Making Therapy Better – Détails, épisodes et analyse

Why do therapists keep making the same avoidable mistakes?

In this episode, Dr. Bruce Wampold sits down with Dr. Mick Cooper — Professor of Counseling Psychology at the University of Roehampton and an internationally recognized expert in humanistic, existential, and pluralistic therapies.

Together, Bruce and Mick break down common therapist mistakes and their impact on the therapeutic alliance. Through fun and helpful role-plays, they even demonstrate how these common mistakes can show up in the therapy room, and what more effective responses might look like.

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Topics include:

• Being too passive (too much silence, not enough engagement)

• Talking too much, or saying things that just aren’t relevant

• Being too cognitive and avoiding emotion

• Letting that “therapist voice” or rigid techniques get in the way of authenticity

• Avoiding affect even when it’s clearly right there

• Colluding with the client instead of exploring the meaning

• Assuming your preferred model is the “right” one for every client

• Failing to explain how therapy works, or why what you’re doing may be helpful

Whether you're a clinician, supervisor, trainee, or simply curious about what actually happens in the therapy room, this episode offers a rare, behind-the-scenes look at the micro-skills that matter most.

What do YOU think therapists should never do? We’d love to hear your thoughts. Share your perspective in the comments!

🔔 Don’t forget to like, comment, subscribe, and share — your support helps us keep these conversations going.

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👉 Be sure to also check out Mick's related video! 👈

How NOT to do Counseling: 13 Things to Try and Avoid

https://www.youtube.com/watch?v=GOk7mR5mFLE

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Mick Cooper, Ph.D. | Professor of Counseling Psychology, University of Roehampton; Author of numerous books, including: Working at Relational Depth in Counselling and Psychotherapy and Psychology at the Heart of Social Change: Developing a Progressive Vision for Society. Check out his books here! https://www.amazon.com/stores/Mick-Cooper/author/B001H6PZPQ

Bruce Wampold, Ph.D. | Emeritus Professor, University of Wisconsin–Madison; Author of The Great Psychotherapy Debate

Produced and edited by Geissy Araújo, Ph.D. and Kevin Riordan.

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The Making Therapy Better podcast is brought to you by CarePaths EHR, an electronic health record system designed to help you improve therapy outcomes.

https://www.carepaths.com

Follow the Making Therapy Better project:

🌐 Website: www.makingtherapybetter.com

📺 YouTube: /@makingtherapybetter

📸 Instagram: /making_therapy_better

💼 LinkedIn: /9223245

Intro/outro music by Chris Haugen, free for public use.

Despite decades of evidence showing that group therapy is often just as effective as individual therapy, it remains underutilized in clinical training and practice. Why?

In this episode, Dr. Bruce Wampold sits down with Dr. Cheri Marmarosh — Professor of Clinical Psychology at The George Washington University and one of the world's leading experts on group psychotherapy. Together, they discuss:

• Why training programs and reimbursement systems still prioritize individual therapy
• The relational and cultural barriers that make therapists hesitant to lead groups
• How group therapy addresses isolation, loneliness, and disconnection
• What it takes to become an effective group leader
• The challenges and possibilities of running groups online
• How group dynamics reveal the real-life patterns that shape our relationships

If you’re a clinician, educator, or simply curious about how people grow through connection, this episode will remind you that healing doesn’t happen in isolation — it happens in relationship.

Correction: Dr. Marmarosh is now a full professor. She was incorectly introduced as associate professor in the introduction.

🔔 Don’t forget to like, comment, subscribe, and share — and stay tuned for more content coming soon!

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Cheri Marmarosh, Ph.D. | Associate Professor of Clinical Psychology, The George Washington University; Director, Group Psychotherapy Research Lab; Author of Attachment in Group Psychotherapy

Bruce Wampold, Ph.D. | Emeritus Professor, University of Wisconsin–Madison; Author of The Great Psychotherapy Debate

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The Making Therapy Better podcast is brought to you by CarePaths EHR, an electronic health records system designed to help you improve your therapy outcomes. https://www.carepaths.com

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Follow the Making Therapy Better project:

🌐 Website: www.makingtherapybetter.com

📺 YouTube: /@makingtherapybetter

📸 Instagram: /making_therapy_better

📘 Facebook: /makingtherapybetter

🐦 Twitter: /therapybetter

💼 LinkedIn: /9223245

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Produced and edited by Kevin Riordan and Geissy Araújo. Intro/outro music by Chris Haugen, free for public use.

