In part 2 with Dr. Richard Koestner, we discuss the concept of hyper-parenting, the pressures parents face regarding their children's achievements, and the importance of balancing autonomy and limit-setting in parenting. Dr. Koestner also explores how these principles apply to education, emphasizing the need for fostering autonomous motivation among students. The discussion further delves into the complexities of goal setting, the impact of external rewards on intrinsic motivation, and the role of autonomy in psychotherapy.

Dr. Koestner is a professor of Psychology at McGill University where he has conducted research on human motivation for 25 years.

Special Guest: Dr. Richard Koestner

Self-Determination Resources

Zuroff, D. C., & Koestner, R. (2023). Autonomy support and autonomous motivation: Common factors in counseling and psychotherapy. In R. M. Ryan (Ed.), The Oxford Handbook of Self-Determination Theory (pp. 801-818). Oxford University Press.

Ryan, R. M., & Deci, E. L. (2017). Self-determination theory: Basic psychological needs in motivation, development, and wellness. Guilford Press. 

Rosenfeld, A. A., & Wise, N. (2000). Hyper-Parenting: Are you hurting your child by trying too hard? St. Martin’s Press.  

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This week's guest is Dr. Richard Koestner, a professor of Psychology at McGill University where he has conducted research on human motivation for 25 years.

Dr. Koestner discusses the importance of autonomy in motivation, contrasting autonomous motivation with controlled motivation, and emphasizes the role of values in guiding personal interests. Dan and Dr. Koestner explore the complexities of autonomy, including the distinction between reactive and reflective autonomy, and offers insights into how parents and educators can support children's interests without imposing control.

Special Guest: Dr. Richard Koestner

Self-Determination Resources

Zuroff, D. C., & Koestner, R. (2023). Autonomy support and autonomous motivation: Common factors in counseling and psychotherapy. In R. M. Ryan (Ed.), The Oxford Handbook of Self-Determination Theory (pp. 801-818). Oxford University Press.

Ryan, R. M., & Deci, E. L. (2017). Self-determination theory: Basic psychological needs in motivation, development, and wellness. Guilford Press. 

Rosenfeld, A. A., & Wise, N. (2000). Hyper-Parenting: Are you hurting your child by trying too hard? St. Martin’s Press.  

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This week, we revisit the conversation between Dan and Dr. Jesse Owen about what multicultural psychotherapy really is and how to apply the multicultural orientation framework in psychotherapy and clinical training.

The conversation explores the concept of multicultural orientation (MCO) in psychotherapy/counseling. The MCO framework consists of three pillars: cultural humility, cultural opportunities, and cultural comfort. Cultural humility emphasizes the therapist's willingness to learn from the client's cultural experiences and not assume expertise. Cultural opportunities involve recognizing and exploring cultural aspects that arise in therapy sessions. Cultural comfort refers to the therapist's ability to navigate discomfort when discussing cultural topics. The conversation also touches on the importance of understanding clients' values and beliefs, even when they differ from the therapist's own. The MCO framework focuses on the salient identities, values, and beliefs of clients and how they influence the therapeutic process. It emphasizes the importance of understanding and acknowledging the cultural values and identities of both the therapist and the client. The framework is not intended to be a social justice framework, but rather a process-based model for psychotherapy. It aims to help therapists effectively connect with clients and address their individual needs, regardless of their cultural background. MCO training can also be applied to supervision, with a focus on understanding how the supervisor's and supervisee's identities influence the therapeutic process. Machine learning is being used to develop automated tools that provide real-time feedback and training on MCO skills.


Special Guest: Dr. Jesse Owen

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Dan welcomes back Dr. Michael Constantino, a professor of clinical psychology and director of the Psychotherapy Research Lab at the University of Massachusetts Amherst.

In part 2, Dan and Dr. Constantino explore the intersection of technology, therapist effectiveness, and patient empowerment in therapy. Dr. Constantino shares on his development of an app that allows patients to match with therapists based on their preferences and effectiveness profiles. Then, Dr. Constantino emphasizes deliberate practice for therapists, the role of humility in enhancing therapist effectiveness, and the significance of cultural humility in therapeutic relationships.

Special Guest: Dr. Michael Constantino

Psychotherapy Research Lab

https://www.pcori.org/research-results/2015/matching-patients-therapists-improve-mental-health-care

https://www.pcori.org/research-results/2022/implementing-matching-patients-mental-healthcare-therapists-strengths

Constantino, M. J., Coyne, A. E., Boswell, J. F., Goldfried, M. R., & Castonguay, L. G. (2023). Training on context-responsive psychotherapy integration: An evidence-informed framework. In L. G. Castonguay & C. E. Hill (Eds.), Becoming better psychotherapists: Advancing training and supervision (pp. 85–105). American Psychological Association. https://doi.org/10.1037/0000364-005

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Dan welcomes Dr. Michael Constantino, a professor of clinical psychology and director of the Psychotherapy Research Lab at the University of Massachusetts Amherst.

Dr. Constantino discusses the evolution of psychotherapy research, and the importance of understanding therapist effects and patient-therapist matching. Dr. Constantino emphasizes the limitations of one-size-fits-all treatments and explores how matching patients to therapists based on their strengths can lead to better outcomes, particularly for those with severe issues. Dan and Dr. Constantino dive into findings of the Match Trial, which demonstrated significant benefits of matching patients to therapists with proven effectiveness in treating their specific problems.

