1. Julian McNally www.julianmcnally.com www.actofliving.com.au Developing Mastery in ACT

2. 4 Steps To Mastery

3. Unconscious Incompetence Conscious Incompetence Conscious Competence Unconscious Competence Where is The Gap?

4. What Mastery Looks Like… http://www.youtube.com/watch?v=NHH-6ZQktRQ

5. Why develop mastery?

6. How effective is ANY psychotherapy compared to medical treatments

7. Q: Professionals vs. non-professionals – who wins? “…clients who seek help from paraprofessionals are more likely to achieve resolution of their problem than those who consult professionals.” Hattie, Sharpley & Rogers (1984). Comparative effectiveness of professional and paraprofessional helpers. Psychological Bulletin, 95, 534-541. A: The client!

8. Professionals vs. non-professionals – what’s the difference (with severely depressed clients)? Bright JI, Baker KD, Niemeyer RA: Professional and paraprofessional group treatments for depression: A comparison of Cognitive-behavioral and mutual support interventions. J Consult Clin Psychol 1999, 67:491-501  Type of therapy?  Status: professional or not?  Adherence to protocol (regardless of which protocol)?  No difference!  More adherent = better outcome

9. This woman is a psychiatrist, so we can’t show you her face…

10. Disappearing jobs

11. Q: What kind of services go offshore? A: What else can you think of? If nursing and radiology, why not psychotherapy?

14. Suppose you could offer all this… Convenience Anonymity Widely accessible Client -initiated Flexibility in time, duration and place

15. Could a robot do your job?

16. A computer can already do therapy as well as you!

18. How mastery is developed

19. Another kind of mastery… http://www.youtube.com/watch?v=rRhwPxVP0uw

20. How good (or bad) can a therapist be? Okiishi J, Lambert MJ, Nielsen SL, Ogles BM. (2003) Waiting for supershrink: an empirical analysis of therapist effects. Clinical Psychology & Psychotherapy. 10, 361-373.  56 counsellors: 60% male, 68% counseling psych vs. 29% clinical; 36% pre-intern, 18% intern, 46% post- intern; 25% psychodynamic/IPT, 34% humanistic/existential, 41% CBT or BT  1779 clients. DXs: 34.5% mood, 21% anxiety, 17% adjustment  Minimum 15 clients/therapist  Treatment length: min=1, max=69, mean=5.2, sd=7.2  Outcome/progress measurement: OQ-45 every session

21. Average HLM growth curve Okiishi J, Lambert MJ, Nielsen SL, Ogles BM. (2003) Waiting for supershrink: an empirical analysis of therapist effects. Clinical Psychology & Psychotherapy. 10, 361-373.

22. “Supershrink” vs. “pseudoshrink” Okiishi J, Lambert MJ, Nielsen SL, Ogles BM. (2003) Waiting for supershrink: an empirical analysis of therapist effects. Clinical Psychology & Psychotherapy. 10, 361-373.

23. Formula for expertise development Designed to improve performance. It can be repeated. A lot. Feedback is immediate. It is mentally demanding. It is not fun. From: (Hard) Ericsson, KA, Charness, N, Feltovich, PJ, & Hoffman, RR, Eds. (2006). The Cambridge Handbook of Expertise and Expert Performance. Or (Easy), Colvin, G. (2008). Talent Is Overrated: What Really Separates World-Class Performers from Everybody Else.

24. Your mastery development program Schedule practice Practise often – even if a little Eliminate automaticity What feedback and when? Form or join a group (this is bigger than you!)

25. Types of Deliberate Practice activities 1.Interpersonal Process Recall 2.Observations by your supervisor 3.Video segments

26. Julian McNally www.julianmcnally.com www.actofliving.com.au Developing Mastery in ACT