How can therapists make progress ?

10 03 2014

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K. Anders Ericsson’s work on deliberate practice and client feedback explains studies showing that most of us grow continually in confidence over the course of our careers despite little or no improvement in our actual rate of success.

Contrary to conventional wisdom, the culprit behind such mistaken self-assessment isn’t incompetence, but rather proficiency. Within weeks and months of first starting out, noticeable mistakes in everyday professional activities become increasingly rare, making intentional modifications seem irrelevant, increasingly difficult, and costly in terms of time and resources. Add to this the custom in our profession of conflating success with a particular method or technique, and the door to greatness for many therapists is slammed shut early on.

During the last few decades, more than 10,000 “how-to” books on psychotherapy have been published, and the number of treatment approaches has mushroomed. Based on this information alone, one would be hard pressed not to believe that real progress has been made by the field. More than ever before, we know what works for whom. Or do we?

Discover the characteristics of the most successful therapists, and what we can learn from them to improve our own practices. Download The Secrets of Supershrinks: Pathways to Clinical Excellence for FREE!

In comparing today’s success rates with those of decades past, we find that  no measurable improvement in the therapeutic effectiveness of psychotherapy has occurred in the last 30 years.

The time has come to confront the unpleasant truth: Our tried-and-true strategies for improving our therapeutic effectiveness have failed. Instead of advancing in the field, we’ve stagnated, mistaking our feverish peddling on a stationary bike for progress in the Tour de Therapy.

This isn’t to say that therapy is ineffective. Quite the contrary, the data are clear and unequivocal: Psychotherapy works. The heart of the issue, however, is how we can learn from our experiences and improve our therapeutic effectiveness.

Psychotherapists aren’t alone in the struggle to increase expertise. Using the treatment of cystic fibrosis (CF) as an example, science writer Atul Gawande showed how the same processes undermining excellence in psychotherapy play out in medicine.

Since 1964, medical researchers have been tracking the outcomes of patients with CF. As is the case with psychotherapy, the evidence indicates that standard CF treatment works. The real story isn’t that patients with CF live longer when treated, but that, as with psychotherapy, treatment success rates vary significantly.

It’s a small comfort to know that our counterparts in medicine stumble and fall in the pursuit of excellence just as much as we “soft-headed” psychotherapists do. But Gawande’s article provides much more than an opportunity to commiserate. It confirms what our own research revealed to be the essential first step in improving outcomes: knowing your baseline performance. To get where you want to go, you first have to know where you are.

Most practicing psychotherapists have no hard data on their therapeutic effectiveness with clients. Fewer still have any idea how their outcomes compare to those of other clinicians or to national norms. By discovering this information, we can push beyond our current standard of reliable performance and, in time, see our outcomes improve markedly.

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Self-harm epidemic part 2

7 03 2014

Some days ago I presented part 1 of “the self-harm” epidemic. The topic is important, and I recommend all the four videos for people curious about self-harm





kind in heart

24 02 2014

We all need The sound of voices through the silence

The events in Ukraine has triggered to many of us. We start to think about evil and injustice. If you think too much about that, it`s easy to feel helpless and scared. Completely natural and reasonable, but if we only focus on the bad things, we feel powerless. A dear friend of me lost a friend in Ukraine, and my heart reaches out to her and all the people who lost their lives because they dared to break the silence that many of us worship. Luckily, I know the power of breaking the silence. Like a freeing laugh in a tense situation, speaking up releases a cascade of reactions sorely needed. Put you`r imagination on fire and mentally hug your ability to change things. Who knows, you might be the person who started the chain reaction, leading to a better world for us all.

For people in need of more inspiration to battle helplessness, these pictures and this site might give you the necessary encouragement.

