Psychotherapists & counsellors who don't monitor their outcomes are at risk of being both incompetent & potentially dangerous
Last updated on 3rd October 2016
I find the recent paper by Kraus & colleagues a bit scary - "Therapist effectiveness: Implications for accountability and patient care" - with its abstract reading "Significant therapist variability has been demonstrated in both psychotherapy outcomes and process (e.g., the working alliance). In an attempt to provide prevalence estimates of "effective" and "harmful" therapists, the outcomes of 6960 patients seen by 696 therapists in the context of naturalistic treatment were analyzed across multiple symptom and functioning domains. Therapists were defined based on whether their average client reliably improved, worsened, or neither improved nor worsened. Results varied by domain with the widespread pervasiveness of unclassifiable/ineffective and harmful therapists ranging from 33 to 65%.