Special Guest: Dr. Michael Constantino

Psychotherapy Research Lab

https://www.pcori.org/research-results/2015/matching-patients-therapists-improve-mental-health-care

https://www.pcori.org/research-results/2022/implementing-matching-patients-mental-healthcare-therapists-strengths

Constantino, M. J., Coyne, A. E., Boswell, J. F., Goldfried, M. R., & Castonguay, L. G. (2023). Training on context-responsive psychotherapy integration: An evidence-informed framework. In L. G. Castonguay & C. E. Hill (Eds.), Becoming better psychotherapists: Advancing training and supervision (pp. 85–105). American Psychological Association. https://doi.org/10.1037/0000364-005

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Dr. Lysova returns in part 2 to explore the often-overlooked issue of male victimization in domestic violence, discussing the barriers men face in reporting abuse, the cultural perspectives on intimate partner violence, and the psychological impacts of such experiences. Dan and Dr. Lysova discuss the need for more inclusive support systems and better communication strategies to help male victims feel safe and understood. 

Dr. Alexandra Lysova is a professor of criminology at Simon Fraser University. 

Special Guest: Dr. Alexandra Lysova

Dr. Lysova on:

  LinkedIn

  Researchgate

Canadian Centre for Men & Families

Hines, D. A., & Lysova, A. (2024). Male intimate partner violence victims’ experiences with seeking help from legal system services over time and across countries. Partner Abuse, 15(3), 250–280. https://doi.org/10.1891/PA-2023-0018

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In this episode, Dan is joined by Dr. Alexandra Lysova, professor of criminology at Simon Fraser University. 

Dr. Lysova discusses the often-overlooked issue of male victims of intimate partner violence and her journey from studying dysfunctional family communication to focusing on the complexities of domestic violence. Dan and Dr. Lysova expand on the importance of recognizing male victimization, the statistics surrounding it, and the need for a nuanced understanding of interpersonal violence that includes bidirectional and mutual abuse. 

Special Guest: Dr. Alexandra Lysova

Dr. Lysova on:

  LinkedIn

  Researchgate

Canadian Centre for Men & Families

Hines, D. A., & Lysova, A. (2024). Male intimate partner violence victims’ experiences with seeking help from legal system services over time and across countries. Partner Abuse, 15(3), 250–280. https://doi.org/10.1891/PA-2023-0018

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In part 2, Dan and Dr. Krueger discuss the importance of understanding personality in the context of psychopathology, emphasizing the HiTOP model's integration of personality traits and symptoms. Dr. Krueger explores the clinical utility of psychopathology profiles, the need for a dimensional approach to psychopathology, and the relevance of interpersonal factors in personality disorders. The conversation also touches on the challenges of implementing the HiTOP model in clinical practice, the significance of therapeutic assessment, and the ongoing evolution of treatment protocols. 

Special Guest: Dr. Robert Krueger

Episode Links
HiTOP Model in an image

Original HiTOP Article

HiTOP Self-Report Measures

Sample HiTOP Clinical Assessment Profile

ARCS Institute

Official HiTOP Website

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Dr. Robert Krueger returns to the show to join Dan in a conversation into psychiatric diagnoses. Dr. Krueger is a clinical psychologist and member of the DSM-5 Personality Disorders Workgroup.

In this episode, Dan and Dr. Krueger discuss the limitations of the DSM (Diagnostic and Statistical Manual of Mental Disorders) in accurately diagnosing and treating psychiatric disorders. They explore the complexities of mental health conditions, emphasizing that many individuals do not fit neatly into categorical diagnoses and dive into the Hierarchical Taxonomy of Psychopathology (HiTOP) model, a new framework for understanding psychopathology that is hierarchical and dimensional, allowing for a more nuanced approach to diagnosis and treatment.

Special Guest: Dr. Robert Krueger

Episode Links
HiTOP Model in an image

Original HiTOP Article

HiTOP Self-Report Measures

Sample HiTOP Clinical Assessment Profile

ARCS Institute

Official HiTOP Website

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Dan is joined for part 2 by Dr. Del Paulhus, Professor Emeritus and personality researcher at the University of British Columbia.

Part 2 continues the exploration of dark personality traits, including sadism, psychopathy, and narcissism, examining their implications on behaviour, gender differences, and personal well-being. Dan and Dr. Paulhus discuss the methodologies used in research, the correlation of these traits with various psychological measures, and the ongoing debates within the field of personality psychology regarding the classification and understanding of these traits.

Special Guest: Dr. Del Paulhus

Additional appearances & resources:
The Cram Podcast

The Jordan Peterson Podcast

Keynote presentation @ the 2015 International Society for the Study of Individual Differences

Paulhus, D. L., Gupta, R., & Jones, D. N. (2021). Dark or disturbed?: Predicting aggression from the Dark Tetrad and schizotypy. Aggressive Behavior, 47(6), 635-645.

Paulhus, D. L. (2014).  Toward a taxonomy of dark personalities.  Current Directions in Psychological Science, 23, 421-426.

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Dan is joined by Dr. Del Paulhus, Professor Emeritus and personality researcher at the University of British Columbia.

Dig into the dark side and complexities of dark personalities, including the dark triad (Machiavellianism, psychopathy, and narcissism), and the addition of everyday sadism. Dan and Dr. Paulhus discuss the origins of these constructs, their overlapping traits, and the implications of callousness. Dr. Paulhus's work explores the role of impulsivity in psychopathy, the intersection of dark traits in politics, and the significance of separating these constructs for better understanding. 

Special Guest: Dr. Del Paulhus

Additional appearances & resources:
The Cram Podcast

The Jordan Peterson Podcast

Keynote presentation @ the 2015 International Society for the Study of Individual Differences

Paulhus, D. L., Gupta, R., & Jones, D. N. (2021). Dark or disturbed?: Predicting aggression from the Dark Tetrad and schizotypy. Aggressive Behavior, 47(6), 635-645.

Paulhus, D. L. (2014).  Toward a taxonomy of dark personalities.  Current Directions in Psychological Science, 23, 421-426.