The sound of the second violin | Mirrorgirl

Let us change the world

Weekly Writing Challenge

The Project20130421-182324.jpg

 

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The Project

 

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Unsaid words:

  1. Weekly Writing Challenge: The Sound of Silence | MAGGIE’S BLOG
  2. Milgram, Behavioural Study of Obedience
  3. Heightened Senses | Reality to Randomness
  4. Screaming in Silence | Reaching for the Stars
  5. Silence | Grilled Cheese (& Other Things That Make My World Go ‘Round)
  6. Tears over Gravlax | Not the Family Business!
  7. Weekly Writing Challenge: The Sound of Silence « Mama Bear Musings
  8. The sound of silence | sixmonthsinaweek
  9. The sound of silence: | D Lonely Stoner
  10. Sound of Silence | Musings of Shawn
  11. The sound of silence | all my likes
  12. My Brother and the Silence | jen groeber: mama art
  13. Mute | MightWar
  14. Letters from the Silence – 20th February, 2014 | Wired With Words
  15. The Sound of Screaming Silence | anniethinksabout
  16. The Last Minority | Deliberating Dave
  17. Weekly Writing Challenge: The Sound of Silence | medicinalmeadows
  18. In Retrospect, a Response to a Poem I Wrote as a Teen | The Positivity Project
  19. Writing Challenge: The Sound of Silence | Home that We Built
  20. This is Silence | abundance in the boondocks
  21. ” “ | tabularin0a
  22. The Cruel Silence. | Abstractions of Life
  23. Within the Sounds of Silence ~ Weekly Writing Challenge | DCTdesigns Creative Canvas
  24. The Sound of Silence | DragonReader
  25. The Strength of the Quiet Moment | Songs Of Support
  26. Thought Connections | “Aspernauts” and other musings…
  27. The Sound of Silence | Life Sans God
  28. It’s Noisy Being Human | noontimethoughts
  29. meeting place | yi-ching lin photography
  30. » Weekly Writing Challenge: The Sound of Silence | Chiquitita
  31. Void | The Salt
  32. Am I A Jedi? Oprah, Chopra, and Yoda Weigh In | a contract
  33. The Sound of Silence – Ramblings from the Swamp
  34. Silencing – Rose Glace’s Blog
  35. The language of silence | Emovere
  36. A Cacophony of Silence | A Wild One Within
  37. Unsaid | Silver.Boox
  38. my tug-of-war with SILENCE | YES i WONDER…
  39. Breaking His Silence | Focal Breeze
  40. The Countdown | Omnithings
  41. The Sound of Silence – a short story | Thingiemajingie
  42. Thoughts on Sarajevo | roastbeefandrakija
  43. Enter Silence | The Silver Leaf Journal
  44. Rarity of Quiet | Corned Beef Hashtag
  45. Gray silence | Stories from aside
  46. School Vacation Routine for Parents | A Fit and Focused Future
  47. DP Weekly Writing Challenge: Silence | Phylor’s Blog
  48. On the art of better living | soulfoood
  49. DP challenge: silence | shape shifting
  50. Orion 83 – Part 5 – The Silence | L5GN
  51. the (not always so) sweet sound of silence | serene interior designs
  52. Silence | The Wonder of Yarrow House
  53. I DROVE IN SILENCE | I’m How Old?!
  54. Mute | Of love, life and such magic
  55. The Wait Of Silence | Wise Blood
  56. Searching for Silence | Dance With Madness
  57. Man-Made | martha0stout
  58. Scenes From the Lobby | pryorities
  59. Adjustment Periods Are THE WORST… | Grilled Cheese (& Other Things That Make My World Go ‘Round)
  60. The Sound of Silence on the Set on Mt. Tamalpais (Weekly Writing Challenge: The Sound of Silence) | The San Francisco Scene–Seen!
  61. Sounds of Silence | bethanyah
  62. Dawn’s Silence #poetry #photography | Moondustwriter’s Blog
  63. The Silent Treatment | fingerprintwriting
  64. Silence of my home | The Word Trance
  65. Is it Really Golden? | Testing the Strength I Have
  66. Hue Of Silence | Views Splash!
  67. Riding Accident – A response to wordpress “silence” writing challenge | pocketfulofrocks
  68. Weekly Writing Challenge: The Sound of Silence | Moonlight Reflections
  69. Of Gods and Men | Alyeska-Arts
  70. Tune of Silence | dandelionsinwind
  71. Silence is Deafening | mary’s blog
  72. The Sound Of Silence | remindyourmind
  73. The Sound of Silence | Alexia Jones
  74. Weekly Writing Challenge: The Sound of Silence, 23.02.14 | Markie’s Daily Blog
  75. Weekly Writing Challenge: The Sound of Silence | Abby vs. The World
  76. Weekly Writing Challenge: The Sound of Silence | Basically Beyond Basic
  77. Weekly Writing Challenge: The Sound of Silence | jinyasa
  78. What You Can Hear in the Silence | krstokely
  79. The Sound of Silence: Can You Imagine It? | Just Be V
  80. The sound of breaking the silence | Free advice from a clinical psychologist
  81. Weekly Writing Challenge: The Sound of Silence | Heauxdolly
  82. The Sound Of Silence | Here is my life, to share with the worldWWC: The Sound of Silence | The Crucial Kiwi
  83. The Sound of Silence | The Joy of Health Nutrition and Beauty
  84. A Silent Hunt. | The Shady Tree
  85. Silence Speaks Louder Than Words | Creative Mysteries
  86. Silence of the Cat | The Adventures of Cat Madigan
  87. Weekly Writing Challenge: The Sound of Silence #writing | Of Glass & Paper
  88. The sound of … | How to write a memo
  89. Behind the Facade of the Narcissist’s Silent Treatment | An Upturned Soul
  90. Weekly Writing Challenge: The Sound of Silence – Breaking the Barrier | humanTriumphant
  91. The Painting On The Wall | Midnight Butterfly
  92. Weekly Writing Challenge: Silent Screams | NOWHERE TO RUN
  93. Weekly Writing Challenge: The Sound of Silence | MARGARET ROSE STRINGER
  94. The Sound of Silence | 101 Challenges in 1001 Days
  95. Weekly Writing Challenge: The Sound of Silence | To Breathe is to Write
  96. Weekly Writing Challenge: The Sound of Silence | Chronicles of an Anglo Swiss
  97. Hush me again, I can’t stand it. | May van Reenen
  98. it’s haircut day | Musings of a Random Mind
  99. My Quest for the Sound of Silence | Schizo Incognito
  100. No Curse | scottishmomus
  101. Weekly Writing Challenge: The Sound of Silence | The Wandering Poet




