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What can therapists learn from the CIA? Experts versus the "Wisdom of the Crowd"
What can we therapists learn from the CIA? In a phrase, “When it comes to making predictions about important future events, don’t rely on experts!” After a spate of embarrassing, high-profile intelligence failures, a recent story showed how a relatively small group of average people made better predictions about critical world events than highly-trained analysts with access to classified information. … — read more
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Do you know who said, "Sometimes the magic works, sometimes it doesn’t"?
Well, do you? It was Chief Dan George playing the role of Old Lodge Skins in the 1970 movie, “Little Big Man.” Whether or not you’ve seen or remember the film, if you’re a practicing therapist, you know the wisdom contained in that quote. No matter how skilled the clinician or devoted the client, “sometimes therapy works, sometimes it… — read more
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How not to be among the 70-95% of practitioners and agencies that fail
Our field is full of good ideas, strategies that work. Each year, practitioners and agencies devote considerable time and resources to staying current with new developments. What does the research say about such efforts? When it comes to the implementation of new, evidence-based practices, traditional training strategies routinely produce only 5% to 30% success rates. Said another way, 70-95% of training fails… — read more
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International Center for Clinical Excellence: Update and Announcement
On August 24th, right here on the "Top Performance" blog, I announced the formation of the International Center for Clinical Excellence. As anyone who has been reading my recent posts or publication knows, my work is evolving; specifically, putting prior research on the common factors, measurement of outcome and alliance, and feedback to work in helping… — read more