#GroupTherapy #Psychotherapy #Therapy #CheriMarmarosh #BruceWampold #AttachmentTheory #MentalHealth #PsychotherapyResearch #Loneliness #Teletherapy #ClinicalTraining #MakingTherapyBetter #MentalHealth

Jerome is a Professor of Social Work at New York University as well as a member of the American Academy of Social Work and Social Welfare, and has sat on editorial boards for the Clinical Social Work Journal and Evolutionary Psychology. He is the author of more than 300 publications appearing in journals in psychology, philosophy, psychiatry, psychoanalysis, and social work, and a number of books, including The loss of sadness: How psychiatry transformed normal sorrow into depressive disorder, which was named Best Psychology Book of 2007 by the Association of American Publishers

In this episode, Bruce and Jerome talk about the history of the DSM and psychiatric diagnosis, and Jerome’s working definition of mental disorder as a harmful deviation from biologically designed functioning. They also touch on the fact that a large portion of people who benefit from psychotherapy are not actually suffering from a diagnosable disorder. Jerome criticizes the current system that requires a diagnosis for insurance reimbursement and the difficult ethical situation this forces clinicians into. Finally, they discuss more generally the problems caused by the medicalization of mental health care and how to move forward.

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The intro and outro music is the Borromeo String Quartet performing Beethoven's "String Quartet No. 3 in D Major"

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Making Therapy Better is sponsored by CarePaths https://www.carepaths.com

Nancy McWilliams, PhD is emerita visiting professor of Psychology at Rutgers University and a former president of the American Psychological Association’s Division of Psychoanalysis. She is the author of several books including Psychoanalytic Diagnosis, and Psychoanalytic Psychotherapy: a Practitioner’s Guide. She is the recipient of numerous awards, including the Rosalee Weiss Award, the Laughlin Distinguished Teacher award, and awards for Leadership, Scholarship, and International Academic Excellence from the APA Division of Psychoanalysis. She also maintains a private practice in Lambertville, New Jersey.

In this episode, Nancy talks to Bruce about why she favors a psychoanalytic approach to treatment, and how this perspective informs her thinking about diagnosis and supervision. They discuss why psychoanalytic therapy is relevant to lived experiences of therapists and clients rather than simply an interesting historical artifact, as well as the place it might hold in the evolving landscape of mental health care.

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The intro and outro music is the Borromeo String Quartet performing Beethoven's "String Quartet No. 3 in D Major"

http://www.makingtherapybetter.com

Making Therapy Better is sponsored by CarePaths https://www.carepaths.com

Dr. Raison is a professor of psychiatry and human ecology at University of Wisconsin-Madison, director of Clinical and Translational Research for Usona Institute, and Director of Research on Spiritual Health for Emory Healthcare. In addition, Dr Raison founded the Center for Compassion Studies at the University of Arizona. His research has focused on novel mechanisms involved in the development and treatment of major depression and on the physical and behavioral effects of compassion training. Recently, Dr. Raison has taken a leadership role in the development of psychedelic medicine, particularly as a treatment for depression. He has received numerous awards, including the Raymond Pearl Award from the Human Biology Association, and being named one of the most influential researchers in the world by Web of Science. His most recent book is The New Mind-Body Science of Depression.

In this episode, Charles and Bruce talk about depression as a mind/body phenomenon, and as an evolutionarily adaptive response. Charles shares his thoughts on the present and future of psychedelic-assisted therapy and presents a number of different treatment models and frameworks for understanding why psychedelics are so effective at treating depression for some people.

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The intro and outro music is the Borromeo String Quartet performing Beethoven's "String Quartet No. 3 in D Major" http://www.makingtherapybetter.com

Making Therapy Better is sponsored by CarePaths https://www.carepaths.com

Steven is a professor of psychology at Vanderbilt University. He has over 300 publications to his name and is the recipient of numerous awards, including, in 2020, the American Psychological Association’s Distinguished Scientific Award for the Applications of Psychology. He has served as Editor of the journal Cognitive Therapy and Research, and president of the Association for Behavioral and Cognitive Therapies. His research focuses on the treatment and prevention of depression, with a particular emphasis on cognitive therapy in comparison to antidepressant medications.

In this episode, Bruce talks to Steven about the evolutionary origins of depression and what we know about the most effective treatments for depression and their mechanisms of action. Steven also presents some surprising new data that challenges the long-held belief that the combination of psychotherapy and medication is more effective in the treatment of depression than either one on its own.

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The intro and outro music is the Borromeo String Quartet performing Beethoven's "String Quartet No. 3 in D Major"

http://www.makingtherapybetter.com

Making Therapy Better is brought to you by CarePaths https://www.carepaths.com

Ed received his doctorate in anthropology from UC Santa Barbara, after which he worked at the Institute for Theoretical Biology in Berlin. He is currently a professor of evolutionary anthropology and director of the Bioanthropology Lab at Washington State University Vancouver. His research focuses on evolutionary medicine and finding evolutionary explanations for the origins of substance use and other mental health issues. His work challenges the notion that depression is caused by a dysfunction of the brain and argues that it is likely an adaptive response passed down through natural selection.

In this episode, Bruce talks with Ed about his theories and how they can affect the way we view clinical practice.

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The intro and outro music is the Borromeo String Quartet performing Beethoven's "String Quartet No. 3 in D Major"

www.makingtherapybetter.com

Making Therapy Better is sponsored by CarePaths https://www.carepaths.com

Barrett Griffith is CEO of CarePaths, where he has served for over five years, previously as a developer and then as CTO. He has two decades of experience in the tech industry, with much of that time in healthcare IT.