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Dan and Dr. Tony Rousmaniere, President of Sentio University, continue in part 2 of the conversation.

In part 2 with Dr. Rousmaniere, they discusses the intersection of AI and therapy, the challenges of establishing a new therapy school, and the importance of continuous improvement in therapeutic practices. Dr. Rousmaniere emphasizes the need for therapists to engage in deliberate practice, fostering a culture of vulnerability and openness, and the significance of accountability in therapy. 

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Dan is joined by Dr. David Barlow, psychologist and Professor Emeritus of Psychology and Psychiatry at Boston University.

Dr. Barlow is back! Dan and Dr. Barlow pick right up to explore the evolution of psychopathology classification, the advancements in treatment protocols, and the development of transdiagnostic approaches in psychotherapy. Dr. Barlow discusses the historical context of psychiatric classification, the impact of DSM-III, the shift towards empirically derived systems, and the need for clinicians to adapt protocols to individual patients.

Special Guest: Dr. David H. Barlow

The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders

Neuroticism and Disorders of Emotions

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Dan is joined by Dr. Tony Rousmaniere, President of Sentio University.

In this episode, Dr. Rousmaniere emphasizes the importance of accountability in therapy and introduces the concept of deliberate practice as a means to improve therapeutic skills. Then, Dan and Dr. Rousmaniere discuss the establishment of Sentio University, which focuses on rigorous training and feedback for therapists. The episode concludes with reflections on the impact of AI on the field of therapy and the need for therapists to adapt to this changing landscape.

Special Guest: Dr. Tony Rousmaniere

Useful Resources: 

Sentio University

Free Tools for Therapists

Research on Deliberate Practice

Practicing Deliberate Practice

ChatGPT my be largest mental health provider

Demonstration of Deliberate Practice

Supervision Using Deliberate Practice

Deliberate Practice Podcast

Deliberate Practice Exercises

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Part 2 with Dr. Mahesh Menon, clinical associate professor in the Department of Psychiatry at the University of British Columbia (UBC).

Join Dan and Dr. Menon in part 2 as they continue into the complexities of cognitive remediation and its application in mental health, particularly in psychosis. Dr. Menon discusses the cognitive challenges faced by individuals with psychosis, the importance of metacognitive training, and innovative approaches like avatar therapy. Dan and Dr. Menon emphasize the need for personalized treatment strategies that address cognitive biases and enhance patient insight, while also navigating the pushback against certain treatment modalities in the mental health field.

Special Guest: Dr. Mahesh Menon

Cognitive Remediation Resources

The North American CBT for psychosis Network page

Links to a lot of helpful resources (video, books etc) related to psychotherapy for psychosis

Online Training Portal for Metacognitive Training (MCT) for Psychosis

Brain Fitness Games

Dr. Nicola Wright: Resources for treating psychosis

https://thebanyan.org/

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Dan is joined by Dr. Mahesh Menon, clinical associate professor in the Department of Psychiatry at the University of British Columbia (UBC).

Dr. Menon shares his journey into psychology and mental health advocacy, discussing his early experiences with an NGO that supported homeless women with mental illness. Dr. Menon then explains the complexities of psychosis, including its symptoms, classifications, and the role of dopamine in the brain. Then, Dan and Dr. Menon discuss differences between delusions and hallucinations, the impact of substance use on mental health, and the age of onset for psychosis. 

Special Guest: Dr. Mahesh Menon

Cognitive Remediation Resources

The North American CBT for psychosis Network page

Links to a lot of helpful resources (video, books etc) related to psychotherapy for psychosis

Online Training Portal for Metacognitive Training (MCT) for Psychosis

Brain Fitness Games

Dr. Nicola Wright: Resources for treating psychosis

https://thebanyan.org/

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Dr. Rod Goodyear returns for part 2 to continue the conversation with Dan on Clinical Supervision.

Dr. Goodyear returns to explore the intricate dynamics of clinical supervision, emphasizing the importance of the supervisory relationship, the distinction between supervision and therapy, and the role of humility. Dan and Dr. Goodyear delve into supervisory ruptures, effective feedback mechanisms, and the cultural nuances that influence supervision practices. They also addresses the developmental trajectories of supervisors and the relationship between supervision and therapist expertise, highlighting the need for deliberate practice and collaborative evaluation to enhance professional growth.

Special Guest: Dr. Rod Goodyear

Fundamental of Clinical Supervision

International Interdisciplinary Conference on Supervision

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Dan is joined by Dr. Rodney Goodyear, an expert on Clinical Supervision.

This episode starts with Dan and Dr. Goodyear exploring the evolution and current state of clinical supervision in psychology, highlighting the importance of structured training, mentorship, and the supervisory relationship. Then, Dr. Goodyear shares the impact of international perspectives, and the necessity of clear contracts in supervision to enhance the learning process for supervisees, as well as the need for ongoing education and the development of a learning partnership framework to improve supervision practices.

Special Guest: Dr. Rod Goodyear

Fundamental of Clinical Supervision

International Interdisciplinary Conference on Supervision

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Dr. Terence Tracey returns for part 2.

Dan and Dr. Tracey continue the conversation as they explore the origins of interests, particularly in relation to gender differences and cultural influences. Dr. Tracey then delves into the nature vs. nurture debate, examining how interests may be hardwired or learned, and how they manifest differently across cultures. The impact of developmental changes during adolescence on interests is also highlighted, emphasizing the importance of early interventions in education. At the end, they address the role of interests in career counseling and the ethical considerations of navigating gender norms in career choices.

Special Guest: Dr. Terence Tracey

The Personal Growth Inventory

Gender Differences on Interests

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Dr. Terence Tracey returns to the show nearly a year after joining Dan on the first episode of the show!

