Very Bad Therapy

Latest Episodes:

20. When Therapists Need Therapy Sep 30, 2019

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Your therapist is having a bad day. Will this impact the quality of counseling? If you ask the therapist, probably not. But what does the research suggest about clients' perceptions of therapists who are riding the struggle bus? Today's guest Allison describes her increasingly bizarre experience with a clinician who wasn't quite able to bring her 'A' game to the counseling room.

Do you have a story of very bad therapy? Send us a message to share it on the show!

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19. How Military Mental Health Care Works (with Julie Payne, LMFT) Sep 23, 2019

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Tricare is government managed health insurance given to United States military personnel and their dependents. It is also very confusing to understand, even for many of the providers themselves. As we learn from our guest Anna, this can lead to a frustrating search for helpful counseling. To make sense of the mystifying details of Anna's story - as well as all the acronyms - Julie Payne joins us to discuss everything you ever wanted to know about military mental health care.

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18. VBT in Focus: Dr. Scott Miller on Better Results Sep 16, 2019

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What is at the root of very bad therapy? The common feeling that something is lacking in the education, training, development, and services provided by psychotherapists is backed by a wealth of research supporting the notion that a paradigm shift is sorely needed. Dr. Scott Miller is leading this movement with his work in the areas of routine outcome monitoring and deliberate practice.

VBT in Focus is a series of sporadic episodes in which Carrie and Ben have the privilege of chatting with their favorite thinkers in the field of psychotherapy. Thank you for listening.

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17. The Thorny Terminator Sep 09, 2019

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What constitutes bad termination? In the words of Justice Potter Stewart, "I shall not today attempt to further define [it]... But I know it when I see it." In today's episode, R shares their story of termination that we can clearly know to be bad. But is it unethical? Ben and Carrie search for answers and discuss a pantheoretical framework for good termination. Thank you for listening. All reviews, ratings, Facebook likes, and feedback to soothe Ben's anxiety are greatly appreciated.

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16. VBT in History (1910s): Too Many Eugenicists Sep 02, 2019

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Lewis Terman was one of the most influential innovators in educational psychology and IQ testing. He also believed that segregating and sterilizing "feebleminded" individuals - as determined by a biased paradigm of general intelligence - was the necessary path toward a better society. This is the second installment in our monthly series on very bad therapy through the decades.

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15. Child's Play (with Megan Costello, LMFT) Aug 26, 2019

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Young children need play - not interrogation - to help them learn and form relationships. Today's guest PJ recalls his experience as an eight-year-old with a therapist who chose not to use play therapy in favor of a more investigative approach. Next, child therapy expert Megan Costello discusses the nuance of play therapy and what went wrong in PJ's story. And for some reason, we introduce our new sure-to-fail concept: The Richard Spencer Matrix for Therapists.

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14. Women Don't Want to Work Aug 19, 2019

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In 2019, there somehow exists at least one psychotherapist who feels that it is helpful to tell a female client that her entire gender is biologically predisposed to prefer domestic life to a professional career. We cringe-laugh our way through an engaging interview with Aviva before diving into the research on societal biases, gender norms, and gender matching in the therapeutic relationship. Climate change is real.

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13. Cuddle Therapy Aug 12, 2019

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Imagine a spectrum of unethical therapist conduct. Far, far toward the most extreme end, just before sexual coercion, are activities like grooming behavior and inappropriate physical touch. Our guest Jessica shares her dread-inducing story of working with a therapist who abused his power in ways that mental health professionals should only experience when reading ethics textbooks.

Show Notes:

Donate to Renewed
APA Ethical Principles and Code of Conduct
AAMFT Code of Ethics
Recognizing and Managing Erotic and Eroticized Transferences
Very Bad Therapy: Website / Facebook

12. VBT in History (1900s): Some A+ Oppression Right There Aug 05, 2019

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Adolescent girls should be sent to the country to prepare for housewifery and motherhood. So writes G. Stanley Hall, first president of the American Psychological Association, in 1904. This is the first in a series of monthly episodes exploring very bad therapy in the decades preceding the stories of today. Floating uteruses not included.

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11. The Intake Process is a Mess (with Dr. Daryl Chow) Jul 29, 2019

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Gathering client information: good. Transcribing client responses into a computer while facing a wall: not good. It is estimated that 34% of clients don't return after their first session, a strong indication that the traditional intake model is in need of repair. Dr. Daryl Chow joins us to discuss our guest Bryan's bad intake experience, the importance of focusing intakes on giving rather than taking, and we explore how psychotherapists can achieve better outcomes over the long-term future.

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