Maureen Hart, PhD and Geoff Gray, PhD are both psychologists with years of clinical and managerial experience who saw the potential for technology to improve the quality of mental health care. Together they started CarePaths over twenty years ago as an electronic health records system which now includes practice management and outcomes measurement tools. In 2022 they teamed up with Professor Wampold to launch Making Therapy Better, an educational initiative including a blog, webinar and this podcast, coinciding with the release of Automated Measurement Based Care by Bruce Wampold, PhD, a feature of the new CarePaths Connect Digital Front Door and Mobile app for patients. Their hope is to improve mental health outcomes by providing therapists with reliable information on the benefits and practice of MBC as well as effective and affordable tools for implementing it.

In the final episode of Season 1, Bruce talks with the CarePaths team about the founding of their company and the origins of the Making Therapy Better project. They also review some of the most important themes from the first eleven episodes of the podcast and discuss what's in store for Season 2.

Follow Making Therapy Better on Instagram: https://www.instagram.com/making_ther... Facebook: https://www.facebook.com/makingtherap... Twitter: https://twitter.com/therapybetter LinkedIn: https://www.linkedin.com/showcase/917...

The intro and outro music is the Borromeo String Quartet performing Beethoven's "String Quartet No. 3 in D Major"

www.makingtherapybetter.com

Sponsored by CarePaths EHR and Measurement Based Care

Catherine Eubanks, PhD is co-director of the Center for Alliance-Focused Training, and professor of clinical psychology at Adelphi University. She is a fellow of the American Psychological Association and received the Outstanding Early Career Achievement Award from the Society for Psychotherapy Research in 2015. Dr. Eubanks helped to develop the Rupture Resolution Rating System and is coauthor of Therapist Performance under Pressure: Negotiating Emotion, Difference and Rupture. She also recently released Rupture and Repair in Psychotherapy as part of the APA Video Series.

In this episode, Bruce and Catherine discuss the importance of a good working therapeutic alliance, particularly how to recognize and repair ruptures in the alliance, both big and small. They identify the most common markers of alliance ruptures, and talk about how clinical supervisors can work with therapists in training to better recognize these markers. They also talk about supervision of supervisors, and other applications of the alliance rupture framework outside of psychotherapy.

Learn more about Catherine's work at: https://www.therapeutic-alliance.org/

References:

Bordin, E. S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research & Practice, 16(3), 252–260. https://doi.org/10.1037/h0085885

Stiles, W. B., Glick, M. J., Osatuke, K., Hardy, G. E., Shapiro, D. A., Agnew-Davies, R., Rees, A., & Barkham, M. (2004). Patterns of alliance developmentand the rupture-repair hypothesis: Are productive relationships U-shaped orV-shaped? Journal of Counseling Psychology, 51, 81–92. http://dx.doi.org/10.1037/0022-0167.51.1.81

Safran, J. D., & Muran, J. C. (1996). The resolution of ruptures in the therapeuticalliance. Journal of Consulting and Clinical Psychology, 64, 447–458.http://dx.doi.org/10.1037/0022-006X.64.3.447

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The intro and outro music is the Borromeo String Quartet performing Beethoven's "String Quartet No. 3 in D Major"

www.makingtherapybetter.com

Sponsored by CarePaths EHR and Measurement Based Care

Jonathan Shedler, Phd is a clinical professor of psychiatry at the University of California, San Francisco (UCSF) and faculty member at the San Francisco Center for Psychoanalysis. He is author of numerous scientific and scholarly articles, and his article The Efficacy of Psychodynamic Psychotherapy won worldwide acclaim for firmly establishing psychoanalytic therapy as an evidence-based treatment. He has more than 25 years’ experience teaching and supervising psychologists, psychiatrists, and psychoanalysts.

In this episode Jonathan and Bruce talk about what constitutes meaningful psychological change and whether or not randomized clinical trials of eight to sixteen sessions are actually relevant to real-world psychotherapy. Jonathan also discusses some of the evidence for psychodynamic therapy as an effective long term psychological intervention.

Find out more about Jonathan and his work at https://jonathanshedler.com/

References:

Ormel J, Hollon SD, Kessler RC, Cuijpers P, Monroe SM. More treatment but no less depression: The treatment-prevalence paradox. Clin Psychol Rev. 2022 Feb;91:102111. doi: 10.1016/j.cpr.2021.102111. Epub 2021 Dec 11. PMID: 34959153. https://pubmed.ncbi.nlm.nih.gov/34959153/

Beutel, M., Rasting, M., Stuhr, U., Ruger, B., & LeuzingerBohleber, M. (2004). Assessing the impact of psychoanalyses and long-term psychoanalytic psychotherapies on health care utilization and cost. Psychotherapy Research, 14, 146-160.

The intro and outro music is the Borromeo String Quartet performing Beethoven's "String Quartet No. 3 in D Major"

www.makingtherapybetter.com

Sponsored By CarePaths EHR and Measurement Based Care