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 of which are actually on topic.
TWENTY.
How to interpret such results when research shows 50% of people who enter treatment fail to benefit in any meaningful way? The numbers being what they are, it’s hard to come to any other conclusion than we avoid the subject.
Contrast our field’s relative indifference with the approach of the aviation industry. Where we avoid the subject, they embrace it, using each instance to learn and improve. The result? The safety of air travel has improved dramatically, with fatalities dropping from around 40 per million departures in the late 50’s and early 60’s, to near zero in recent years. By contrast, during the same span of time, retention and outcome rates in psychotherapy have not improved a single percentage point.
Thankfully, recent developments are challenging the status quo, putting failure center stage in a renewed effort to facilitate professional development. One of these is a new and deeply moving podcast series, “Very Bad Therapy,” run by two graduate students, Ben Fineman and Carrie Wiita. Each installment features a different client sharing a, “You would not believe what happened with my therapist” story.
Ben and Carrie are skillful and entertaining interviewers, teasing out nuances and helping reveal the rich learnings hidden in the worst moments of our work as therapists. Consider this, already they’ve published more episodes than there are books on the subject at Amazon!
Check it out. And while you’re there, listen to Episode #18, their most recent. Once again, the subject is failure and professional growth. This time, the person being interviewed is me!
Until next time,
Scott
Director, International Center for Clinical Excellence
P.S.: Registration for the Spring intensives on Feedback Informed Treatment (FIT) is open! Each year, we sell out months in advance. Click here for more information or to reserve your spot.
Great stuff, Scott! Just this morning finished reading “Black Box Thinking: Why Most People Never Learn from Their Mistakes – But Some Do” by Matthew Syed. He speaks only briefly about psychotherapy, but there is much about learning from mistakes that we help our profession.
https://www.amazon.com/Black-Box-Thinking-People-Mistakes/dp/B0161QP5EM/ref=sr_1_1?crid=3F49DYBF99WOQ&keywords=black+box+thinking+by+matthew+syed&qid=1568904544&sprefix=black+box+thinking,aps,353&sr=8-1
Derek
Derek Truscott, PhD, RPsych(AB) | Professor & Director of Counselling Training | 6-102 Education Centre North | Edmonton, AB | Canada T6G 2G5
Really enjoying the Very Bad Therapy podcasts this afternoon! Thanks for letting me know about them!
Evolution selects for survival not for truth. This too applies to the business of talk therapy.
THIS article got me to download the Google podcast app and subscribe to my very first ever podcast. Thank you for getting me over that hurdle! Like Carrie, I have no free time, so adding another “to-do” was NOT happening…. until it did. Looking forward to listening on my commutes all over Los Angeles County!