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the Lake Wobegon Effect

L lieseMember
Interesting article about a study of therapists and how they rated their effectiveness. If you aren't familiar with Lake Wobegon - where the women are all strong, all the men are goodlooking and all the children are above average - 90% of the therapists rated their therapy skills in the 75% or higher.

the lake wobegon effect

The more I learn about this profession, especially ater reading about some of the scary stories here, the more it seems like there should be more oversight and supervision. It just doesn't seem like solo practioners should be allowed. Just my 2 cents.
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heldincompassionheldincompassionMember
quote:
Lambert proposes using an intriguing actuarial model, in which the clients’ session-by-session data on outcome measures is entered into a computer program. Using a large database of client outcome data, the program is able to alert the therapist when the probability of client deterioration is high. In his book, Lambert cites a few studies that indicate promise with this method.

Understandably, many therapists will be loath to make clinical decisions based on a computer’s calculations. But then how else do we overcome our self-assessment bias and seriously deal with the risk of client deterioration?


This seemed like an exceptionally lame idea. How else do you overcome self assessment bias indeed. Roll Eyes

I was actually surprised that the percentages of those who don't improve or deteriorate weren't higher. It seems like such a lot goes into a successful therapy-- has to be the "right" therapist, the "right" time, and the client has to be willing to do the (often draining, exhausting, and excruciating) work. I guess you get out of it what you put into it, but even for that the conditions have to be right.

I'm just rambling now. It was an interesting article-- thanks for sharing. Smiler

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