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On Becoming a PsychotherapistThe Personal and Professional Journey$
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Robert H. Klein, Harold S. Bernard, and Victor L. Schermer

Print publication date: 2010

Print ISBN-13: 9780199736393

Published to Oxford Scholarship Online: May 2011

DOI: 10.1093/acprof:oso/9780199736393.001.0001

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Has the Magic of Psychotherapy Disappeared? Integrating Evidence-Based Practice into Therapist Awareness and Development

Has the Magic of Psychotherapy Disappeared? Integrating Evidence-Based Practice into Therapist Awareness and Development

Chapter:
(p.190) 9 Has the Magic of Psychotherapy Disappeared? Integrating Evidence-Based Practice into Therapist Awareness and Development
Source:
On Becoming a Psychotherapist
Author(s):

Debra Theobald McClendon

Gary M. Burlingame

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199736393.003.0009

The tension between creative, interconnected aspects of psychotherapy (magic) and measurement requirements are examined in relation to its affect on therapist awareness and development. This discussion includes the influence of evidence based practice (EBP) and managed care. Issues of ethics, diversity, and the training of new psychotherapists are also addressed. A relatively new model of EBP, practice-based evidence (PBE), is introduced and discussed as a practical and useful strategy for reducing the tension and contributing to therapist development. The Youth Outcome Questionnaire (Y-OQ) is introduced as a measurement example for gathering PBE. Case studies are included to illustrate how managed care or administrative requirements for accountability may lead to greater therapist anxiety or contribute positively to the growth of the clinician-as-instrument.

Keywords:   evidence based practice, practice based evidence, magic, psychotherapy, managed care, Youth Outcome Questionnaire, therapist development

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