Dr. Tracey discusses his journey as a psychotherapy researcher, focusing on the development and application of circumplex models in psychology. He explains the significance of vocational interests and how they predict success in various fields. Then, Dan and Dr. Tracey cover the Personal Globe Inventory, a tool that Dr. Tracey co-developed, and the implications of gender differences in vocational interests.

Special Guest: Dr. Terence Tracey

The Personal Growth Inventory

Gender Differences on Interests

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Dan welcomes back Dr. Simon Rice, Clinical Psychologist and Principal Research Fellow based at Orygen, Centre for Youth Mental Health at The University of Melbourne, Australia.

Dan and Dr. Rice continue diving into the complexities of men's mental health, particularly focusing on suicide risks and the societal norms surrounding masculinity that often prevent men from seeking help. They highlight the importance of effective communication strategies for supporting men in distress, the role of "Movember" in advancing men's health initiatives, and the challenges faced in advocating for men's health in a contested space while emphasizing that improving men's health ultimately benefits everyone in their lives.

Special Guest: Dr. Simon Rice

Movember

Movember Men's Health Institute

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Dan welcomes Dr. Simon Rice, Clinical Psychologist and Principal Research Fellow based at Orygen, Centre for Youth Mental Health at The University of Melbourne, Australia.

Dan and Dr Rice start the conversation on the complexities of men's mental health, particularly focusing on the unique aspects of male depression and the influence of masculine norms. Dr. Rice then covers the dual nature of masculine norms, generational shifts in adherence to these norms, and the cultural influences that affect how men express and cope with depression. The conversation emphasizes the need for better support systems and the importance of fostering strong social relationships among men.

Special Guest: Dr. Simon Rice

Movember

Movember Men's Health Institute

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Dan is joined by Dr. Jill Harkavy-Friedman, Senior Vice President of the American Foundation for Suicide Prevention.

Join in for part two of the discussion with Dr. Harkavy-Friedman. Dr. Harkavy-Friedman discusses her role as a translator of research into actionable insights for suicide prevention. She emphasizes the importance of a conceptual model in research applications and shares advice for early career researchers seeking grants. The discussion also covers the future of suicide prevention, the role of policy advocacy, and the complexities of psychosis and its relationship to suicide. 

The American Foundation for Suicide Prevention is dedicated to saving lives and bringing hope to those affected by suicide, including those who have experienced a loss. AFSP creates a culture that’s smart about mental health through public education and community programs, develops suicide prevention through research and advocacy, and provides support for those affected by suicide.

AFSP is the largest private funder of suicide prevention research, dedicated to understanding suicide and identifying evidence-informed strategies to help save lives. Researchers can explore its priority areas and grant application process by visiting afsp.org/research.

Learn more about AFSP in its latest Annual Report and join the conversation on suicide prevention by following AFSP on Facebook, Twitter, Instagram, YouTube and TikTok.

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Dan is joined by Dr. David Barlow, psychologist and Professor Emeritus of Psychology and Psychiatry at Boston University.

Known for his world-renown research in anxiety disorders, Dr. Barlow joins Dan to discuss the evolution of psychological practices, particularly the transition from traditional behavioral therapy to cognitive behavioral therapy (CBT). Dr. Barlow highlights the historical context of therapy practices, the debates surrounding cognitive and behavioral approaches, the misconceptions that persist in the today's field, and the importance of understanding underlying traits like neuroticism.

Special Guest: Dr. David H. Barlow

The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders

Neuroticism and Disorders of Emotions

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Dan is joined by Dr. Jill Harkavy-Friedman, Senior Vice President of the American Foundation for Suicide Prevention.

Dan and Dr. Harkavy-Friedman discuss the complexities surrounding suicide, and the stigma that has historically hindered open discussions. Dr. Harkavy-Friedman highlights the role of the American Foundation for Suicide Prevention (AFSP) in advancing research and advocacy, the challenges of addressing gambling disorders in relation to suicide, and the importance of community engagement in prevention efforts.

The American Foundation for Suicide Prevention is dedicated to saving lives and bringing hope to those affected by suicide, including those who have experienced a loss. AFSP creates a culture that’s smart about mental health through public education and community programs, develops suicide prevention through research and advocacy, and provides support for those affected by suicide.

AFSP is the largest private funder of suicide prevention research, dedicated to understanding suicide and identifying evidence-informed strategies to help save lives. Researchers can explore its priority areas and grant application process by visiting afsp.org/research.

Learn more about AFSP in its latest Annual Report and join the conversation on suicide prevention by following AFSP on Facebook, Twitter, Instagram, YouTube and TikTok.

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Part 2 of the conversation with Dr. Josie Geller, Associate Professor of UBC Department of Psychiatry, Division of Adult Psychiatry and Mental Health Services and the Director of Research of the Eating Disorders Program at St. Paul’s Hospital in Vancouver.

Dan and Dr. Geller explore the significance of self-compassion in the context of eating disorders, highlighting the barriers individuals face in practicing self-compassion and the role of validation in overcoming these barriers. Then, they discuss the importance of collaborative care over directive care in treatment settings and critiques the current DSM-5 criteria for eating disorders, advocating for a more inclusive approach that considers life impairment rather than strict diagnostic criteria.

Special Guest: Dr. Josie Geller

Centre for Advancing Health

The power of feeling seen: Perspectives of individuals with eating disorders on receiving validation

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Dan is joined by Dr. Josie Geller, Associate Professor of UBC Department of Psychiatry, Division of Adult Psychiatry and Mental Health Services and the Director of Research of the Eating Disorders Program at St. Paul’s Hospital in Vancouver.

