 1st just like ...
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Where did you get that idea?
"I heard Scott Miller say it," the man sitting next to me said. "Really?" I responded, somewhat incredulous. After all, I didn't recall ever saying such a thing. More to the point, it's just not something I would say. Its wrong. Then again, it was clear he didn't know that I ...
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Please, don’t use my scales…
Or, at least that's what I said in response to his question. The look on his face made clear my words caused more confusion than clarity. "But then, how will I found out which of the therapists at my agency are effective?" he asked. "The purpose of FIT," I replied, "is ...
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Feedback Informed Treatment: Game Changer or Another Therapeutic Fad?
Remember these? Did you ever own or try one? Remember Beanie Babies? According to one news story, interest was such, "People neglected other areas of their lives to spend all day trading, and some even invested their children’s college funds in toys that they believed would bring an astronomical return ...
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Can you help me understand this?
A couple of weeks ago I received an email from the leader of a group asking me to send them copies of the ORS and SRS. "We are to start using these straight away," the person wrote. I replied, of course, providing a link to my website where the scales ...
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Some Common Questions (and Answers) about Feedback Informed Treatment
Mr. Gomm was my sixth grade teacher. Tall and angular, with a booming voice and stern demeanor, he remains a forbidding figure from my childhood. I'll never forget the day he slammed his open hand on my desk, bellowing "That, Mr. Miller, is an assumption!" Turning abruptly, he walked to the chalkboard, ...
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Is THAT true? Judging Evidence by How Often its Repeated
I'm sure you've heard it repeated many times: The term, "evidence-based practice" refers to specific treatment approaches which have been tested in research and found to be effective; CBT is the most effective form of psychotherapy for anxiety and depression; Neuroscience has added valuable insights to the practice of psychotherapy ...
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The Skill that Heals, or Kills…
Imagine a power so great that those who possess it are able to heal the sick, and those without it, cause death. By definition, it would qualify as a superpower -- and, in fact, one Marvel comic character has claimed this one for their own. More than seven dozen studies ...
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Very Bad Therapy (And how it can make you a more effective therapist)
Plug "psychotherapy" into the Amazon search engine and you get 60,000 hits for books, manuals, worksheets, and videos. Clearly, when it comes to "how to do it," our field is rich with resources. However, if you enter the words, "failure in psychotherapy" the number drops to 75, less than 20 ...
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The Baader-Meinhof Effect in Trauma and Psychotherapy
Have you heard of the "Baader-Meinhof" effect? If not, I'm positive you'll soon be seeing evidence of it everywhere. That's what "it" is, by the way -- that curious experience of seeing something you've just noticed, been told of, or thought about, cropping up all around you. So ... You buy ...
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