Yesterday I went to a one-day workshop with Professor Colin Espie on sleep disorders and CBT organized by the Scottish Branch of the BABCP.  Bike to the station, then a train from Edinburgh to Dundee.  Lovely, early morning light up the Fife coast.  Then a taxi to the conference venue where they were serving egg rolls, bacon rolls, and plenty of coffee for the gradually arriving delegates.

I wrote yesterday on "Mindfulness: the missing facet 'describe', and meeting at relational depth with self & others - theory" .  Today I'd like to take this into a practical example.

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%.