Clearer Thinking with Spencer Greenberg Why does psychotherapy work (when it works at all)? (with Scott Miller)
Sep 8, 2021
Scott Miller, founder of the International Center for Clinical Excellence, dives into the intricacies of making psychotherapy more effective. He explores how deliberate practice and feedback enhance therapy skills, drawing parallels with elite athletes. The conversation critiques therapy's often simplistic methods, emphasizing cultural contexts and the importance of client perceptions. Miller advocates for measuring true client outcomes, fostering a feedback-friendly therapeutic culture, and tackling common blind spots, ultimately aiming to improve the therapist-client relationship.
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Initial Anxiety
- Scott Miller always felt less confident in his ability to help others compared to his classmates.
- This uncertainty drove him to explore various practices and improve his effectiveness.
Proficiency as a Barrier
- Proficiency can hinder growth and learning in therapists.
- A sense of proficiency can lead to integrating new information into existing beliefs instead of challenging them.
Confirmation Bias in Therapy
- Confirmation bias makes it hard to assess if therapeutic methods work.
- Therapists seek evidence they're on track, especially with inconsistent client feedback.