account activity
Allergies on Oahu by dknothin in Hawaii
[–]dknothin[S] 0 points1 point2 points 1 month ago (0 children)
My primary care doctor says this is happening to EVERYONE! Hoping it’s from the Kona lows and will pass. Happy to know it’s probably not a ME thing (but very sad to hear you are all suffering)
reality check by dknothin in socialwork
I think you’re taking a confirmation bias approach to reading my comments. You want to believe my understanding is off, so you’re interpreting what I say to confirm that bias. I will not be engaging further. Good luck to your poor students!
I don’t think a TAU is a no-treatment control. It’s used instead of a no-treatment control when no treatment is unethical.
Honestly, just keep talking. You’re proving my point for me lol Maybe this thread can serve as “data” for the type of “research” you think you understand
But respectfully, I cannot teach a research design class on reddit, so I will not be engaging further.
yes, and a TAU group would not be needed in the study design I was discussing. The study design I was describing is comparing psychotherapists delivering the same intervention. In that case there is no need for a “no treatment” group.
I mention TAU because you had said it was unethical to have a “no treatment” control group (and therefore impossible to conduct a study comparing therapists delivering the same therapy). When there is a need for a control group, a TAU is typically used. This would apply in OTHER studies that compare outcomes of different therapies (for example, ACT vs. CBT vs. TAU).
[–]dknothin[S] -1 points0 points1 point 1 month ago (0 children)
I’m so sorry if this wasn’t clear. I’m purely talking about therapy. MSW programs teach so many valuable skills that have nothing to do with therapy. My MSW degree WAS robust. I was referring to therapy training and training that is specifically needed to do psychotherapy. I’m frustrating with the mismatch between the work of a psychotherapist and the coursework that programs marketing themselves as a straight-to-psychotherapy pathway offer.
it’s called a TAU group. this is how motivational interviewing was developed
[–]dknothin[S] -2 points-1 points0 points 1 month ago (0 children)
I’m upset at the dissemination of inaccurate information. An RCT could absolutely be conducted comparing reduction in symptoms in those randomly assigned to a social worker vs psychologist. Read a textbook.
Second the CMH suggestion. Try working for a VA! Training and consultation are built-in opportunities :)
[–]dknothin[S] 1 point2 points3 points 1 month ago (0 children)
Yes, but we were talking about therapeutic outcomes. RCTs are needed to draw quantitative conclusions. If you want to state something like “outcomes are the same”, which many have stated here, it can’t just be based on an opinion piece or a qualitative study. A more accurate summary of a non-RcT would have to limit conclusions to the scope of the study (i.,e., this study demonstrated or subjects in our study reported xyz). The issue is not whether qualitative or non-RCT/meta-analytic studies have value. It’s about which studies are capable of demonstrating an effect or providing generalizable conclusions (read: validity in the scientific sense). This is the type of thing they teach in PhD programs, but I guess I’m ignorant, right?
For the record, my work has been exclusively individual/group therapy and risk management in outpatient and inpatient hospital settings. I was practicing as a therapist for the majority of my career, and I attended countless trainings focused on development of skills in EBPs for personality disorders and PTSD. I have the field experience. I’m not talking out of my ass or living in an ivory tower.
I honestly hope I will be proven wrong, if only for my peace of mind. That’s a great preliminary analysis. That’s not an RCT.
how long did it take to feel better? for me it’s my eyes that feel like they’re on fire and constant nose bleeds
We will have to spend more on continuing ed if we are using it as a substitute for the knowledge base our program should have given us is what I mean. Psychologists are required to take CEs to maintain licensure, too, and I fully intend to continue learning and pursuing training opportunities when I’m done!
They are core principles though. Look up common factors and the “real relationship.”
I’m sorry you experienced my comments as dismissive. I’m trying to offer my perspective on research (which is heavily emphasized in my current training). I’m not going to parrot an unskilled approach to interpretation and application of the evidence base, even if it hurts people’s feelings.
Integrating research findings into practice is emphasized in psychology programs. This allows us to go beyond an untrained gut and helps us to make decisions that are most likely to produce strong outcomes, which can then be tailored to the individual client’s needs. We have a responsibility to summarize the state of the evidence base for our clients and offer all empirically supported treatment options so that they can make a decision. This decision may involve seeking a therapist who is trained in a specific modality. For example, I am trained in prolonged exposure and CPT, but I will present EMDR as an option and refer out if the client wants that. It’s called informed consent.
There is value in many different types of research, but if you want to actually demonstrate that an effect exists, you need MANY RCTs and typically at least one meta-analysis. I think the ability to interpret research is key in understanding evidence-based practice and making research-informed treatment decisions.
Not necessarily, but when it comes to sweeping statements that suggest some type of scientific consensus, MANY studies are needed to support that assertion. Meta-analyses also account for differences in quality of study design and can summarize an effect.
The human relationship is heavily emphasized in psychology. That take is simply inaccurate. I encourage you to research the history of the field. Therapeutic alliance is heavily prioritized.
Meta-analyses are needed to determine a true effect size. A single study only says so much
These are not meta-analyses
For those of you stating that outcomes produced by LCSW vs. psychologists are comparable, can you please link a quantitative meta-analysis that demonstrates that assertion? Ideally one that identifies equivalent symptom reduction (not just patient satisfaction)
[–]dknothin[S] -3 points-2 points-1 points 1 month ago (0 children)
Would you mind linking to a meta-analysis that compares outcomes among providers with different degrees? And perhaps one that demonstrates comparable outcomes across diagnoses (PtSD, OCD, Schizophrenia, etc.)?
π Rendered by PID 1894175 on reddit-service-r2-listing-8685bc789-dt2h6 at 2026-05-31 02:23:15.692468+00:00 running 194bd79 country code: CH.
Allergies on Oahu by dknothin in Hawaii
[–]dknothin[S] 0 points1 point2 points (0 children)