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  1. Joshua Taylor says:

    This is great! I eagerly await each of your blog posts! I am playing around with the question of how to develop a , “fist principles, deliberate practice” group supervision process at my agency. I’d like to develop the idea of creating a culture where this is the focus, rather than workshops on new techniques. Do you know of anybody doing this? Would make an interesting study, to implement something like this and track therapist development over time.
    Thanks for all your work.
    Joshua Taylor

    • darylcho says:

      hi Joshua, Thanks for your kind comments. You’ve hit on something important, that is creating a culture of effective focus in supervision. This is one of the reasons we developed the taxonomy of deliberate practice activities (TDPA) worksheet. (you have that yes? ) most of my consults and supervision start by helping individuals and teams figure out the WHAT before the HOW…. working on the key area that pays dividends towards outcomes.
      Some studies are underway (e.g., in Norway). One paper was published in 2016 (Goldberg et al. 2016) documenting a similar (but very long) process. doi: .
      Would be interesting if you can turn your supervision group into a naturalistic study design!

  2. The most useful thing about this, I think is that it actually gives you a way of looking at the clients first principles… I think Milton Erickson was really good at this. He emphasized early learning experiences and translated those first principles to the clients current problem. I don’t think he teased it out like you have but he evoked the experience of learning, making mistakes, persisting and the magic was in the generalizing.
    I am embarking on a project with a really tough community. These people don’t suffer fools gladly and have usually become disillusioned with mental health services, and I think rightly so. They know what doesn’t work for them and what makes things worse. A study comparing psychodynamic with CBT in such a population got generally bad results and blamed the clients for being “not sufficiently psychologically minded” GIVE ME A BREAK!
    I thought I’d start by exploring their first principles. I have heard that when there is a crisis, like someone’s house burns down, they rally as a community. There will be some first principles there I think that can be generalized. I have worked a lot with individuals, say generalizing their Parental first principles to assist learning to ride a bike to assist their child learning to not hit when angry. It works because it is the clients first principles that are generalized I think. I think mental illness is a broken paradigm, and nowhere more so than these communities. People who get better in therapy would probably get better no matter who they see, but “therapy” is broken in these communities. It’s an unworkable paradigm I think.

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