Do psychotherapists improve with time and experience?

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Close up view of the glass bulbs with sand running through of an egg timer or hourglass measuring passing time counting down to a deadline

Naturally, we all want to get better at the things that we do.  Psychotherapists too may like to think that as they gain experience, they are continuing to develop their skills and improve the services they provide.  Knowing that therapists contribute significantly to clients’ outcomes (explaining approximately 5% of variance in outcomes; Baldwin & Imel,… Read more »

Parental Military Deployment and Children: What Have We Learned from More than a Decade of War?

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Upset son and military dad saying goodbye

by Candice A. Alfano & Simon Lau, Department of Psychology, University of Houston A common saying in the military is that when one person joins the whole family serves. This phrase took on new meaning in the wake of the events of September 11, 2001. Subsequent combat operations required unprecedented rates of lengthy and repeated… Read more »

What we know now about bridging the gap between research and practice

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About two decades ago, psychologists who develop and study psychotherapy interventions began to recognize that publications on the efficacy of new psychotherapies were not sufficient to change practice. Shortly thereafter, research emerged that indicated that manuals and workshops alone were also not sufficient to change practice (see Herschell et al., 2010 for a summary). We… Read more »

Dropping Out of Cognitive Behavioral Therapy

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Cognitive Behavioral Therapy (CBT) has earned a position of high regard in the scheme of evidence-based treatment of psychological disorders. Yet, it shares some of the same difficulties faced by psychotherapy and medical practice in general. One such major problem is dropout. Dropout is the client’s discontinuation of treatment against the recommendations of the clinician…. Read more »

Writing Trauma Narratives Increases Temporal Organization & Habituation

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Emotional processing theory posits that the therapeutic benefits of exposure include habituation to the distress triggered by trauma memories (Lang, 1977) as well as their reorganization (Foa, Molnar, & Cashman, 1995). Trauma narratives among people with PTSD have been observed to have greater sensory, perceptual, and emotional references and interrupted temporal, causal and logical connections… Read more »

The anti-depressive effects of cognitive behavioral therapy are in decline: What is the next step forward for psychotherapy?

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man looking at the horizon

Cognitive behavioral therapy (CBT), in its current format, was developed and implemented as an anti-depressive treatment in the 1970`s (Beck et al., 1979.). Ever since, the method has been in worldwide growth, gaining recognition and appraisal on its way to becoming the dominant force in the world of psychotherapy. Until recently, no thorough attempt had… Read more »

Preventing Interpersonal Violence among Military Veterans: The Strength at Home Program

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Portrait of woman missing to military husband

Intimate partner violence (IPV) represents a significant clinical problem among veterans and service members. Numerous studies indicate that veterans and service members with greater posttraumatic stress disorder symptoms are at particularly high risk for IPV use (Marshall, Panuzio, & Taft, 2005; Taft, Watkins, Stafford, Street, & Monson, 2011). With large numbers of returning U.S. military… Read more »

Consumer Marketing of Psychological Treatments: A Randomized Controlled Trial

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marketing concept with financial graph and chart

Direct-to-consumer marketing: The next wave of dissemination and implementation? Most Americans are familiar with the pharmaceutical advertisements that are featured in many forms of media. Many of these advertisements are for psychopharmaceutical interventions, which have recently been surpassing efficacious psychological treatments in outpatient mental health care (Olfson & Marcus, 2010). While traditional dissemination and implementation… Read more »

Outcome monitoring and feedback: A transtheoretical, transdiagnostic evidence-based practice

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This blog piece by Dr. James Boswell discusses a recent study published by his research team in Psychotherapy entitled, “Implementing routine outcome monitoring in clinical practice: Benefits, challenges, and solutions.” In their seminal paper, Howard, Moras, Brill, Martinovich, and Lutz (1996) suggested using standardized session-to-session measures of patient progress to evaluate and improve treatment outcome by… Read more »