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Burnout Reconsidered

What Supershrinks Can Teach Us

Mark Hubble, Scott Miller

By Scott Miller, Mark Hubble, and ⁠Françoise Mathieu - An entire industry has sprung up to address the problem of compassion fatigue, but research indicates that the most commonly proposed answer, improved self-care, doesn’t work. In fact, the study of the most highly effective clinicians suggests that burnout isn’t related to caring too much, but continuing to care ineffectively.

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How Psychotherapy Lost Its Magick

Reclaiming a Lost Art

Mark Hubble, Scott Miller

By Scott Miller and Mark Hubble - Studies show more people pay for the services of advisors claiming special powers than see mental health practitioners. How can mentalists and mediums be flourishing at a time when therapists—trained and sanctioned—are struggling to inspire confidence? In an effort to improve therapists’ efficacy, two researchers find themselves on an unexpected path.

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Reclaiming Therapeutic Excellence

The Crucial Ingredients May Surprise You

Mark Hubble, Scott Miller

By Scott Miller and Mark Hubble - Working harder isn't about filling the week with additional hours on the job. Reaching the top requires hard work of an entirely different order: consistently and consciously pushing to reach objectives just beyond one’s level of proficiency. Because of the human tendency to underplay our shortcomings, measurement and feedback are vital

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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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Is Cognitive Behavioral Therapy as Effective as Clinicians Believe?

Despite Longstanding Authority, New Research Questions CBT's Reliability

Chris Lyford

For nearly 50 years, cognitive behavioral therapy (CBT) has claimed higher scientific authority among the vast legion of psychotherapy approaches as a result of having more research demonstrate its effectiveness than any other therapeutic method. But recent developments have raised questions about whether the effectiveness and scientific bona fides of CBT have been overstated.

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Antidepressants and Therapy, a Strange Alliance

With Psychopharmacology So Popular, Do We Still Need Therapy?

Scott Miller

In the last decade, a vast intellectual and emotional sea change has taken place. We now inhabit a culture where many people hold the view that their emotional pain is "biochemical" and can be cured by simply taking a pill. In this prevailing cultural script, therapy is sometimes ignored altogether. These views have taken on the luster of scientific truths. But they are not truths. They are myths. Our culture's exaggerated faith in these psychiatric medications rests not on science, but on brilliant marketing by a profit-driven industry. Outcome research has not found these drugs to be any better than therapy, and only marginally better than placebos.

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