I wrote yesterday about the "European Positive Psychology conference: 1st day - a disappointing start & caution on over-selling mindfulness" ... but today's conference presentations rapidly kicked my doubts about being here into touch. We started with a couple of fine keynotes ... Claudia Senik on "The cultural dimension of happiness" and Willibald Ruch on "Character strengths: Unresolved issues, new frontiers".  Both talks were excellent.  

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.)

                      (this blog post is freely downloadable as a Word doc and as a PDF file)

"Man cannot remake himself without suffering, for he is both the marble and the sculptor."      Dr. Alexis Carrel

"It is a puzzling thing. The truth knocks on the door and you say, "Go away, I'm looking for the truth," and so it goes away."     Robert Pirsig

"There are people who live their whole lives on the default settings, never realizing you can customize."        Robert Brault

"A friend is someone who sees the potential in you and helps you to live it."     W. B. Yeats (adapted)

"Honest criticism is hard to take, particularly from a relative, a friend, an acquaintance or a stranger."    Franklin Jones

A few months ago now, I initiated a personal feedback project.  It was triggered by a number of factors.  I was soon to start the third part of an Emotion-Focused Therapy training and was interested in possibly using myself as "a case study" for the course; I had received some quite surprising & confronting feedback from a friend and I wondered how idiosyncratic or widespread his viewpoint might be; I had been encouraging feedback in groups that I run and I wanted to explore this more deeply; and finally I'm in a very good position to ask for & receive honest, thoughtful feedback from a broad social circle.

"O wad some Power the giftie gie us to see oursels as ithers see us!   It wad frae mony a blunder free us, an' foolish notion."   Rabbie Burns

"He who knows others is learned; he who knows himself is wise."   Lao-tzu

"Those who do not have the power over the story that dominates their lives - the power to retell it, reexperience it, deconstruct it, joke about it, and change it as times change - truly are powerless because they cannot think new thoughts"     Salman Rushdie

I wrote a first post a few days ago entitled "Going back for a university reunion: stirring up memories, avoidant attachment, "puffing up" and kindness (1st post)".  I mentioned psychiatry professor Irvin Yalom's suggestion that going back to reunions like this can stir up material that can be chewed over to yield helpful new insights.  It's happening.  And I'm encouraging it to.