SCOTT D Miller - For the latest and greatest information on Feedback Informed Treatment

  • About
    • About Scott
    • Publications
  • Training and Consultation
  • Workshop Calendar
  • FIT Measures Licensing
  • FIT Software Tools
  • Online Store
  • Top Performance Blog
  • Contact Scott
scottdmiller@ talkingcure.com +1.773.454.8511

Expertise and Excellence: What it Takes to Improve Therapeutic Effectiveness

April 2, 2009 By scottdm 1 Comment

downloadIf you’ve been following my website and the Top Performance Blog you know that my professional interests over the last couples of years have been shifting, away from psychotherapy, the common factors, and feedback and toward the study of expertise and excellence.

Studying this literature (click here for an interesting summary), makes clear that the factors responsible for superior performance are the same regardless of the specific endeavor one sets out to master. The chief principle will come as no surprise: You have to work harder than everyone else at whatever you want to be best at.

In other words, you have to practice.

Hard work is not enough, however.  Research shows that few attain international status as superior performers without access to high levels of support and detailed instruction from exceptional teachers over sustained periods of time. In the massive “Cambridge Handbook of Expertise and Expert Performance,” Feltovich et al. note, “Research on what enabled some individuals to reach expert performance, rather than mediocre achievement, revealed that expert and elite performers seek out teachers and engage in specifically designed training activities…that provide feedback on performance, as well as opportunities for repetition and gradual refinement” (p. 61).

What makes for a “good” teacher? Well, in essence, that is what the “Top Performance” blog is all about. I’m going on a journey, a quest really.  I’ve decided to take up two hoppies–activities I’ve always had a interest in but never had to the time to study seriously–magic and the ukelele.

Practicing is already proving challenging.  Indeed, the process reminds me a lot of when I started out in the field of psychology.  In a word, its daunting.  There are literally thousands of “tricks” and “songs,” (as there are 100’s of treatment models), millions of how-to books, videos, and other instructional media (just as in the therapy world), as well as experts (who, similar to the field of psychotherapy, offer a wide and bewildering array of different and oftentimes contractory opinions).

By starting completely over with subjects I know nothing about, I hope to put into practice the insights gleaned from our study of expertise and expert performance, along the way reporting the challenges, triumphs and failures associated with learning to master new skills.  I’ll review performances, instructional media (live, printed, DVD, etc), and the teachers I met.  Stay tuned.

Filed Under: Behavioral Health, deliberate practice, excellence, Top Performance Tagged With: Feltovich, ors, outcome rating scale, session rating scale, srs

SEARCH

Subscribe for updates from my blog.

loader

Email Address*

Name

Upcoming Training

Jun
03

Feedback Informed Treatment (FIT) Intensive ONLINE


Oct
01

Training of Trainers 2025


Nov
20

FIT Implementation Intensive 2025

FIT Software tools

FIT Software tools

LinkedIn

Topics of Interest:

  • Behavioral Health (112)
  • behavioral health (5)
  • Brain-based Research (2)
  • CDOI (14)
  • Conferences and Training (67)
  • deliberate practice (31)
  • Dodo Verdict (9)
  • Drug and Alcohol (3)
  • evidence-based practice (67)
  • excellence (63)
  • Feedback (40)
  • Feedback Informed Treatment – FIT (246)
  • FIT (29)
  • FIT Software Tools (12)
  • ICCE (26)
  • Implementation (7)
  • medication adherence (3)
  • obesity (1)
  • PCOMS (11)
  • Practice Based Evidence (39)
  • PTSD (4)
  • Suicide (1)
  • supervision (1)
  • Termination (1)
  • Therapeutic Relationship (9)
  • Top Performance (40)

Recent Posts

  • Agape
  • Snippets
  • Results from the first bona fide study of deliberate practice
  • Fasten your seatbelt
  • A not so helpful, helping hand

Recent Comments

  • Bea Lopez on The Cryptonite of Behavioral Health: Making Mistakes
  • Anshuman Rawat on Integrity versus Despair
  • Transparency In Therapy and In Life - Mindfully Alive on How Does Feedback Informed Treatment Work? I’m Not Surprised
  • scottdm on Simple, not Easy: Using the ORS and SRS Effectively
  • arthur goulooze on Simple, not Easy: Using the ORS and SRS Effectively

Tags

addiction Alliance behavioral health brief therapy Carl Rogers CBT cdoi common factors conferences continuing education denmark evidence based medicine evidence based practice Evolution of Psychotherapy excellence feedback feedback informed treatment healthcare holland icce international center for cliniclal excellence medicine mental health meta-analysis Norway NREPP ors outcome measurement outcome rating scale post traumatic stress practice-based evidence psychology psychometrics psychotherapy psychotherapy networker public behavioral health randomized clinical trial SAMHSA session rating scale srs supershrinks sweden Therapist Effects therapy Training