Random acts of kindness week

5 02 2014

compassionThe following week is the “Random acts of Kindness” week. I love the idea, and hope this initiative will continue the following years. By doing small things for others, I believe the world can get better. Naivè? Maybe. But it won`t hurt to try

    1. The following week is the “Random acts of Kindness” week. I love the idea, and hope this initiative will continue the following years. By doing small things for others, I believe the world can get better. Naivè? Maybe. But it won`t hurt to try

Examples like these are more and more common. For every smile, there is one second of happiness. But what could happen if every one of us did one kind thing. Every week? 

mirrorgirl








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Speilvendt

En bipolar lege forteller

Damon Ashworth Psychology

Musings about sleep, psychology, therapy and research

Emma Cownie Artist

Swansea and Gower Contemporary Artist

AdilaMKarol

Keep it simple, but significant!

The Word Forge

Casting truth, melting down golden calves

Neurodivergent Rebel

Rebelling against a culture that values assimilation over individuality.

Human Life Run

Mistakes Are Reality Of Life.Lets Understand and Move on!!

Solace

with Jason Lee, Author of Living with the Dragon

Discovering Sooz

I refuse to be fat forever

Logical Quotes

Logical and Inspirational Quotes

jennifersekella

This WordPress.com site is the bee's knees

MAKE ME UP MARIE

An authentic lifestyle blog and open journal | Written by Marie Penrose

raynotbradbury

We are cups, constantly being filled. The trick is, knowing how to tip ourselves over and let the beautiful stuff out.

Oriana's Notes

Just some stuff you might like. Or not. What do I know about you.

Child of Cynicism

"We're just two lost souls swimming in a fishbowl year after year."

Eric's Corner of the Globe

Within the confines of one's mind lay the keys to eternity

Musings of PuppyDoc

Poetry & Medicine

Invisible Illnesses

Awareness, Education, Research & Quips along with my acrylic paintings and mixed media interest.