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England's Grand Mental Health Care Experiment

Did "the World's Most Ambitious Effort" to Expand Treatment Fall Flat?

Chris Lyford

By Chris Lyford - England's Improving Access to Psychological Therapies (IAPT) initiative provides mental health care to more than 900,000 people annually, and employs more than 6,000 therapists. But can psychotherapy really be systematized on a nationwide scale?

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Conversational Skill, the Common Denominator in Good Therapy

Are Specialization and Clinical Complexity Really Necessary?

Jay Efran

By Jay Efran and Rob Fauber - Over psychotherapy’s history, the search for new therapy techniques and fancier gimmicks has led the field lurching down one blind alley after another. But therapy is undeniably a form of conversation, not a medical treatment. It can never be fully scripted or manualized, and its value hinges on a few basic principles that have been known for a long time.

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Supershrinks

What's the secret of their success?

Scott Miller, Mark Hubble, and Barry Duncan

Trying to identify specific interventions that could be reliably dispensed for specific problems has a strong commonsense appeal. No one would argue with the success of the idea of problem-specific interventions in the field of medicine. But the evidence is incontrovertible. Who provides the therapy is a much more important determinant of success than what treatment approach is provided.

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Improving Therapeutic Effectiveness: Moving Beyond Reliable Performance

How Can We Make Progress in Our Therapeutic Effectiveness?

Scott Miller, Mark Hubble, and Barry Duncan

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.

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Deliberate Practice: The First Step on the Path to Professional Excellence

One Team Finds that Deliberate Practice is the First Step to Becoming a Superior Therapist

Scott Miller, Mark Hubble, and Barry Duncan

How do the supershrinks do what they do? Are they made or born? Is it a matter of temperament or training? Have they discovered a secret unknown to other practicing clinicians, or are their superior results simply a fluke, more measurement error than reality?

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