The Cycle of Excellence Using Deliberate Practice to Improve Supervision and Training

How do the good become great? Practice! From musicians and executives to physicians and drivers, aspiring professionals rely on deliberate practice to attain expertise. Recently, researchers have explored how psychotherapists can use the same processes to enhance the effectiveness of psychotherapy supervision for career-long professional development. Based on this empirical research, this edited volume brings together leading supervisors and researchers to explore a model for supervision based on behavioral rehearsal with continuous corrective feedback. Demonstrating how this model complements and enhances a traditional, theory-based approach, the authors explore practical methods that readers can use to improve the effectiveness of their own psychotherapy training and supervision.

This book is the 2018 Winner of the American Psychological Association Supervision & Training Section's Outstanding Publication of the Year Award.

Tony Rousmaniere, PsyD, is on the Clinical Faculty at the University of Washington in Seattle, where he also maintains a private practice. He provides consultation and training for therapists around the world.

Rodney K. Goodyear, PhD, is Professor and Chair of the Department of Counseling and Human Services at the University of Redlands, and Emeritus Professor at the University of Southern California.

Scott D. Miller, PhD, is the founder of the International Center for Clinical Excellence, a consortium of clinicians, researchers, and educators dedicated to promoting excellence in behavioral health services.

Bruce E. Wampold, PhD, is Emeritus Professor of Counseling Psychology at the University of Wisconsin-Madison, and Director of the Research Institute at Modum Bad Psychiatric Center, Norway.

About the Editors ix

List of Contributors xi

Part I The Cycle of Excellence 1

1 Introduction 3
Tony Rousmaniere, Rodney K. Goodyear, Scott D. Miller, and Bruce E. Wampold

2 Professional Development: From Oxymoron to Reality 23
Scott D. Miller, Mark A. Hubble, and Daryl Chow

3 What Should We Practice?: A Contextual Model for How Psychotherapy Works 49
Bruce E. Wampold

4 Helping Therapists to Each Day Become a Little Better than They Were the Day Before: The Expertise-Development Model of Supervision and Consultation 67
Rodney K. Goodyear and Tony Rousmaniere

Part II Tracking Performance 97

5 Qualitative Methods for Routine Outcome Measurement 99
John McLeod

6 Quantitative Performance Systems: Feedback-Informed Treatment 123
Norah A. Chapman, Stephanie Winkeljohn Black, Joanna M. Drinane, Nicholas Bach, Patty Kuo, and Jesse J. Owen

7 Routine Outcome Monitoring in Child and Adolescent Mental Health in the United Kingdom at the Individual and Systems Levels: Learning from the Child Outcomes Research Consortium 145
Miranda Wolpert, Kate Dalzell, Jenna Jacob, Jenny Bloxham, Matt Barnard, Emma Karwatzki, Duncan Law, Benjamin Ritchie, Isabelle Whelan, and Kate Martin

Part III Applications for Integrating Deliberate Practice into Supervision 161

8 Some Effective Strategies for the Supervision of Psychodynamic Psychotherapy 163
Mark J. Hilsenroth and Marc J. Diener

9 Nurturing Therapeutic Mastery in Cognitive Behavioral Therapy and Beyond: An Interview with Donald Meichenbaum 189

10 Nurturing Expertise at Mental Health Agencies 199
Simon B. Goldberg, Robbie Babins-Wagner, and Scott D. Miller

11 The Ongoing Evolution of Continuing Education: Past, Present, and Future 219
Jennifer M. Taylor and Greg J. Neimeyer

12 Advances in Medical Education from Mastery Learning and Deliberate Practice 249
William C. McGaghie

Part IV Recommendations 265

13 Improving Psychotherapy Outcomes: Guidelines for Making Psychotherapist Expertise Development Routine and Expected 267
Tony Rousmaniere, Rodney K. Goodyear, Scott D. Miller, and Bruce E. Wampold

Index 277

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