So I’ve been skimming through some stuff I’ve been meaning to read (I’m really behind as you will be able to tell from the date of this article) and came across this gem.
A survey of 200 psychologists published in 2005 found that only 17 percent of them used exposure therapy (a form of C.B.T.) with patients with post-traumatic stress disorder, despite evidence of its effectiveness. In a 2009 Columbia University study, research findings had little influence on whether mental-health providers learned and used new treatments. Far more important was whether a new treatment could be integrated with the therapy the providers were already offering.
The problem is not confined to the United States. Two years ago, Dr. Waller studied C.B.T. therapists in Britain treating adults with eating disorders to see what specific techniques they used. Dr. Waller found that fewer than half did anything remotely like evidence-based C.B.T.
I tend to agree with the opinion that most therapists view their work as more of an art than science. The only real benefit to this belief goes to the therapist’s ego. This view of therapy can also act as a convenient excuse to get lazy and not keep up on the research. The challenge isn’t in having a good relationship with a client it’s in having a good working relationship with a client. The latter requires far more work and is a much greater test of skill.