Dr. Gellar shares her personal journey with eating disorders and how it shaped her career in psychotherapy. She discusses the importance of understanding the function of eating disorders, the role of motivation and readiness in treatment, and the shift towards a more compassionate and individualized approach to recovery. Then, Dan and Dr. Geller highlight the significance of self-compassion and the need for a supportive therapeutic relationship in facilitating change.

Special Guest: Dr. Josie Geller

Centre for Advancing Health

The power of feeling seen: Perspectives of individuals with eating disorders on receiving validation

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Part two of Dan's conversation with Dr. Craig Bryan, a board-certified clinical psychologist in cognitive behavioural psychology. He is the Stress, Trauma, and Resilience (STAR) Professor of Psychiatry and Behavioral Health at The Ohio State University Wexner Medical Center.Summary

Dan and Dr. Bryan discuss a transformative approach to suicide prevention, emphasizing the importance of reframing the concept from merely keeping individuals alive to helping them find a life worth living. Dr. Bryan advocates for a collaborative risk assessment model that prioritizes patient needs and experiences over traditional checklist methods. Dr. Bryan also critiques the effectiveness of hospitalization in preventing suicide, suggesting that it may not address the underlying issues and can sometimes exacerbate the situation.

Special Guest: Dr. Craig Bryan

SuicidePreventionTherapy.com

Re-thinking Suicide (book)

Crisis Response Planning

Lethal Means Counseling

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Dan is joined by Dr. Craig Bryan, a board-certified clinical psychologist in cognitive behavioural psychology. He is the Stress, Trauma, and Resilience (STAR) Professor of Psychiatry and Behavioral Health at The Ohio State University Wexner Medical Center.

The episode starts with Dr. Bryan sharing his journey into the field of suicide prevention, detailing his experiences in graduate school, military service, and the harsh realities of suicide he faced. Dy. Bryan critiques traditional approaches to understanding and preventing suicide, advocating for a reframing of suicide as a behavioural choice rather than solely a mental health issue. Dr. Bryan introduces crisis response planning as a vital intervention, emphasizing the importance of personalizing these plans and the role of means restriction counseling in suicide prevention. 

Special Guest: Dr. Craig Bryan

SuicidePreventionTherapy.com

Re-thinking Suicide (book)

Crisis Response Planning

Lethal Means Counseling

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Dan is joined by Dr. Stephanie Budge, Professor and the Director of Clinical Training in the Department of Counseling Psychology at the University of Wisconsin-Madison. 

Part two of Dan's conversation with Dr. Budge delves into the complexities of minority stress, particularly for transgender individuals, and the therapeutic approaches that can help mitigate its effects. The conversation moves to the importance of psychoeducation, the role of internalized stigma, and the innovative frameworks like radical healing that aim to empower marginalized communities and the evolving nature of referral letters in the context of informed consent.

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Dan is joined by Dr. Stephanie Budge, Professor and the Director of Clinical Training in Counseling Psychology at the University of Wisconsin-Madison. 

In this conversation, Dr. Budge discusses her journey into the field of psychology, focusing on bisexuality and the need for better mental health support for trans individuals. She shares her experiences in academia, the challenges faced in researching LGBTQ+ topics, and the importance of trans affirmative therapy. Dan and Dr. Budge discuss essential terminology, the ethical considerations in therapy, and practical advice for therapists working with trans clients, emphasizing the need for understanding, practice, and balance in therapeutic relationships.

Special Guest: Dr. Stephanie Budge

Practice with Pronouns

World Professional Association for Transgender Health Standards of Care

GALUP: The Gender Affirming Letter Access Project

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Dr. Bill Stiles returns to the show to continue the discussion on understanding responsiveness in psychotherapy.

Dr. Stiles discusses the Fever Model in therapy, emphasizing the relationship between client disclosures and therapeutic outcomes. He explores how depression can impede the natural process of disclosure, which is often an adaptive response to psychological distress. Then, Dan and Dr. Stiles delve into the complexities of responsiveness in therapy, the challenges faced by novice therapists, and the importance of theory building through case studies. 

Special Guest: Dr. William Stiles

Additional Resources:

Stiles, W. B. (2021). Responsiveness in psychotherapy research: Problems and ways forward. In J. C. Watson & H. Wiseman (Eds), The responsive psychotherapist: Attuning to clients in the moment (pp. 15-35). Washington, DC: APA Books. https://doi.org/10.1037/0000240-002

Stiles, W. B. (2009). Logical operations in theory-building case studies. Pragmatic Case Studies in Psychotherapy, 5(3), 9-22. https://doi.org/10.14713/pcsp.v5i3.973. Available: http://jrul.libraries.rutgers.edu/index.php/pcsp/article/view/973

Stiles, W. B. (2017). Theory-building case studies. In D. Murphy (Ed.), Counselling psychology: A textbook for study and practice (pp. 439-452). Chichester, UK: Wiley.

Stiles, W. B. (2011). Coming to terms. Psychotherapy Research, 21, 367-384. https://doi.org/10.1080/10503307.2011.582186

Stiles, W. B. (1992). Describing talk: A taxonomy of verbal response modes. Newbury Park, CA: Sage.

Stiles, W. B., Shapiro, D. A., & Elliott, R. (1986). "Are all psychotherapies equivalent?" American Psychologist, 41, 165-180.

Stiles, W. B., Barkham, M., Mellor-Clark, J., & Connell, J. (2008). Effectiveness of cognitive-behavioural, person-centred, and psychodynamic therapies in UK primary care routine practice: Replication in a larger sample. Psychological Medicine, 38, 677–688. Published online 10 September 2007, https://doi.org/10.1017/S0033291707001511.

Stiles, W. B. (1987). "I have to talk to somebody." A fever model of disclosure. In V. J. Derlega & J. H. Berg (Eds.), Self-disclosure: Theory, research, and therapy (pp. 257-282). New York: Plenum Press.

