Join us for a thought-provoking discussion on therapist expertise and development. We delve into two groundbreaking studies that challenge the assumption that therapists automatically improve with experience. Discover the surprising findings that experience alone may not lead to better client outcomes, and explore the power of deliberate practice and outcome monitoring in fostering therapist improvement. We discuss the implications of these findings for clients, therapists, and policymakers, and offer practical strategies for therapists to continuously enhance their skills and effectiveness. Tune in to gain valuable insights into the path to mastery in psychotherapy.

Papers

Do psychotherapists improve with time and experience? A longitudinal analysis of outcomes in a clinical setting

https://www.researchgate.net/publication/316408245_Do_psychotherapists_improve_with_time_and_experience_A_longitudinal_analysis_of_outcomes_in_a_clinical_setting

Creating a Climate for Therapist Improvement:

https://www.researchgate.net/publication/308173684_Creating_a_Climate_for_Therapist_Improvement_A_Case_Study_of_an_Agency_Focused_on_Outcomes_and_Deliberate_Practice

If you like your tips just a little more human, check out our youtube channel
https://www.youtube.com/@PREP-Registrar

Looking for a supervisor to implement some of these great ideas?
https://findasupervisor.com.au

Early career psychologist looking for up to date cutting edge CPD?
https://learning.prep.clinic

Looking to become a psychology supervisor?
https://stap.org.au

In this episode we look at the efficacy effectiveness gap, that is why do so many therapies look amazing in a research setting, but then deliver less than stellar results in the real world.

In this episode we take a slightly different approach. Although the episode was inspired by a paper by Halford Pepping and Petch exploring this gpa in the couples therapy literature, it got the two of us curious to know whether the same gap existed in other areas.

So while the episode is about the couples literature, we took a wide angle view to consider children and individual psychotherapy as well. We hope you enjoy.

Original Paper - Halford Pepping and Petch
https://www.aetsbtraining.org/wp-content/uploads/2021/04/Halford-2016efficacy-effectiveness-gap.pdf

Child and Adolescent Paper Weisz and Colleagues
https://weiszlab.fas.harvard.edu/files/jweisz/files/weisz_et_al_1995_psyc_bull_meta.pdf

Adult Psychotherapy Consumer reports study Seligman
https://clinica.ispa.pt/sites/default/files/4._the_effectiveness_of_psychotherapy_the_consumer_reports_study.pdf

Dose Effect Hansen Lambert and Foreman
https://clinica.ispa.pt/sites/default/files/10-_the_psychotherapy_dose-response_effect_a_0.pdf

Great Psychotherapy Debate Wampold
https://api.taylorfrancis.com/content/books/mono/download?identifierName=doi&identifierValue=10.4324/9780203893340&type=googlepdf

If you like your tips just a little more human, check out our youtube channel
https://www.youtube.com/@PREP-Registrar

Looking for a supervisor to implement some of these great ideas?
https://findasupervisor.com.au

Early career psychologist looking for up to date cutting edge CPD?
https://learning.prep.clinic

Looking to become a psychology supervisor?
https://stap.org.au

Are some therapies doing more harm than good? This episode delves into the controversial topic of potentially harmful therapies (PHTs), exploring the evidence behind treatments that may cause more harm than help.

We examine a meta-scientific review of several therapies, including:

•Boot camps for conduct disorder, which are modeled after military basic training.

•Critical Incident Stress Debriefing (CISD), which was developed for emergency responders exposed to severe stress.

•DARE (Drug Abuse Resistance Education), which aims to limit underage substance use.

•Expressive-experiential psychotherapies, which focus on re-experiencing and intensifying strong emotions.

•Grief counseling, designed to assist individuals in coping with the death of a close contact.

•Scared Straight interventions, which involve at-risk juveniles being confronted by inmates.

This episode explores whether these therapies have sufficient evidence to justify their continued use. The discussion includes the challenges of identifying harmful therapies, and how the replicability crisis in psychology has led to a reevaluation of the credibility of clinical literature.

We look at the importance of evaluating the evidential value of claims of harm by considering factors beyond statistical significance, including:

•Misreporting of statistics

•Statistical power

•Replicability Index (R-Index)

•Bayes factors

Findings from this meta-scientific review highlight that the evidence underlying many PHTs is weak or ambiguous. However, some interventions such as Scared Straight and CISD show stronger evidence for potential harm. The episode concludes with a call for ethical research and practice that prioritizes the safety of patients. Clinicians are urged to critically evaluate treatments and avoid those with weak evidence or potential for harm. Researchers are encouraged to conduct more rigorous, collaborative trials, and to investigate the scientific basis of therapeutic mechanisms.

Read the article for yourself here
https://www.researchgate.net/publication/339718791_Potentially_harmful_therapies_A_meta-scientific_review_of_evidential_value

If you like your tips just a little more human, check out our youtube channel
https://www.youtube.com/@PREP-Registrar

Looking for a supervisor to implement some of these great ideas?
https://findasupervisor.com.au

Early career psychologist looking for up to date cutting edge CPD?
https://learning.prep.clinic

Looking to become a psychology supervisor?
https://stap.org.au

Is therapy a one-size-fits-all solution? We explore a groundbreaking meta-analysis of over 1,000 studies on psychotherapy for depression.

