julian mcnally developing mastery in act
TRANSCRIPT
Julian McNallywww.julianmcnally.com
www.actofliving.com.au
Developing Mastery in ACT
4 Steps To Mastery
Where is The Gap?
What Mastery Looks Like…
http://www.youtube.com/watch?v=NHH-6ZQktRQ
Why develop mastery?
How effective is ANY psychotherapy compared to medical treatments
Q: Professionals vs. non-professionals – who wins?
“…clients who seek help from paraprofessionals are more likely to achieve resolution of their problem than those who consult professionals.”Hattie, Sharpley & Rogers (1984). Comparative effectiveness of professional and paraprofessional helpers. Psychological Bulletin, 95, 534-541.
A: The client!
Professionals vs. non-professionals – what’s the difference (with severely depressed clients)?
Bright JI, Baker KD, Niemeyer RA: Professional and paraprofessional group treatments for depression: A comparison of Cognitive-behavioral and mutual support interventions. J Consult Clin Psychol 1999, 67:491-501
Type of therapy?Status: professional or not?Adherence to protocol (regardless of which protocol)?
No difference!No difference!
More adherent = better outcome
This woman is a psychiatrist, so we can’t show you her face…
Disappearing jobs
Q: What kind of services go offshore?A: What else can you think of?
If nursing and radiology, why not psychotherapy?
Suppose you could offer all this…
• Convenience• Anonymity• Widely accessible• Client -initiated• Flexibility in time, duration and place
Could a robot do your job?
A computer can already do therapy as well as you!
How mastery is developed
Another kind of mastery…
http://www.youtube.com/watch?v=rRhwPxVP0uw
How good (or bad) can a therapist be?
Okiishi J, Lambert MJ, Nielsen SL, Ogles BM. (2003) Waiting for supershrink: an empirical analysis of therapist effects. Clinical Psychology & Psychotherapy. 10, 361-373.
56 counsellors: 60% male, 68% counseling psych vs. 29% clinical; 36% pre-intern, 18% intern, 46% post-intern; 25% psychodynamic/IPT, 34% humanistic/existential, 41% CBT or BT1779 clients. DXs: 34.5% mood, 21% anxiety, 17% adjustmentMinimum 15 clients/therapistTreatment length: min=1, max=69, mean=5.2, sd=7.2Outcome/progress measurement: OQ-45 every session
Average HLM growth curve
Okiishi J, Lambert MJ, Nielsen SL, Ogles BM. (2003) Waiting for supershrink: an empirical analysis of therapist effects. Clinical Psychology & Psychotherapy. 10, 361-373.
“Supershrink” vs. “pseudoshrink”
Okiishi J, Lambert MJ, Nielsen SL, Ogles BM. (2003) Waiting for supershrink: an empirical analysis of therapist effects. Clinical Psychology & Psychotherapy. 10, 361-373.
Formula for expertise development
Designed to improve performance.
It can be repeated. A lot.
Feedback is immediate.
It is mentally demanding.
It is not fun.
From: (Hard) Ericsson, KA, Charness, N, Feltovich, PJ, & Hoffman, RR, Eds. (2006). The Cambridge Handbook of Expertise and Expert Performance. Or (Easy), Colvin, G. (2008). Talent Is Overrated: What Really Separates World-Class Performers from Everybody Else.
Your mastery development program
• Schedule practice• Practise often – even if a little• Eliminate automaticity• What feedback and when?• Form or join a group (this is bigger than
you!)
Types of Deliberate Practice activities
1. Interpersonal Process Recall2. Observations by your supervisor3. Video segments
Julian McNallywww.julianmcnally.com
www.actofliving.com.au
Developing Mastery in ACT