The Developing Therapist; Digital roundtable with Wampold, Norcross, Castonguay & Nissen-Lie
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- เผยแพร่เมื่อ 7 ก.พ. 2025
- Host Liv Sand leads a digital roundtable on "the developing therapist" with Bruce Wampold, John C. Norcross, Louis Castonguay and Helene Amundsen Nissen-Lie at the Nordic Conference of Mental Health/Schizofrenidagene in Stavanger, Norway in november 2021
An important conversation among the leaders in this field that should be heard by everyone who trains psychotherapists. Thanks so much for posting this.
All of them are my heroes
Bruce final point completely blew me away. It’s the complete counterargument to deliberate practice in psychotherapy being reductionistic. What a fantastic anecdote! Thank you so much 🙏🏻
The therapeutic relationship reminds me a little of a marriage. Some couples are better suited to each other than others. When you ask them what the secret of their successful relationship is, they don't always know or can't put it into words. Of course, expertise, empathy, acceptance, etc. are very important. In some cases it might just have been "that one significant sentence", "those particular words" in that one session on that day although apart from that he/she was crappy as a therapist. I'm exaggerating here. But I think you get my point. 🤔
In the end, though, we don't really know what makes a good therapist. When you ask clients what really helped them to get better, they can't always say. For example, sometimes we don't always know why we like someone either. We just do. Many factors come together when it comes to determining what makes a therapy effective. What is the decisive factor for one person may not be the same for another. So, I'm not sure it's definable. And whether cultural and societal factors also play a role, I don't know.
Great talk, enjoyed listening. Thanks to all of you. 🙏
sure Bruce 'its a complex process' after telling us people unencumbered by training get the same outcomes as professionals and therapist do not improve with time. - therapy doesn't work and can be harmful -like everything else its a bunch of biased, blinded in groups battling for market share by flogging their own preferred brand.
Talking and listening or care and compassion can be useful and is needed but no one needs a paid therapist. We need more time and resources to form good family and friendship circles and do away with this guff.
Perhaps an apprenticeship of sorts, shadowing those comfortable and motivated to sit in service to others is all thats needed - we are human beings and have helping and harming each other since the dawn of time - method, techniques etc provide an illusion of professionalism and change, all fleeting and largely nonsense.
burnout is also high in the field and of course it is because we are human beings not robots - its fundamentally unhealthy for people to be able to turn on empathy, real empathy on the hour 5/6 days a week - going part time, reduced case loads and personal care or being adequately resourced is what people need - sadly its a business and people want more money and status. Therapists are human beings with the same or similar issues, bias and blind spots as anyone else has - no more able to overcome them either - and you cannot practice 'empathy' in fake situations - its a natural occurrence - when its faked or exhausted people often know.
you keep talking about 'disorders' when we know there are major issues with the medicalisation of distress, invalid, unreliable and most often harmful.