3rd wave therapies

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HannScot
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3rd wave therapies

Post by HannScot » Mon Feb 19, 2018 4:40 pm

Hello everyone!

I'm new to the forum and I would like to please start a discussion to get people's ideas and thoughts about the way in which us clinical psychologists use and integrate 3rd wave psychology approaches in very medicalised, positivist service settings e.g. IAPT, CMHTs. Any examples or thoughts would be interesting to hear about!

Also, can I ask- do any other qualified CPs actually use knowledge/theories learnt on their degree course in their clinical practice (therapy and consultation work)? Myself and my peers use very little really and I'd be interested to hear from people about what theories/approaches they use and how?

Thanks, Hannah.

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maven
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Re: 3rd wave therapies

Post by maven » Thu Mar 22, 2018 11:39 pm

This was posted in the wrong place, so I have moved it and bumped it in case anyone has any comments. But you might want to ask in the qualified CPs peer group rather than on the open forum if it is a discussion for qualified CPs.
Maven.

Wise men talk because they have something to say, fools because they have to say something - Plato
The fool thinks himself to be wise, but the wise man knows himself to be a fool - Shakespeare

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BenJMan
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Re: 3rd wave therapies

Post by BenJMan » Sun Apr 15, 2018 11:50 pm

I think some 3rd wave therapies like Mindfulness, DBT etc have been fairly easily integrated, others are still fighting for ground. I have to say that personally I generally find the notion of the different therapy 'waves' rather over played and over stated. I tend to think most therapies are just a reformulation of known ideas and therapies, or edited/added versions, rather 'emperor's new clothes' like.. but I'm a cynic!

When you say knowledge from degree course, do you mean undergrad or doctorate? I remember very little of my undergrad and it didn't inform my early practice much. That said the foundation of undergrad is often also contained within the doctorate and I certainly use that knowledge quite a lot! :)
I think a hero is any person really intent on making this a better place for all people ~ Maya Angelou.

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maven
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Re: 3rd wave therapies

Post by maven » Mon Apr 16, 2018 5:22 pm

To me the question is kind of like do we actually use the things we learn as toddlers in the rest of our lives? Surely the basics are what allow you to build the more detailed and specialist skills on top. So without understanding early research about reinforcement and learning, we'd not have behaviour therapy, and we'd not have then built CBT and PBS on the top of it, and then built "third wave" and integrative approaches on top of that. Without basic knowledge about how the brain works, we'd not understand fight-flight-freeze and the impact of trauma, whether developmental, single incident or through exposure to conflict/environmental dangers, and we'd not have been able to build up effective ways of working with people for whom these issues have impacted - which I'd argue might be the majority of people using mental health services.

As to "third wave" stuff in real services - I think mindfulness is pretty pervasive (maybe too pervasive, given the mixed evidence and risk of harm, and the idea it is a panacea and can be used in place of other forms of evidence-based therapy) and lots of the more recent twists on CBT are widely used - DBT, schema therapy, compassion-based-therapy, therapies drawing on attachment and various new elements (body keeps the score, theraplay, sensory integration, etc).
Maven.

Wise men talk because they have something to say, fools because they have to say something - Plato
The fool thinks himself to be wise, but the wise man knows himself to be a fool - Shakespeare

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