When ideology meets reality

What do the ex-Chancellor of the Exchequer Kwasi Kwarteng and the founding principles of the Improving Access to Psychological Therapies Programme (IAPT) have in common? Answer: A hopeful start, after which both have failed to survive contact with reality. The difference? One has had a vanishingly short half-life, while the other, despite recovery rates falling…

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Glimpses behind the therapy room door…

Doing effective therapy is hard enough on its own. Integrating measures of outcome into the process adds additional complexity. Do it well, and the purpose, meaning and value of using measures is integrated into conversations. Do it poorly, and we hear the crunch of gears and a trail of potential alliance fractures. As this recent…

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Learning to read data like you read sessions … (just read the book!)

In their new book Outcome Measures and Evaluation in Counselling and Psychotherapy, authors Chris Evans and Jo-anne Carlyle have pulled off a rare feat. In making some important statistical concepts accessible, presenting ‘for’ and ‘against’ arguments for measurement in a balanced way, and leading the reader through a range of implementation scenarios, they have written the…

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