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Why does psychotherapy work (when it works at all)? (with Scott Miller)

Clearer Thinking with Spencer Greenberg

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Rethinking Effectiveness in Psychotherapy

This chapter discusses the theory of change in psychotherapy, emphasizing the roles of client perceptions and the stagnation of therapeutic outcomes over decades. It explores how performance assessments and ongoing evaluations can improve therapist effectiveness and client engagement, akin to processes seen in sports training. Additionally, the importance of fostering open feedback between clients and therapists is highlighted as a crucial factor in enhancing therapeutic success.

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