I wrote a post yesterday on the good, but largely stagnant, outcomes currently being achieved in psychotherapy.  In today's post I highlight the fascinating finding that psychotherapists themselves vary considerably in their effectiveness.  If we can help those with poorer outcomes to begin matching those with better, great gains are possible and the log jam in trying to improve psychotherapy's effectiveness can be eased.  In later posts I will argue that this improvement looks eminently achievable.

I have been asked to write a chapter on the importance of obtaining regular feedback on client progress in a book on psychotherapist self-practice & self-reflection.  This initial section (see below) of a draft of the chapter comments on the current state of psychotherapy itself:

(Note the ideas in this blog are explored in more detail in the chapter "Client feedback: an essential input to therapist reflection" in the forthcoming Haarhoff, B. and Thwaites, R. (2016) "Reflection in CBT: Increasing your effectiveness as a therapist, supervisor and trainer." London: SAGE Publications Ltd.)

Yesterday's post and today's are combined and downloadable as a Word doc or as a PDF file.

I was asked by a friend to write a short piece on research evidence backing up therapeutic uses of reading & writing to be used in a local initiative supporting health workers in a diverse range of settings.  Today's and tomorrow's post give the piece with hyperlinks to the various research studies that I mention.  A combination of the two posts is downloadable as a Word doc or as a PDF file.

A couple of recent research studies have underlined the value of specific forms of psychotherapy for complicated grief reactions: 

"Wisdom, compassion, and courage are the three universally recognized moral qualities of men."                                                                                                            Confucius

I read a lot of research.  When I find an article of particular interest I download it to my bibliographic database - Endnote - which currently contains over 21,400 abstracts.  I also regularly tweet about emerging research, so following me on Twitter, Facebook or Google+ (click on the relevant icon at the top of this web page) will keep you up to speed with what I'm finding interesting.  Additionally you can view this highlighted research by visiting Scoop.it (click on the "it!" icon at the top of this page).  At Scoop.it, I stream publications into five overlapping topic areas: Cognitive & General Psychotherapy, Depression, Compassion & Mindfulness, Positive Psychology and Healthy Living.

Last year I was intrigued by a paper - "Zinc in depression: A meta-analysis" - from Toronto University's "Neuropsychopharmacology Research Group" where the authors brought together 17 relevant studies and concluded "Depression is associated with a lower concentration of zinc in peripheral blood.

Counselling & psychotherapy are often helpful.  In fact they are more effective than, for example, many interventions in cardiology or ...  .  Worryingly though ... despite a wealth of emerging research ... there has been little improvement in the outcomes we achieve.  The same, of course, could be said about pharmacological approaches to mental health problems.  Training, qualifications & years of experience make surprisingly little difference to the results therapists achieve.  Yet there is considerable variation in the success rates of different therapists ... although therapists themselves are poor judges of their own effectiveness.  In this situation, methodical, skilful use of feedback on client progress holds arguably more promise than any other way of improving therapist success rates.  More to follow.

Michelle Craske & colleagues from the Anxiety Disorders Research Center of UCLA have, for many years, been publishing careful, challenging research on underlying mechanisms & on ways of boosting the effectiveness of exposure therapies for different forms of anxiety.  Craske's list of publications & research presentations runs to 31 pages and begins with a study on musical performance anxiety published in 1984.  As the presentation titles on her list show, for some years the majority of her many lectures at prestigious conferences all over the world have revolved around the theme of how to take evolving scientific findings about fear learning and use them to optimize exposure treatments for anxiety disorders.