Deliberate Practice in Accelerated Experiential Dynamic Psychotherapy

Deliberate practice exercises help trainees achieve competence in essential accelerated experiential dynamic psychotherapy skills and apply them in a variety of contexts while honing their own personal style.

 
These exercises present role-playing scenarios in which two trainees act as a client and a therapist, switching back and forth under the guidance of a supervisor. The therapist improvises appropriate and authentic responses to client statements organized into three difficulty levels—beginner, intermediate, and advanced.

 
Each of the first 12 exercises focuses on a single skill to help clients access core emotions, process past traumas, and build secure attachments. The skills include moment-to-moment tracking, validating and reframing anxieties and defenses, and initiating portrayals (i.e., speaking to an imagined other or self). Two comprehensive exercises follow in which trainees integrate these skills into a single session.

 
Step-by-step instructions guide participants through the exercises, identify criteria for mastering the skills, and explain how to monitor and adjust difficulty. Guidelines to help trainers and trainees get the most out of training are also provided.

To demonstrate how deliberate practice can be fully integrated into a professional curriculum, this series features exercises developed and refined within the clinical training curriculum at the Sentio online/hybrid marriage and family therapy (MFT) therapist training program in California, which is where we started developing this series. These exercises, which have been tested at clinical training sites around the world, are used to enhance clinical outcomes within the first hybrid MFT program approved by the California Board of Behavioral Sciences to fully integrate deliberate practice into its entire curriculum. By integrating these models into its hybrid MFT program in California, Sentio University demonstrates that therapist training graduate programs can use deliberate practice to bridge the gap between theory and clinical mastery through repetitive, feedback-informed practice to support the development of modern, outcome-focused clinicians.
 

Tony Rousmaniere, PsyD, is program director of the Sentio Marriage and Family Therapy graduate program, and executive director of the Sentio Counseling Center. He has authored many books on deliberate practice and psychotherapy training and is coeditor of the book series The Essentials of Deliberate Practice (APA Books). In 2017, Dr. Rousmaniere published the widely cited article in The Atlantic Monthly, “What Your Therapist Doesn’t Know.” Dr. Rousmaniere supports the open-data movement and publishes clinical outcome data at drtonyr.com. He is president of Division 29 of APA.

Alexandre Vaz, PhD, is director of training at the Sentio Marriage and Family Therapy graduate program and Sentio Counseling Center. He has authored many books on deliberate practice and psychotherapy training and is coeditor of the book series The Essentials of Deliberate Practice (APA Books). Dr. Vaz has held multiple committee roles for the Society for the Exploration of Psychotherapy Integration (SEPI) and the Society for Psychotherapy Research (SPR). He is founder and host of “Psychotherapy Expert Talks,” an acclaimed interview series with distinguished psychotherapists and researchers.

Series Preface
Tony Rousmaniere and Alexandre Vaz
Acknowledgments
Part I. Overview and Instructions
Chapter 1. Introduction and Overview of Deliberate Practice and Accelerated Experiential Dynamic Psychotherapy
Chapter 2. Instructions for the Accelerated Experiential Dynamic Psychotherapy Deliberate Practice Exercises
Part II. Deliberate Practice Exercises for Accelerated Experiential Dynamic Psychotherapy Skills
Exercises for Beginner Accelerated Experiential Dynamic Psychotherapy​ Skills
Exercise 1
Exercise 2
Exercise 3
Exercise 4
Exercises for Intermediate Accelerated Experiential Dynamic Psychotherapy​ Skills
Exercise 5
Exercise 6
Exercise 7
Exercise 8
Exercises for Advanced Accelerated Experiential Dynamic Psychotherapy​ Skills
Exercise 9
Exercise 10
Exercise 11
Exercise 12
Comprehensive Exercises
Exercise 13. Annotated Accelerated Experiential Dynamic Psychotherapy Session Transcripts
Exercise 14. Mock Accelerated Experiential Dynamic Psychotherapy Sessions
Part III. Strategies for Enhancing the Deliberate Practice Exercises
Chapter 3. How to Get the Most Out of Deliberate Practice for Accelerated Experiential Dynamic Psychotherapy: Additional Guidance for Trainers and Trainees
Appendix A. Difficulty Assessments and Adjustments
Appendix B. Deliberate Practice Diary Form
Appendix C. Sample Accelerated Experiential Dynamic Psychotherapy Syllabus With Embedded Deliberate Practice Exercises
References
Index
About the Authors

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