NP007 The Road to Clinical Excellence

This blog focuses on discussion regarding the course NP007 The Road to Clinical Excellence.

NP007, Excellence, Session 4, Michael Lambert


In this fourth presentation of The Road to Clinical Excellence, learn how to incorporate measures of change in session with Michael Lambert. Lambert, a researcher in the areas of psychotherapy outcome, process, and the measurement of change, will discuss how to include these measures in symptoms, interpersonal problems, social-role functioning, and quality of life in your work. He’ll explain how to determine a client’s progress between sessions, and when to use clinical support tools with the client if interventions have been ineffective.

We invite you to take a few minutes after this session to comment on what you’ve learned from this presentation, and from the course as a whole.What was new, or most interesting, or most relevant to you? What questions do you have? As always, if you ever have any technical issues, just email support@psychotherapynetworker.org for help!

07.28.2011   Posted In: NP007 The Road to Clinical Excellence   By Psychotherapy Networker
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  • 0 avatar James Venneear 08.02.2011 13:25
    When you talk about"supershrinks" are you thinking of using micro-analysis to discover what the "supershrinks" do that is more client focused than what the average therapist does? Or are you thinking of another technique?
  • Not available avatar Tim DeMott 08.02.2011 13:27
    What I found most interesting about Michael's research was it's robustness in the number of cases involved in his studies and the replication. The findings were quite interesting as well. The fact that he was unable to determine what the therapists were doing to improve but via the process there was consistent and significant improvement I find to be quite fascinating. Opens the door as he mentioned in the end to pursue what is working through further research. Just think about how much data could be generated for research towards improving our treatment if even a small fraction of the practicing therapists would buy into using this system. Thank you again for providing this most thought provoking and interesting webnar.
  • 0 avatar Ronald Warner 08.02.2011 13:57
    If I understood you correctly- 40-60% of clients do not benefit from therapy. That is way lower than the studies I am familiar with -could you comment/

    You mentioned that with bi-polar meds are required -is that still a strongly held view based on the evidence?
  • 0 avatar Merrilee Gibson 08.02.2011 16:55
    Thank you for expanding my horizons. It seems clear that I have much to learn, but when Michael Lambert says that in the end the patients benefit from the practices he describes, I as a therapist must learn more of this. I need time to digest this, and to read more, look at the slides, check the website, etc. This presentation offers exciting possibilities for the future if we who are in practice can get and apply the message.
    In short, thank you for a very thought-provoking presentation. I want to learn more.
  • Not available avatar Dean Barley 08.05.2011 12:13
    Thanks so much for the summary of your work. Two questions: 1. Given the findings, for efficiency would you recommend not tracking those who are initially close to normal, since the biggest benefit is for those who are very disturbed and fall off track? 2. Can you clarify how developing more specialized clinical support tools for highly disturbed signal cases is different from seeking empirically supported treatments? thanks!
  • Not available avatar denise horton 08.06.2011 17:20
    I am working for a DJJ residential program. They recently started implimenting the Columbia and SSaSSi instruments, which I mainly think tell if one has a mental health or substance abuse issue. What instruments are there to judge progress of these youth in this kind of program. I did start asking for client feedback and they say I did a 10 out of 10. I believe they are being kind and not honest. I enjoyed the past webcasts and did show one of them to the counselors I supervise. i had technical difficulties with other-(mainly my difficulty). Any help is welcome.
    • 0 avatar Psychotherapy Networker 08.08.2011 10:17
      Hi Denise. Thanks for your participation and for your comment. Please feel free to e-mail support@psychotherapynetworker.org and detail your technical difficulties; someone from our Support Team will be sure to e-mail or call you back as soon as possible with help.
  • Not available avatar Susan Miller 08.07.2011 13:35
    I felt confused after this seminar given Dr. Lambert's findings are quite different from those discussed by Scott Miller and Barry Duncan -- specifically with respect to the therapeutic alliance. On the other hand, I have worked in prison populations where the ct's/pt's motivation for therapy (or possibly the actual inability to change b/c of physiological and/or psychological issues)certainly contributed to minimal if any therapeutic change. I was surprised to hear from Dr. Lambert that 'Evidenced Based Practice' isn't successful... Prior to hearing Dr. Lambert, my 'take' was to improve in receiving consistent feedback from cts/pts, respond effectively to the feedback -- while using evidenced based practices... Both establishing an alliance w/and learning more effective tx methods for (medication as well as psychological intervention)'off track'cases seems important. My guess is the aforementioned will be addressed in future research. Again, thanks for providing ongoing exposure to research that makes me think!
  • Not available avatar Carol Mc dermott 08.08.2011 20:13
    Thankyou for your work. I was reminded that the most helpful for me in my work was undergoing my own therapy, first with the idea that it was vital as a learning tool and required in the Freudian model (the 1st model), second with developing my own psyche. It is always upsetting to me to have clients stop therapy (I work for a psychiatrist and all the appt's are handled by the staff, so sometimes I don't get feedback from them) or just don't improve. I am excited about all the tools that are coming our way from clinicians like you via our new technology. Also impressed by your connection to the basics.
    • Not available avatar Michael Lambert 08.12.2011 12:37
      Thanks carol, I am really quite amazed about the degree to which these methods are helping at-risk clients. I hope such methods become a standard of care
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