Better Outcomes Now Blog

If I Can Stop One Heart from Breaking

The “Impossible” Case project I have always been taken by Emily Dickinson and this is one of my favorites. I included this poem in the book, Psychotherapy with “Impossible” Cases, which described my...

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Supervision: Who Is It For?

Supervision Through PCOMS This blog is based on a recent comment (Duncan, 2016) published in the Australian and New Zealand Journal of Family Therapy. The purpose of supervision is to promote the...

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The Ominous Clinical Cutoff and Data Accuracy

Ominous Clinical Cutoff & Data Accuracy If there is anything about PCOMS and the Outcome Rating Scale that raises the hair on our collective necks, it is the ominous sounding but completely innocuous...

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Research, Mischaracterizations, Limitations, and PCOMS

PCOMS Research, Mischaracterizations & Limitations Doing research is hard. Especially original research and data collection (vs. harvesting existing data), and particularly in real clinical settings....

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The More Things Change, the More They Stay the Same

 The PCOMS Longevity A long time ago in a galaxy far, far away… In 1994, I published an article in the journal Psychotherapy with my friend and colleague Dorothy Moynihan (“Applying Outcome Research:...

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Characteristics/Behaviors I Most Like to See in Therapists

Characteristics & Behaviors That Make Good Therapists After a recent keynote I did, I was approached by a very thoughtful therapist who wondered about the characteristics/behaviors that I liked to...

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PCOMS and Focus: Helping an Underrated Therapist Skill

A very understated and underrated skill for doing good work, and perhaps one of the, if not the most difficult one for therapists to master, is the ability to keep sessions focused and not get lost...

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PCOMS Top Ten Motivations for Therapists

When doing implementations of PCOMS, after I do an overview of what PCOMS actually is and show a video of what it looks like, I ask therapists, "Why don't you want to do this?" or "Why won't you do...

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The Founder of Common Factors: Saul Rosenzweig

The common factors have a storied history that started with Saul Rosenzweig’s (1936) classic article "Implicit Common Factors in Diverse Forms of Psychotherapy." In addition to the original...

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Oprah and Gomer Pyle

People have asked me about my appearance on Oprah for many years. It was way back in 1992 just after I published my first book (with my best friend Joe Rock), a self help book called Overcoming...

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