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Cognitive-behavioural therapy (CBT) has the strongest evidence base of all psychotherapies, and the outcomes from research trials can be achieved in routine clinical practice. Unfortunately, it is clear that the majority of clinicians do not achieve those results, even when we say that we are delivering CBT. In some cases, this is the result of a lack of awareness or training. More commonly, it is because we fail to deliver key elements of the therapy, even when we know about them. This workshop will consider the evidence that we ‘drift’ from best practice, and why we do so. Understanding ‘why’ requires understanding the clinician characteristics that impede our delivery of effective treatment (in CBT and elsewhere), including our beliefs, personalities, emotions and behaviours. Having established why we drift from good practice, the workshop will conclude with suggestions about how we can use CBT principles and practice on ourselves and supervisees, to ensure that we focus on delivering the best treatment to our patients.
To identify our own tendency to drift, why we do it, and how to get back on track
Primarily didactic, with some audience participation and discussion
Waller, G. (2009). Evidence-based treatment and therapist drift. Behaviour Research and Therapy, 47, 119-127.
Waller, G., & Turner, H. (2016). Therapist drift redux: Why well-meaning clinicians fail to deliver evidence-based therapy, and how to get back on track. Behaviour Research and Therapy, 77, 129-137.