Join us as we discuss the surprising findings that challenge our assumptions about what makes therapy effective. We'll delve into the effectiveness of different therapies, the impact of human support in digital interventions, and the importance of personalized treatment plans.

We'll also discuss the limitations of the research and explore the implications for clients, therapists, and policymakers alike.

Tune in to Abstract Intelligence for a thought-provoking discussion on the future of depression treatment.

If you like your tips just a little more human, check out our youtube channel
https://www.youtube.com/@PREP-Registrar

Looking for a supervisor to implement some of these great ideas?
https://findasupervisor.com.au

Early career psychologist looking for up to date cutting edge CPD?
https://learning.prep.clinic

Looking to become a psychology supervisor?
https://stap.org.au

In this episode of Abstract Intelligence, we're diving deep into a fascinating study that explores the impact of seeing different therapists for intake and treatment.

The study, titled "Termination, Appointment Use, and Outcome Patterns Associated with Intake Therapist Discontinuity," looks at what happens when clients meet with one therapist for their initial intake session and then continue therapy with a different therapist.

We'll explore the researchers' findings, including how this "intake therapist discontinuity" affects things like:

• How likely clients are to stick with therapy
• How many sessions clients end up attending
• Whether clients actually get better

We'll also discuss the implications of these findings for how therapy is structured and what it means for both clients and therapists.

Curious to know if seeing different therapists for intake and treatment actually makes a difference?

Tune in to find out!

Want to read the full paper?

https://www.researchgate.net/publication/232548610_Termination_Appointment_Use_and_Outcome_Patterns_Associated_With_Intake_Therapist_Discontinuity

If you like your tips just a little more human, check out our youtube channel
https://www.youtube.com/@PREP-Registrar

Looking for a supervisor to implement some of these great ideas?
https://findasupervisor.com.au

Early career psychologist looking for up to date cutting edge CPD?
https://learning.prep.clinic

Looking to become a psychology supervisor?
https://stap.org.au

Ever wondered why some clients seem to progress faster in therapy than others? It's not just about the client or the therapy model!

In this episode of Abstract Intelligence, we delve into a groundbreaking study that reveals the surprising impact of therapists AND clinics on treatment outcomes.

Prepare to be surprised by these jaw-dropping findings:

• Therapist effects account for a significant portion of client improvement. We're talking up to twice the improvement depending on the therapist!
• Clinics also play a hidden role in treatment success. Yes, the clinic itself can influence how well clients fare.
• Most change happens EARLY in therapy. This highlights the importance of those initial sessions.

But that's not all! We also explore:

• How therapist engagement with outcome monitoring can boost their effectiveness.
• The complex interplay of client, therapist, and clinic factors.
• Implications for matching clients with the right therapists and clinics.

Tune in to discover the hidden ingredients of successful therapy and how we can leverage these findings to enhance client care!

https://www.researchgate.net/profile/Daryl-Mahon/publication/370245053_The_variability_of_client_therapist_and_clinic_in_psychotherapy_outcomes_A_three-level_hierarchical_model/links/6447d1bf8ac1946c7a4d6950/The-variability-of-client-therapist-and-clinic-in-psychotherapy-outcomes-A-three-level-hierarchical-model.pdf?origin=journalDetail&_tp=eyJwYWdlIjoiam91cm5hbERldGFpbCJ9

If you like your tips just a little more human, check out our youtube channel
https://www.youtube.com/@PREP-Registrar

Looking for a supervisor to implement some of these great ideas?
https://findasupervisor.com.au

Early career psychologist looking for up to date cutting edge CPD?
https://learning.prep.clinic

Looking to become a psychology supervisor?
https://stap.org.au

Is your brain tricking you? Tune in to Abstract Intelligence as we uncover the fascinating power of neuroscience information!

Ever wondered why a brain scan makes any study seem instantly more credible? We explore the "allure of neuroscience" and how it influences our judgment, even if the information is completely irrelevant!

Join us as we discuss a study that reveals how easily we can be swayed by the mere presence of neuroscience jargon or fMRI images. Discover the surprising findings that challenge our assumptions about analytical thinking and the allure of "hard science."

We'll delve into the implications of these findings for marketing, legal judgments, and our everyday understanding of the world around us.

Get ready to have your mind blown! Subscribe now and don't miss this intriguing episode of Abstract Intelligence.

Want to read the full paper?

You can find it here: https://www.researchgate.net/publication/271341549_Superfluous_neuroscience_information_makes_explanations_of_psychological_phenomena_more_appealing

If you like your tips just a little more human, check out our youtube channel
https://www.youtube.com/@PREP-Registrar

Looking for a supervisor to implement some of these great ideas?
https://findasupervisor.com.au

Early career psychologist looking for up to date cutting edge CPD?
https://learning.prep.clinic

Looking to become a psychology supervisor?
https://stap.org.au