Stiles, W. B., Honos-Webb, L., & Surko, M. (1998). Responsiveness in psychotherapy. Clinical Psychology: Science and Practice, 5, 439-458.

Stiles, W. B., (in preparation). How talking helps: The assimilation model.

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In this conversation, Dr. William Stiles discusses the significance of reflection in therapeutic practice and the challenges of measuring therapeutic techniques through process research. Dr. Stiles introduces the concept of responsiveness in therapy, highlighting the importance of understanding what the client needs at any given moment. He elaborates on the assimilation model, which focuses on transforming problematic experiences into resources, and the role of meaning bridges in facilitating this process. The conversation also touches on the integral role of emotion in therapy and the idea that while therapies may reduce distress, they do not necessarily lead to uniform outcomes among clients.

Special Guest: Dr. William Stiles

Additional Resources:

Stiles, W. B. (2021). Responsiveness in psychotherapy research: Problems and ways forward. In J. C. Watson & H. Wiseman (Eds), The responsive psychotherapist: Attuning to clients in the moment (pp. 15-35). Washington, DC: APA Books. https://doi.org/10.1037/0000240-002

Stiles, W. B. (2009). Logical operations in theory-building case studies. Pragmatic Case Studies in Psychotherapy, 5(3), 9-22. https://doi.org/10.14713/pcsp.v5i3.973. Available: http://jrul.libraries.rutgers.edu/index.php/pcsp/article/view/973

Stiles, W. B. (2017). Theory-building case studies. In D. Murphy (Ed.), Counselling psychology: A textbook for study and practice (pp. 439-452). Chichester, UK: Wiley.

Stiles, W. B. (2011). Coming to terms. Psychotherapy Research, 21, 367-384. https://doi.org/10.1080/10503307.2011.582186

Stiles, W. B. (1992). Describing talk: A taxonomy of verbal response modes. Newbury Park, CA: Sage.

Stiles, W. B., Shapiro, D. A., & Elliott, R. (1986). "Are all psychotherapies equivalent?" American Psychologist, 41, 165-180.

Stiles, W. B., Barkham, M., Mellor-Clark, J., & Connell, J. (2008). Effectiveness of cognitive-behavioural, person-centred, and psychodynamic therapies in UK primary care routine practice: Replication in a larger sample. Psychological Medicine, 38, 677–688. Published online 10 September 2007, https://doi.org/10.1017/S0033291707001511.

Stiles, W. B. (1987). "I have to talk to somebody." A fever model of disclosure. In V. J. Derlega & J. H. Berg (Eds.), Self-disclosure: Theory, research, and therapy (pp. 257-282). New York: Plenum Press.

Stiles, W. B., Honos-Webb, L., & Surko, M. (1998). Responsiveness in psychotherapy. Clinical Psychology: Science and Practice, 5, 439-458.

Stiles, W. B., (in preparation). How talking helps: The assimilation model.

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For more episodes, video versions, updates, and links related to the show visit:
https://psychotherapyandappliedpsychology.com/

Dr. Catherine Eubanks returns to continue the conversation with Dan on alliance ruptures in psychotherapy. 

Dan and Dr. Eubanks continue to dive deep into the complexities of ruptures and repairs in therapy. They discuss the challenges therapists face in exploring ruptures, the importance of recognizing therapist-initiated ruptures, and the role of anxiety in therapeutic relationships. Dr. Eubanks emphasizes the need for therapists to trust the process and be aware of their own anxieties, while also advocating for a broader understanding of ruptures in various contexts beyond therapy.

Special Guest: Dr. Catherine Eubanks

Center for Alliance-Focused Training

Therapist Performance Under Pressure: Negotiating Emotion, Difference, and Rupture

Book: Rupture and Repair in Psychotherapy: A Critical Process for Change

Training Video: Rupture and Repair in Psychotherapy

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Dr. David Kealy, associate Professor in the Department of Psychiatry at the University of British Columbia, returns for part two on how patients coach and test their psychiatrists. 

Dan and Dr. Kealy watch and comment on the much-studied video of Dr. Carl Rogers and the patient, "Gloria." From the video, Dr. Kealy points out how she tests and coaches Dr. Rogers during their psychotherapy session. Taking moments from the video, Dr. Kealy highlights Gloria's needs for open communication, the struggle for self-acceptance, and the role of therapy in addressing her own needs. Through the conversation, Dan and Dr. Kealy highlight the significance of understanding one's own beliefs and the need for supportive therapeutic relationships.

Special Guest: Dr. David Kealy

The San Francisco Psychotherapy Research Group

How Psychotherapy Works by Joseph Weiss

Transformative Relationships by George Silberschatz

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Dan is joined by Dr. Catherine Eubanks to break down alliance ruptures in psychotherapy. Dr. Eubanks is a Professor of Psychology at Adelphi University.

Dan and Dr. Eubanks discusses the concept of ruptures in therapy, their relationship to the therapeutic alliance, and the importance of understanding and repairing these ruptures. Then, Dr. Eubanks shares her journey into this field, the significance of training therapists in alliance-focused techniques, and how identity and cultural factors can influence ruptures. Their discussion emphasizes the complexity of therapeutic relationships and the need for therapists to be aware of subtle signs of rupture and repair.

Special Guest: Dr. Catherine Eubanks

Center for Alliance-Focused Training

Therapist Performance Under Pressure: Negotiating Emotion, Difference, and Rupture

Book: Rupture and Repair in Psychotherapy: A Critical Process for Change

Training Video: Rupture and Repair in Psychotherapy

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Join in and welcome back Dr. Carl Castro as he and Dan continue their conversation on military and veteran mental health.

