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Deliberate Practice for Psychotherapists 1st Edition

by Tony Rousmaniere (Author)
4.4 4.4 out of 5 stars 48 ratings
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Deliberate Practice for Psychotherapists: A Guide to Improving Clinical Effectiveness
Deliberate Practice for Psychotherapists: A Guide to Improving Clinical Effectiveness
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This text explores how psychotherapists can use deliberate practice to improve their clinical effectiveness. By sourcing through decades of research on how experts in diverse fields achieve skill mastery, the author proposes it is possible for any therapist to dramatically improve their effectiveness. However, achieving expertise isn’t easy. To improve, therapists must focus on clinical challenges and reconsider century-old methods of clinical training from the ground up. This volume presents a step-by-step program to engage readers in deliberate practice to improve clinical effectiveness across the therapists’ entire career span, from beginning training for graduate students to continuing education for licensed and advanced clinicians.

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  1. ISBN-10
    1138203203
  2. ISBN-13
    978-1138203204
  3. Edition
    1st
  4. Publication date
    November 29, 2016
  5. Language
    English
  6. Dimensions
    6 x 0.54 x 9 inches
  7. Print length
    238 pages
  8. See all details
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Editorial Reviews

Review

"This book deals with an underdeveloped field of psychotherapy research, therapist development, in a very unique manner and both very personal and self-disclosing but also related to research evidence. Tony Rousmaniere explains the paths to competence and expertise as a therapist with all its ups and downs using a broad perspective and attracts trainees - and this is specifically striking - to learn from many other fields such as medicine and even the performing arts. This book provides an extremely valuable contribution to the field!" - Bernhard Strauss, PhD, past-president of the Society for Psychotherapy Research
"This book has important potential. Like Yalom, the book will benefit therapists in training, as well as professional therapists. The first person account is compelling. Deliberate Practice may be a beneficial "disruption" to traditional psychotherapy training." - Nick Ladany, PhD, Dean, UC San Diego School of Leadership and Education Sciences

"Candid, bold, challenging, and constantly tied to clinical reality, this engrossing and innovative book offers creative insights and valuable tools to help clinicians become more effective, irrespective of their theoretical orientation and level of experience.--Louis Castonguay, PhD, past-president of the Society for Psychotherapy Research"In this remarkable book, Tony Rousmaniere combines a masterful command of the research literature with a brave, honest, and compelling account of his own struggles and growth as a clinician. This book challenges and inspires the reader to strive to be a better therapist, and provides practical suggestions for how to do so. It has already impacted how I practice and how I supervise."--Catherine F. Eubanks, PhD, President-Elect, Society for the Exploration of Psychotherapy Integration (SEPI)"an essential guide for therapists for using DP to increase their expertise."--Rodney Goodyear, PhD, past-president of the Society for Advancement of Psychotherapy "provides incredibly important information for trainees, practitioners, and supervisors across all levels of experience."--Mark J. Hilsenroth, PhD, editor of the journal Psychotherapy

"In clear and entertaining fashion, Tony Rousmaniere reviews the latest research and lays out the steps for using deliberate practice to foster continuous professional development."--Scott D. Miller, PhD, co-developer of Feedback Informed Treatment

About the Author

Tony Rousmaniere is Clinical Faculty at the University ofWashington and has a private practice in Seattle.  He hosts the clinicaltraining website dpfortherapists.com, andis the author/editor of four books on clinical training: Deliberate Practice for Psychotherapists, The Cycle ofExcellence: Using Deliberate Practice to Improve Supervision and Training, UsingTechnology to Enhance Counseling Training and Supervision: A Practical Handbook, and the forthcoming Mastering the InnerSkills of Psychotherapy: A Deliberate Practice Handbook.  In2017 Dr. Rousmaniere published an article in The Atlantic Monthly, "What your therapist doesn't know".Dr. Rousmaniere provides workshops, webinars, and advanced clinical trainingand supervision to clinicians in the United States, the United Kingdom, Europe,Asia, and Australia.  He was previouslyAssociate Director of Counseling and Director of Training at the University ofAlaska Fairbanks Student Health and Counseling Association.  More about Dr. Rousmaniere can be foundat drtonyr.com

Product details

  • Publisher ‏ : ‎ Routledge; 1st edition (November 29, 2016)
  • Language ‏ : ‎ English
  • Paperback ‏ : ‎ 238 pages
  • ISBN-10 ‏ : ‎ 1138203203
  • ISBN-13 ‏ : ‎ 978-1138203204
  • Item Weight ‏ : ‎ 12 ounces
  • Dimensions ‏ : ‎ 6 x 0.54 x 9 inches
  • Customer Reviews:
    4.4 4.4 out of 5 stars 48 ratings

About the author

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Tony Rousmaniere

Tony Rousmaniere

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Tony Rousmaniere is executive director of the Sentio Counseling Center, a nonprofit training clinic in California that specializes in serving clients with trauma. He provides workshops, webinars, and advanced clinical training to clinicians around the world. Dr. Rousmaniere is the author/co-editor of many books on deliberate practice and psychotherapy training and two book series: “The Essentials of Deliberate Practice” (APA Press) and "Advanced Therapeutics, Clinical and Interpersonal Skills" (Elsevier). In 2017 he published the widely-cited article in The Atlantic Monthly, “What your therapist doesn’t know”. Dr. Rousmaniere is incoming-president of American Psychological Association Division 29 (Society for the Advancement of Psychotherapy). He supports the open-data movement and publishes his aggregated clinical outcome data, in de-identified form, on his website at www.drtonyr.com. Dr. Rousmaniere was previously Associate Director of Counseling and Director of Training at the University of Alaska Fairbanks Student Health and Counseling Association.

