Yesterday I wrote a blog post "Routine Outcome Monitoring can really help therapists clarify where they need to try harder".  Today's post extends this extremely important point.  About twenty years ago Howard and colleagues (Howard, Moras, Brill, Martinovich, & Lutz, 1996) introduced a crucial new approach for improving our outcomes.  They wrote "Treatment-focused research is concerned with the establishment of the comparative efficacy and effectiveness of clinical interventions, aggregated over groups of patients.

I recently wrote a couple of blog posts - "Psychotherapy (and psychotherapist) outcomes are good but largely stagnant" and "Fascinatingly, therapists themselves vary considerably in their effectiveness".  In the second of these posts I commented "A paper published just last month (Green, Barkham et al.

I wrote a post yesterday on the good, but largely stagnant, outcomes currently being achieved in psychotherapy.  In today's post I highlight the fascinating finding that psychotherapists themselves vary considerably in their effectiveness.  If we can help those with poorer outcomes to begin matching those with better, great gains are possible and the log jam in trying to improve psychotherapy's effectiveness can be eased.  In later posts I will argue that this improvement looks eminently achievable.

I have been asked to write a chapter on the importance of obtaining regular feedback on client progress in a book on psychotherapist self-practice & self-reflection.  This initial section (see below) of a draft of the chapter comments on the current state of psychotherapy itself:

(Note the ideas in this blog are explored in more detail in the chapter "Client feedback: an essential input to therapist reflection" in the forthcoming Haarhoff, B. and Thwaites, R. (2016) "Reflection in CBT: Increasing your effectiveness as a therapist, supervisor and trainer." London: SAGE Publications Ltd.)

Yesterday's post and today's are combined and downloadable as a Word doc or as a PDF file.

I was asked by a friend to write a short piece on research evidence backing up therapeutic uses of reading & writing to be used in a local initiative supporting health workers in a diverse range of settings.  Today's and tomorrow's post give the piece with hyperlinks to the various research studies that I mention.  A combination of the two posts is downloadable as a Word doc or as a PDF file.

A couple of recent research studies have underlined the value of specific forms of psychotherapy for complicated grief reactions: 

"Wisdom, compassion, and courage are the three universally recognized moral qualities of men."                                                                                                            Confucius

I read a lot of research.  When I find an article of particular interest I download it to my bibliographic database - Endnote - which currently contains over 21,400 abstracts.  I also regularly tweet about emerging research, so following me on Twitter, Facebook or Google+ (click on the relevant icon at the top of this web page) will keep you up to speed with what I'm finding interesting.  Additionally you can view this highlighted research by visiting Scoop.it (click on the "it!" icon at the top of this page).  At Scoop.it, I stream publications into five overlapping topic areas: Cognitive & General Psychotherapy, Depression, Compassion & Mindfulness, Positive Psychology and Healthy Living.

Last year I was intrigued by a paper - "Zinc in depression: A meta-analysis" - from Toronto University's "Neuropsychopharmacology Research Group" where the authors brought together 17 relevant studies and concluded "Depression is associated with a lower concentration of zinc in peripheral blood.