Training of Therapists (Evolution Conference 2013)

The Evolution of Psychotherapy:The Evolution of Psychotherapy:Training

Scott D. Miller, Ph.D.International Center for Clinical Excellence

http://twitter.com/scott_dm http://www.linkedin.com/in/scottdmphd

www.centerforclinicalexcellence.com

The Evolution of Psychotherapy:The Evolution of Psychotherapy:

Time:

•M.S., MSW, 2-3 years;

•Psy.D. or Ph.D., 5-7 years.

Training

•Psy.D. or Ph.D., 5-7 years.

Money:

•Public, $60,000/year;

•Private, $75,000/year.

Cherry, K. (2013). How long does it take to get a Ph.D. in psychology.

http://psychology.about.com/od/education/a/phd-psychology-time.htm. Retrieved

December 1, 2013.

Cherry, K. (2013). Psychologist salaries.

http://psychology.about.com/od/careersinpsychology/a/psychologist-salaries.htm.

Retrieved December 1, 2013.


Profession Starting

Salary

Median

(2010)

Psychologist 34-55K 68,500

Bureau of Labor Statistics. http://www.bls.gov. Retrieved December 1, 2013.

Time, F. (2013). Entry level salary of a clinical psychologist.

http://everydaylife.globalpost.com/entry-level-salary-clinical-psychologist-26345.html.

Retrieved December 1, 2013.

Psychologist 34-55K 68,500

Social Worker 23-40K 55,000

MFT 23-40K 45,720

Mental Health Coun 23.5-35K 38,150

•Studies to date show little or no

evidence:

•Traditional professional training leads to

better outcomes:

•No difference between professionals,


Atkins, D.C., & Christensen, A. (2001). Is professional training worth the bother? A review of the impact of psychotherapy training on client

outcome. Australian Psychologist, 36, 122-130.

Nyman, S. et al. (2010). Client outcomes across counselor training level within multitiered supervision model. Journa of Counseling and

Development, 88, 204-209.

Malouff, J. (2012). The need for empirically supported psychology training standards. Psychotherapy in Australia, 18(3), 28-32.

Miller, S.D., & Hubble, M.A. (2011). The road to mastery. The Psychotherapy Networker, 35(2), 22-31, 60.

Neimeyer, G. et al. (2010). Continuing education in psychology. Professional Psychology: Research and Practice, 41(5), 435-441.

•No difference between professionals,

students and paraprofessionals.

•Supervision enhances effectiveness;

•Experience leads to better outcomes (may

actually worsen);

•Participation in continuing education

improves effectiveness.

The Evolution of Psychotherapy:The Evolution of Psychotherapy:From Training to Professional Development

•Some therapists achieve consistently better

results than others;

•Differences between therapists consistently

accounts for 5-9% of variability in treatment

outcome;outcome;

•Differences persist when therapist competence

is held constant and treatments are manualized;

•Difference is unrelated to age, gender, caseload,

theoretical orientation, social skills, professional

degree, years of experience, and time spent

conducting therapy.

Miller, S., Hubble, M., & Duncan, B. (2007). Supershrinks: Learning from the field’s most

effective practitioners. Psychotherapy Networker, 31(6), 26-35, 56

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.

The Evolution of Expertise:The Evolution of Expertise:How Top Therapists Improve?How Top Therapists Improve?

Hours per week

spent alone seriously

De·lib·er·atediˈlibərit/

Adjective

Done consciously and intentionally spent alone seriously

engaging in activities

related to improving

therapy skills

Done consciously and intentionally

Prac·ticeˈpraktəs/

Noun

To carry out a particular activity regularly

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., Hubble, M., & Duncan, B. (2007). Supershrinks: Learning from the field’s most effective

practitioners. Psychotherapy Networker, 31(6), 26-35, 56


Hours per week

spent alone seriously 6

8

Hours/Week

spent alone seriously

engaging in activities

related to improving

therapy skills0

2

4

6

Top 3rd 2nd 1st

Hours

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., Hubble, M., & Duncan, B. (2007). Supershrinks: Learning from the field’s most effective

practitioners. Psychotherapy Networker, 31(6), 26-35, 56

• Thinking, planning,

executing, reflecting;


• Practicing at the

“edge” of the “realm

of reliable

performance.”

The Evolution of Psychotherapy:The Evolution of Psychotherapy:From Training to Professional Development

•Adopting an “apprenticeship”

model with structures and

practices that support continuous

development

practices that support continuous

development:

•Ongoing measurement;

•Identification of practitioner specific

errors and learning objectives;

•Time for practice outside of practice;

•Access to coaching and practitioner-

specific training;

•Connection with learning community.

Miller, S., Hubble, M., & Duncan, B. (2007). Supershrinks: Learning from the field’s

most effective practitioners. Psychotherapy Networker, 31(6), 26-35, 56

Miller, S.D., & Hubble, M.A. (2011). The road to mastery. The Psychotherapy

Networker, 35(2), 22-31, 60.

Education

Training of Therapists (Evolution Conference 2013)