Customer reviews

4.4 out of 5 stars
48 global ratings
A must read for all psychotherapist
5 out of 5 stars

A must read for all psychotherapist

A must read for all psychotherapistTony describes very clearly, why and how to step up in our professional development. Evidence based, yet very personal, courageous and compelling. Lots of ideas how to continue.Turning skillbuilding into a science may seem mechanistic or even a threat to our freedom and integrity. Tonys shows how to build a synthesis between our lofty ambitions and look at outcome data.Tom MaarupPsychotherapist, Denmark
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Top reviews from the United States

D.A.W.
5.0 out of 5 stars So I am a good therapist, at least I think I am
Reviewed in the United States on May 15, 2018
Verified Purchase
So I am a good therapist, at least I think I am. However, age doesn't count like it does with steaks and fine wine. A certain way to practice my practice might show a difference. And that is independent of gathered wisdom that acts as a co-facilitater of smarter moves. Every time I pick up this book I doubt my self a little more. So much for the cured wood effect of time and self confidence in a most demanding field. This book is the devil you have to acknowledge if you are interested in self truth and what you might not really know about your work. Jeff Kottler was scary but not like Tony Rousmaniere and his take on counselor effectiveness. Read alone under the sheets with a flashlight for max effects.
11 people found this helpful
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James Robert Bitter
5.0 out of 5 stars or you will truly have twenty years of experience in which you have grown and gotten better at the profession over time
Reviewed in the United States on January 9, 2018
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This is a book that every therapist and every therapist-in-training needs to read. Here's the issue in a nutshell: You graduate and go to work in some low-paying position to gather hours for licensure. Then, you get a license and start a career. In twenty years, you will either have one year of experience, twenty times over (highly likely under present conditions), or you will truly have twenty years of experience in which you have grown and gotten better at the profession over time. Deliberate practice is the road to twenty years of growth and experience. Study yourself deliberately. That is what the masters of the helping professions have done, and that is what every one of us needs to do.
6 people found this helpful
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Jack
5.0 out of 5 stars Highly recommend, ground breaking information
Reviewed in the United States on September 6, 2017
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This books provides invaluable information and guidance for any mental health professional who wants to improve their performance. The book provides a new paradigm in measuring your own level of performance. Great amount of research supports position of the author. A quick read, this book is a game changer.
6 people found this helpful
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David Van Nuys
5.0 out of 5 stars The Next Big Thing in Psychotherapy!
Reviewed in the United States on January 9, 2017
Dr. Tony Rousmaniere shares his own, very personal, quest to become a more effective psychotherapist. This journey started in his first clinical internship and continues to this day as a very experienced therapist and training supervisor. I was so impressed by his confession of not being as effective as he felt he should be. Who writes a book, confessing that they are not terribly effective? This takes real courage! I can’t think of another example. Not that he was a bad therapist, he hastens to assure us. Rather, his performance matched what research has found to be quite typical. Namely, in general, therapy is only effective for about 50% of clients.

He also makes it clear that supervision as it is generally practiced is not sufficient. If fact, reporting on the results of a major study on supervision, he writes, “The findings were nothing less than shocking: supervisors accounted for less than .01% of the variance in psychotherapy outcome, a finding that a colleague called “horrifying.”

I'm of the opinion that the “schools of therapy” approach (e.g. psychodynamic vs. cognitive behavior therapy, etc.) is going away and that we seem to be closing in on a consensus of what makes therapy effective. As to the ineffectiveness of our competing models of therapy, Dr. Rousmaniere observes, “This is probably one reason why specific psychotherapy techniques within models account for less than 1% of the variance in psychotherapy outcome.” Moreover, it’s long been thought that years of experience differentiates between those therapists who are effective and those who are not. More recent outcome research confirms this is not the case. Dr. Rousmaniere writes, “Several large studies have recently suggested that years of clinical experience is not in itself a reliable indicator of clinical expertise."

