"Our diversity as a profession... is not a weakness that needs to be cured with evidence-based practice. It's a strength and it needs to be nurtured with outcome-informed measures." - Scott Miller, PhD
What works in psychotherapy? In this interview by Randall C. Wyatt, Miller shares everything he knows about psychotherapy outcomes. For starters, it's the therapeutic alliance that's one of the most important elements. And here's the real ticker—Miller has found that the therapist is the determining factor, not the treatment model. This means that therapists can learn, grow and be more effective with their clients by systematically monitoring therapy outcomes, inviting negative feedback, and asking the simple question that so often seems too difficult for therapists to ask: "How is this working for you?"
Miller warns against manualized systems that require therapists to narrowly work in a particular model, citing research that shows that therapists are the most effective when they are allowed to practice what they believe and are confident in. This means you don't need to change your modality to be more effective, and, in fact, can have a meaningful evidence-based practice by adapting some of Miller's simple tools to invite client feedback.
From watching this video, you'll learn:
- What factors determine positive and negative outcomes in psychotherapy.
- How to be the most effective therapist with all your clients by learning to monitor outcomes.
- When the most important times to intervene are, and how therapy approaches vary depending on the client's own stage of change.
This is an Instructor Version and can be used for groups and training purposes.
Randall C. Wyatt is a practicing psychologist in Oakland and Dublin, California. He specializes in working with post traumatic stress, cross-cultural therapeutic relationships and couples therapy and has extensive teaching experience.
Scott Miller, PhD is co-founder of the Institute for the Study of Therapeutic Change, a private group of clinicians and researchers dedicated to studying "what works" in mental health and substance abuse treatment. Dr. Miller conducts workshops and training, and speaks at conferences worldwide. He is the author of numerous articles and co-author of The Heart and Soul of Change: What Works in Therapy, The Heroic Client: A Revolutionary Way to Improve Effectiveness through Client-Directed, Outcome-Informed Therapy, and the forthcoming What Works in Drug and Alcohol Treatment.
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