[ExI] attn" Henry

[Henry Rivera]

I wish. The lag on translating data to clinical practice and training is still too large. There are small factions within programs that promote these skills and individual supervisors who have influence one person at a time. That is helping. But there are also factions that actively resist such integration of knowledge and prefer to preserve their worldview. They have trouble accepting that they aren’t special, wasted time and or money on irrelevant schooling, or that all they have been teaching trainees has been wrong. They are not humble enough or aligned with science enough to follow the data. Eventually they are weeded out of the system when what they promote can’t be replicated. But that takes time. So much time. Regulating entities that confer licenses and accreditation to training programs help promote such change. But there is lag there as well. That being said, what is on licensing exams now compared to when I took the test 20 years ago has changed to reflect the current science. But that doesn’t help change those who were licensed prior to changes and what they teach trainees necessarily. Continuing education can do that to some degree for open minded clinicians. Others entrenched in their worldviews can find continuing education offerings that reinforce their positions. It’s much like Facebook providing content it knows the users prefers. There is that much divergent yet approved CE content out there. Eventually that gets tossed out too as the content is reviewed by subject matter experts in accrediting bodies (hopefully/ideally). But it takes time. 

> On Dec 5, 2020, at 9:16 AM, William Flynn Wallace via extropy-chat <extropy-chat at lists.extropy.org> wrote:
> 
> 
> Thanks Henry!  Do schools of medicine and clinical psychology now try to teach these skills?  And are people who don't have them to the proper degree somehow kept from graduating or going into practice?  bill w
> 
>> On Fri, Dec 4, 2020 at 6:34 PM Henry Rivera via extropy-chat <extropy-chat at lists.extropy.org> wrote:
>> Also consider that there is much variability among psychotherapists. There are therapist variables that effect outcomes that are independent of therapist education level, type of therapy training, sex, age, and experience as a therapist. 
>> 
>> Scott Miller studies this and coined the term Supershrinks to describe highly effective elite psychotherapists whose impressive outcomes are undeniable. Dr. Miller concluded these therapists all had some things in common. The good news is these can be cultivated. They are assessing one’s baseline skillset, engaging in deliberate practice to improve those skills, and obtaining ongoing feedback. And there are likely therapist variables that effect outcomes that cannot be cultivated. But he suggests the influence of those is less than the three components Miller discovered. 
>> 
>> You can learn more about this here among other places:
>> 
>> https://deliberatepracticeinpsychotherapy.com/articles-on-therapist-development/
>> 
>> https://www.scottdmiller.com/about-scott/
>> 
>> -Henry 
>>> On Dec 4, 2020, at 5:00 PM, spike jones via extropy-chat <extropy-chat at lists.extropy.org> wrote:
>>> 
>>> 
>>>  
>>> 
>>>  
>>> 
>>> > On Behalf Of William Flynn Wallace via extropy-chat
>>> Subject: [ExI] attn" Henry
>>> 
>>>  
>>> 
>>> >…Yeah, psych does some good.  Notice that I did not say that the secretaries and psychiatrists both failed.  In fact, both succeeded with some patients. It was only that the doctors did not do better than the secretaries.  Same type of study was done with psychoanalysts with the same outcome.  Long ago- 60s. All some people need is a good listener and all the stuff one learns in grad school is not needed.  bill w
>>> 
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>>> Ja and something else occurred to me: the psych doctor’s secretary might likely do better at being an amateur psychologist than the dentist’s secretary.  Reasoning: the psychologist and psychiatrist might be more likely to hire the person who has the skillset so familiar to their profession.
>>> 
>>>  
>>> 
>>> spike
>>> 
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