The gap between research and real-world practice sometimes seems impossible to bridge. "Abstract Intelligence" is here to help. Each week we will walk you throu...
The Experience Myth: Do Therapists Really Get Better with Time?
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.PapersDo psychotherapists improve with time and experience? A longitudinal analysis of outcomes in a clinical settinghttps://www.researchgate.net/publication/316408245_Do_psychotherapists_improve_with_time_and_experience_A_longitudinal_analysis_of_outcomes_in_a_clinical_settingCreating 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_PracticeIf you like your tips just a little more human, check out our youtube channelhttps://www.youtube.com/@PREP-RegistrarLooking for a supervisor to implement some of these great ideas?https://findasupervisor.com.auEarly career psychologist looking for up to date cutting edge CPD?https://learning.prep.clinicLooking to become a psychology supervisor?https://stap.org.au
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Why is therapy is the real world less effective that research trials
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 Petchhttps://www.aetsbtraining.org/wp-content/uploads/2021/04/Halford-2016efficacy-effectiveness-gap.pdfChild and Adolescent Paper Weisz and Colleagueshttps://weiszlab.fas.harvard.edu/files/jweisz/files/weisz_et_al_1995_psyc_bull_meta.pdfAdult Psychotherapy Consumer reports study Seligmanhttps://clinica.ispa.pt/sites/default/files/4._the_effectiveness_of_psychotherapy_the_consumer_reports_study.pdfDose Effect Hansen Lambert and Foremanhttps://clinica.ispa.pt/sites/default/files/10-_the_psychotherapy_dose-response_effect_a_0.pdfGreat Psychotherapy Debate Wampoldhttps://api.taylorfrancis.com/content/books/mono/download?identifierName=doi&identifierValue=10.4324/9780203893340&type=googlepdfIf you like your tips just a little more human, check out our youtube channelhttps://www.youtube.com/@PREP-RegistrarLooking for a supervisor to implement some of these great ideas?https://findasupervisor.com.auEarly career psychologist looking for up to date cutting edge CPD?https://learning.prep.clinicLooking to become a psychology supervisor?https://stap.org.au
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Which therapies do more harm than good: Potentially harmful therapies revisited
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 factorsFindings 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 herehttps://www.researchgate.net/publication/339718791_Potentially_harmful_therapies_A_meta-scientific_review_of_evidential_valueIf you like your tips just a little more human, check out our youtube channelhttps://www.youtube.com/@PREP-RegistrarLooking for a supervisor to implement some of these great ideas?https://findasupervisor.com.auEarly career psychologist looking for up to date cutting edge CPD?https://learning.prep.clinicLooking to become a psychology supervisor?https://stap.org.au
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13:20
50 Years of Depression Outcome Metanalyses; is there any good news ?
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 channelhttps://www.youtube.com/@PREP-RegistrarLooking for a supervisor to implement some of these great ideas?https://findasupervisor.com.auEarly career psychologist looking for up to date cutting edge CPD?https://learning.prep.clinicLooking to become a psychology supervisor?https://stap.org.au
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8:37
Intake Officers may actually be making things worse
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_DiscontinuityIf you like your tips just a little more human, check out our youtube channelhttps://www.youtube.com/@PREP-RegistrarLooking for a supervisor to implement some of these great ideas?https://findasupervisor.com.auEarly career psychologist looking for up to date cutting edge CPD?https://learning.prep.clinicLooking to become a psychology supervisor?https://stap.org.au
The gap between research and real-world practice sometimes seems impossible to bridge. "Abstract Intelligence" is here to help. Each week we will walk you through a groundbreaking research paper to discuss its impact on your practice.Join experienced clinical psychologists Drs Rebecca and Aaron Frost as they break down key research papers in mental health, making evidence-based practice accessible and engaging for therapists and anyone passionate about mental health.Each episode tackles a key paper; we go deep into methodology, statistics and theory, but also keep it light and relevant.Check out some our our other initiatives designed to make the world of mental health just a little bit better;If you like your tips just a little more human, check out our youtube channelhttps://www.youtube.com/@PREP-RegistrarLooking for a supervisor to implement some of these great ideas?https://findasupervisor.com.auEarly career psychologist looking for up to date cutting edge CPD?https://learning.prep.clinicLooking to become a psychology supervisor?https://stap.org.au
Australia