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The Evolution of Psychotherapy:
Research

Scott D. Miller, Ph.D.
International Center for Clinical Excellence
The Evolution of Psychotherapy:
Research
•In 1952, Eysenck publishes a
review of 24 studies of
psychotherapy and
concludes...
The Evolution of Psychotherapy:
Research
•Sixty years and 1000’s of
studies later:
•“The best research evidence
conclusive...
The Evolution of Psychotherapy:
Research
•Sixty years and 1000’s of
studies later:
•“(1) Psychotherapies are roughly
equiv...
The Evolution of Psychotherapy:
How can Therapists Improve?

Method

Diagnosis

T

C

BEFORE
Therapy

AFTER
The Evolution of Expertise:
Expertise:
Research
AS WELL AS…
PIANO
CHESS
SURGERY
RADIOGRAPHY
TEACHING
PROGRAMMING
SOCCER
TE...
Deliberate Practice
Zone of “Proximal Development”:
•Reliable performance inconsistent
•Identification of errors, misperce...
The Evolution of Expertise:
Expertise:
Results
•On average, the best
therapists:
•Achieve 50% better outcomes;
•Experience...
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Research on Psychotherapy: A Presentation at the 2013 Evolution of Psychotherapy Conference

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A summary of the findings from research on psychotherapy presented on a panel discussion with David Barlow and Steven Hayes at the 2013 Evolution of Psychotherapy conference in Anaheim, California

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Transcript of "Research on Psychotherapy: A Presentation at the 2013 Evolution of Psychotherapy Conference"

  1. 1. The Evolution of Psychotherapy: Research Scott D. Miller, Ph.D. International Center for Clinical Excellence
  2. 2. The Evolution of Psychotherapy: Research •In 1952, Eysenck publishes a review of 24 studies of psychotherapy and concludes: •“The results…fail to support the hypothesis that psychotherapy facilitates recovery.” Hans Eysenck, Ph.D. Eysenck, H. (1952). The effects of psychotherapy: An evaluation. Journal of consulting Psychology, 16, 319-324. Miller, S.D., Hubble, M.A., Chow, D.L., & Seidel, J.A. (2013). The outcome of psychotherapy: Yesterday, Today, and Tomorrow. Psychotherapy, 50(1), 88-97.
  3. 3. The Evolution of Psychotherapy: Research •Sixty years and 1000’s of studies later: •“The best research evidence conclusively shows that individual, group and couple/family psychotherapy are effective for a broad range of disorders, symptoms and problems with children, adolescents, adults, and older adults.” American Psychological Association. (2012). Recognition of psychotherapy effectiveness. http://www.apa.org/about/policy/resolution-psychotherapy.aspx Retrieved December 1, 2013. Miller, S.D., Hubble, M.A., Chow, D.L., & Seidel, J.A. (2013). The outcome of psychotherapy: Yesterday, Today, and Tomorrow. Psychotherapy, 50(1), 88-97.
  4. 4. The Evolution of Psychotherapy: Research •Sixty years and 1000’s of studies later: •“(1) Psychotherapies are roughly equivalent in effectiveness; and (2) patient and therapist characteristics, which are not usually captured by a patient's diagnosis or by the therapist's use of a specific psychotherapy, affect the results.” •Sixty years and 1000’s of studies later: •“The best research evidence conclusively shows that individual, group and couple/family psychotherapy are effective for a broad range of disorders, symptoms and problems with children, adolescents, adults, and older adults.” American Psychological Association. (2012). Recognition of psychotherapy effectiveness. http://www.apa.org/about/policy/resolution-psychotherapy.aspx Retrieved December 1, 2013. Miller, S.D., Hubble, M.A., Chow, D.L., & Seidel, J.A. (2013). The outcome of psychotherapy: Yesterday, Today, and Tomorrow. Psychotherapy, 50(1), 88-97.
  5. 5. The Evolution of Psychotherapy: How can Therapists Improve? Method Diagnosis T C BEFORE Therapy AFTER
  6. 6. The Evolution of Expertise: Expertise: Research AS WELL AS… PIANO CHESS SURGERY RADIOGRAPHY TEACHING PROGRAMMING SOCCER TENNIS SINGING… Charness, N., Krampe. R., & Mayu, U. (1996). The role J. (n.d.). The study of supershrinks: Development and deliberate practices of road to Chow, D., Miller, S. D., Kane, R., & Thornton, of practice and coaching in entreprenurial skill domains. In K.A. Ericsson (ed.). The excellence: The acquisition of expert performance in thein preparation. sports, and games (pp. 51-80). Hillsdale, NJ: LEA. highly effective psychotherapists. Manuscript arts and sciences,
  7. 7. Deliberate Practice Zone of “Proximal Development”: •Reliable performance inconsistent •Identification of errors, misperceptions •Setting small process and outcome objectives •Involves planning, rehearsal, reflection Edge of Ability Too Easy Realm of “Reliable” Performance: •Processes executed quickly, automatically •Involves recognition, retrieval, execution Too Difficult Ambit of Admiration: •Abilities of others appear flawless, magical, dramatic •Effort and attention focused on easily recognized, but non-causal factors and/or processes (superstition) •Risk of failure and injury high
  8. 8. The Evolution of Expertise: Expertise: Results •On average, the best therapists: •Achieve 50% better outcomes; •Experience 50% fewer drop outs, and 33% less deterioration; •Provide more value per dollar spent. Chow, D., Miller, S. D., Kane, R., & Thornton, J. (n.d.). The study of supershrinks: Development and deliberate practices of highly effective psychotherapists. Manuscript in preparation. Miller, S.D. (2013). Psychometrics of the ORS and SRS. Results from RCT’s and meta-analyses of routine outcome monitoring and feedback: The available evidence. http://www.slideshare.net/scottdmiller/measures-and-feedback-2013-compatibility-mod. Retrieved December 4, 2013.
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