Therapist drift

Question 1

Therapist drift

Answer 1

Failure to deliver treatments that we have been trained to deliver, or failure to deliver them adequately, even where resources exist to allow us to do so.

Aka therapy-interfering behaviour by therapists

Question 2

Costs

Answer 2

Patients problems are maintained/worsened

Increased negative attitutde to therapy

Increased hopelessness about recovery

Increased feeling of incompetence and decreased satisfaction for the therapist

Wasted treatment resources

Question 3

General cause

Answer 3

Therapist falsely believe they have to protect the patient form demands of therapy, avoiding distress. Often in reaction to immediate larger or smaller crisis in therapy.

Question 4

Three elements

Answer 4

Cognitions:
- Fundamental attribution bias
- Schemas
- Black or white thinking
- Blinded by own thoughts

Emotions:
- anxiety bout own performance/harming patient
- Fear of negative evaluation
- Guilt

Behavior:
- Safety behavior, faling to push for change
- working too hard, not doing what you should do

Question 5

Third-wave therapies

Answer 5

Used as excuse for not using first line therapies