Dr. Castro discusses the various aspects of veteran support, comparing the U.S. system to those of other countries, the unique status of veterans in society, and the impact of historical events like the Vietnam War on current veteran treatment. Dive into the complexities of the combat veteran experience, including the combat veteran paradox and the PTSD paradox, emphasizing the importance of normalizing feelings and experiences for veterans. 

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Welcome back! In the first episode of 2025, Dan is joined by Dr. Carl Castro, professor and director of the Military and Veteran Programs at the University of Southern California.

Join in on the conversation as Dan and Dr. Castro dive into military culture and the  transition from military to academia. Dr. Castro emphasizes the importance of military identity in the transition process and introduces his military transition theory, highlighting the challenges veterans face as well as advice for service members on maintaining their hustle and adapting to civilian life.

Special Guest: Dr. Carl Castro

USC Military & Veteran Programs

Cohen Veterans Network

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In this conversation Dan Has with Dr. Dennis Kivlighan they delve into the complexities of group dynamics, focusing on the actor-partner model, the significance of conflict in group development, and the importance of understanding member variability. Dr. Kivlighan shares insights on how perceptions of engagement influence behavior within groups, the role of consensual validation, and the necessity of addressing conflict as a learning opportunity. The discussion also highlights the challenges faced in group therapy settings and proposes strategies for effective group management.

Special Guest: Dr. Dennis Kivlighan

Additional Resources

Three important clinical processes in individual and group interpersonal psychotherapy sessions

From where is the group? To what is the group?: Contributions of actor−partner interdependence modeling

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Dan is joined by Dr. Dennis Kivlighan, an expert in group psychotherapy. In this conversation, Dr. Kivlighan discusses the profound impact of experiential learning in therapy, the complexities of group dynamics, and the importance of corrective experiences. Dr. Kivlighan emphasizes the role of group members in the therapeutic process and advocates for a training model that prioritizes real experiences and feedback. The conversation highlights the significance of understanding interpersonal relationships and the social microcosm within therapy.

Special Guest: Dr. Dennis Kivlighan

Additional Resources

Three important clinical processes in individual and group interpersonal psychotherapy sessions

From where is the group? To what is the group?: Contributions of actor−partner interdependence modeling

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In this conversation, Dan and Dr. Ueli Kramer explore the intricacies of therapy, focusing on the change process, the concept of responsiveness, and the importance of case formulation in treating personality disorders. Dr. Kramer emphasizes the emotional aspects of therapy, the need for therapists to be responsive to clients' needs, and the significance of understanding the underlying motives behind clients' behaviours. They discuss how therapists can adapt their approaches based on the context and the individual client, ultimately aiming to enhance therapeutic outcomes.

Guest: Dr. Ueli Kramer

Additional Resources

Case Formulation for Personality Disorders: Tailoring Psychotherapy to the Individual Client

Understanding Mechanisms of Change in Psychotherapies for Personality Disorders

Psychotherapy Skills and Methods that Work

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Dr. Ueli Kramer joins Dan in this latest episode focusing on personality disorder diagnoses, treatment and more. 

Dr. Kramer discusses his journey through self-doubt in clinical practice, the evolution of personality disorder classifications, and the transition from categorical to dimensional approaches in diagnosis. Then, Dr. Kramer breaks down the ICD-11 personality disorder system, highlighting its strengths and weaknesses. They also talk about Borderline Personality Disorder in DSM and ICD. The episode concludes with the importance of understanding the severity of personality disorders and the impact of diagnostic language on stigma and treatment.

Guest: Dr. Ueli Kramer

Additional Resources

Case Formulation for Personality Disorders: Tailoring Psychotherapy to the Individual Client

Understanding Mechanisms of Change in Psychotherapies for Personality Disorders

Psychotherapy Skills and Methods that Work

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For more episodes, video versions, updates, and links related to the show visit:
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Dan welcomes back Johanna Mickelson as we dive back into the Distress-Processing Model and the significance of reflection and reading in developing insights and fostering better conversations.

Dan and Johanna explore the concept of the 'helper' in discussions, emphasizing the importance of clarity and nuance in communication. Then, they delve into how understanding these elements can enhance dialogue and lead to more meaningful exchanges.

The stages of the distress-processing model consist of:

• Unengaged with distress: Minimal or no engagement with distress.
• Distress awareness: Recognizing distressing behaviors, emotions, or thoughts.
• Distress connection: Linking distress to specific stressors or experiences.
• Distress insight: Gaining an understanding of why the distress is personally relevant.
• Applying distress insight: Using new insights to identify ways forward.

Special Guest: Johanna Mickelson

Links to the Article
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In this conversation, Dan talks with Johanna Mickelson about the Distress-Processing Model for people in suicidal crisis. In this conversation, Johanna shares her experiences working in a crisis center and discusses the challenges and insights gained from her time in crisis management.

Most of the conversation focuses on the Distress-Processing Model for people in suicidal crisis: Its development and application. The Distress processing model consists of the stages that people go through to move through their suicidal crisis. The stages consist of:

• Unengaged with distress: Minimal or no engagement with distress.
• Distress awareness: Recognizing distressing behaviors, emotions, or thoughts.
• Distress connection: Linking distress to specific stressors or experiences.
• Distress insight: Gaining an understanding of why the distress is personally relevant.
• Applying distress insight: Using new insights to identify ways forward.

Special Guest: Johanna Mickelson

Links to the Article
Link 1
Link 2

If you don't have access to the article, just let me know!

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This weeks episode is a deep dive into how you can strengthen your graduate-school application to counselling or clinical psychology graduate programs. 