Getting back to the supervision issue, it’s “supervision-as-usual” that’s the problem. If it is to be maximally effective, supervision must include video feedback sessions with a supervisor who has a demonstrated track record both as a supervisor and as a highly effective psychotherapist. Dr. Rousmaniere in his passionate quest to become the best therapist he possibly could be settled on Jon Frederickson. In addition to his supervision sessions with Frederickson, Dr. Rousmaniere developed a disciplined protocol for working with his case videos on his own. This proved necessary because there was no way that an hour or two a week of supervised video feedback could cover the 30 or so client sessions he was doing per week. To come up with an effective model for self-supervision, he looked into studies of effective practice in such fields as music, dance, and athletics, in which hours and hours of solo dedicated practice are essential to reaching the top tiers of excellence.

I think Dr. Rousmaniere has set the standard for the future. He’s shown extraordinary passion, courage, discipline and dedication in his own quest for excellence. Dedicated practice along with video feedback are the key components-- not only during pre-licensure training but as an ongoing discipline throughout one’s professional life. I’m thinking this model should become “The Next Big Thing” in psychotherapy.

I highly recommend this book to all psychotherapists, those licensed and those in training or planning toward this career. It will require courage and willpower but the rewards will be more of your clients benefitting from you work, more confidence in your abilities, a greater sense of pride in your craft, and membership in an elite group of professionals with demonstrated excellence.
10 people found this helpful
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Everett R. Siegel
5.0 out of 5 stars This book does not take the easy path of declaring Rousmaniere’s own therapy model to be ...
Reviewed in the United States on January 2, 2017
Tony Rousmaniere’s book Deliberate Practice for Psychotherapists, is an innovative and engaging book that launches psychotherapy education and practice in a new direction. This book begins with the author’s personal experience as a neophyte therapist, and his displeasure that he is aware of a group of patients that therapy doesn’t help. He describes the benefits and limitations of traditional supervision as he searches to understand how to improve himself as a therapist. Rousmaniere’s quest takes him to the literature of therapeutic outcomes, the efficacy of different models of therapy and supervision, and to the field of deliberate practice.

Deliberate practice looks to fields where it has been empirically shown that certain practices improve performance or outcomes. While relating his own experience in developing techniques of deliberate practice, the author also provides methods and guidelines for therapists to follow. These methods work for therapists of any persuasion or level of experience.

This book does not take the easy path of declaring Rousmaniere’s own therapy model to be superior. Instead he provides techniques and tools that cut across most schools of therapy. Rousmaniere looks at what practices successfully achieve excellence in music, in medicine, (I wish he had included marital arts) and in addressing avoidance. Rousmaniere’s own personal experience as a beginning therapist is described in a wry and humble manner. The reader is invited to explore their own psychotherapy practice and themselves in the process of learning methods to become a better therapist. I have found this book to be an excellent teaching tool for psychiatry residents, as well as a means to improve my own practice. In my nearly three decades of teaching beginning therapists at a university hospital, there are few psychotherapy books that I would label as “must read” for psychotherapists, psychotherapy students and their teachers, but this is one of them.
Everett Siegel, MD
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Top reviews from other countries

Dr. Paul Kelly, Psychologist
5.0 out of 5 stars Essential reading for psychologists and psychotherapists who want to become more effective.
Reviewed in Canada on May 5, 2017
Verified Purchase
This is an important book for all therapists who would like to become more effective so their patients can improve as much, and as quickly, as possible. The author tells the story of his own interest in learning how to be a more effective therapist. In his attempts he came across the work of Dr. Scott Miller and learned about the importance of collecting ratings from patients at every therapy session. These session ratings provide objective information about whether, and to what degree, patients are improving. Dr. Rousmaniere summarizes the research which shows that professionals who collect feedback can improve over time, can get better at what they do, while professional who do not get feedback tend not to improve - and often do not have an accurate understanding of their competence. The author also provides useful suggestions about how to improve as a therapist by using deliberate practice - that is, finding things that need improvement and then working at it systematically. I am a Psychologist in Toronto. I have over 30 therapists working with me at The Mindfulness Clinic and I am passionate about making sure that the patients who come to us for help will be seen by a therapist who can be effective for their needs and goals. We have been tracking patient progress for years and the ratings show that almost 80% of our patients significantly improve or fully recover. I am using information and guidance from this book to help my therapists become even more effective. This book is an important resource for therapists who want to become more effective. A good companion for this book is the book On Becoming A Better Therapist: Evidence-Based Practice One Client at a Time, by Dr. Barry Duncan, also available through Amazon.
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Euclid
5.0 out of 5 stars A valid and essential book for therapists/psychologists
Reviewed in the United Kingdom on January 18, 2018
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This is a valid and interesting book for all therapists and psychologists alike. It asks some tough questions about our practice and development such as "what makes us better at our job?" or "what makes an expert in this field". I think it should be required reading for all Doctorate level courses.
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Amazon Customer
5.0 out of 5 stars Excellent piece of work!
Reviewed in Canada on July 19, 2017
Verified Purchase
Well written and very helpful.

Cindy Hansen,
Clinical Director MyOutcomes
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kilara
3.0 out of 5 stars Three Stars
Reviewed in the United Kingdom on June 23, 2018
Verified Purchase
Somewhat disappointed but perhaps my expectations were too high
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