Amie is back to discuss the intricacies of applying to graduate school, focusing on writing applications, crafting personal statements, and preparing for interviews. Dan and Amie share practical tips on overcoming initial writing hurdles, generating ideas, and the importance of reflection on personal motivations. The discussion also covers how to effectively communicate research interests, the significance of letters of recommendation, and strategies for engaging with potential supervisors. Throughout, they emphasize the balance between personal and professional experiences, the need for preparation, and the importance of enthusiasm during interviews.

Useful Resources:

Insider's Guide to Graduate Programs in Clinical and Counseling Psychology
Canadian Accredited Programs
American Accredited Programs 

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This week's guest is Dr. David Kealy, associate Professor in the Department of Psychiatry at the University of British Columbia.

Dan and Dr. Kealy dive into Control Mastery Theory, exploring its principles, particularly the concepts of pathogenic beliefs, testing, and coaching within therapeutic contexts. Dr. Kealy discusses the importance of understanding a patient's internal struggles and how these beliefs can impact their relationships and self-acceptance. The conversation also highlights the significance of the therapist's role in facilitating a safe environment for patients to explore their feelings and beliefs.

Special Guest: Dr. David Kealy

The San Francisco Psychotherapy Research Group

How Psychotherapy Works by Joseph Weiss

Transformative Relationships by George Silberschatz

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Due to popular demand, this weeks episode is a deep dive into what you should consider when deciding which graduate programs in counseling or clinical psychology to apply to.

Dan is joined by Amie Orsetti, a graduate student from the University of British Columbia. Amie and Dan discuss the nuances of choosing between clinical and counselling psychology programs, the importance of understanding program differences, and the impact of geographical restrictions on application decisions. They delve into the distinctions between PhD and PsyD programs, the significance of accreditation, and strategies for researching graduate programs effectively, and the importance of applying to multiple programs.

Useful Resources:

Insider's Guide to Graduate Programs in Clinical and Counseling Psychology
Canadian Accredited Programs 
American Accredited Programs 

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For more episodes, video versions, updates, and links related to the show visit:
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Join Dan and returning guest, Dr. Paul Hewitt, and continue deeper into the psychology of perfectionism.

Dr. Paul Hewitt is a registered clinical psychologist and a Professor in the Department of Psychology at the University of British Columbia. He has published over 300 research papers, books, and chapters on perfectionism, psychopathology, and psychotherapy, was cited as one of the top 10 Canadian clinical psychology professors for research productivity, and was recently awarded the Donald O. Hebb Award for Distinguished Contributions to Psychology as a Science by the Canadian Psychological Association.

In part 2, Dan and Dr. Hewitt explore the complexities of perfectionism in therapy, emphasizing the importance of vulnerability and the therapeutic alliance. They discuss how perfectionism often stems from unmet relational needs and the emotional pain associated with it. Then, Dr. Hewitt elaborates on the effectiveness of group therapy for perfectionistic individuals and critiques the limitations of cognitive behavioural therapy in addressing deeper relational issues. They finish by discussing the emerging research on perfectionism in children and the need for a more nuanced understanding of psychological constructs beyond traditional DSM categories.

Special guest: Dr. Paul Hewitt

(free) Tools to assess perfectionism

Books on Perfectionism
- Perfectionism in Childhood and Adolescence: A Developmental Approach
- Perfectionism: A Relational Approach to Conceptualization, Assessment, and Treatment

Other resources
- Clients Struggling With Perfectionism
- Group Psychodynamic-Interpersonal Psychotherapy

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Dan and this week's guest, Dr. Paul Hewitt, embark on a quest into the psychology of perfectionism.

Paul Hewitt is a registered clinical psychologist and a Professor in the Department of Psychology at the University of British Columbia. He has published over 300 research papers, books, and chapters on perfectionism, psychopathology, and psychotherapy, was cited as one of the top 10 Canadian clinical psychology professors for research productivity, and was recently awarded the Donald O. Hebb Award for Distinguished Contributions to Psychology as a Science by the Canadian Psychological Association.

Dr. Hewitt discusses the complexities of perfectionism and its implications in psychotherapy. He emphasizes the importance of humility in clinical practice and shares personal anecdotes about his journey in understanding perfectionism. The discussion delves into the definitions, traits, and interpersonal expressions of perfectionism, highlighting its deep-rooted psychological impacts. Dan and Dr. Hewitt also outline therapeutic approaches to address perfectionism, focusing on the significance of a strong therapeutic alliance and the need for self-acceptance.

Special guest: Dr. Paul Hewitt

(free) Tools to assess perfectionism

Books on Perfectionism
- Perfectionism in Childhood and Adolescence: A Developmental Approach
- Perfectionism: A Relational Approach to Conceptualization, Assessment, and Treatment

Other resources
- Clients Struggling With Perfectionism
- Group Psychodynamic-Interpersonal Psychotherapy

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For more episodes, video versions, updates, and links related to the show visit:
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In part 2, Dan and Dr. Ken Critchfield continue to dive deep into the science of interactions and the SASB.

Dr. Critchfield is Associate Professor and Program Director of the Clinical Psychology Program of the Ferkauf Graduate School of Psychology at Yeshiva University.

Dr. Critchfield explains the Structural Analysis of Social Behavior (SASB) model, discussing its terminology, the importance of understanding interpersonal dynamics, and the application of the model in clinical settings. Then, explore the concepts of focus on self and focus on other, the idea of introject, and the significance of measurement in therapy. Dan ask about the case study of a certain client and how it illustrates how early attachment experiences shape current behaviours and relationships. Dr. Critchfield touches on the pushback of the SASB model has received and how its potential for integration crosses various therapeutic approaches.

Special Guest: Dr. Ken Critchfield

Structural Analysis of Social Behavior (SASB): A Primer for Clinical Use

IRT Institute

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