Will Dobud PhD Profile picture
Nov 15 9 tweets 5 min read
1) Regarding the recent article shared below, and because this put me in a particular mood today to see #TTI survivors used for industry promotion. Let's explore historically how direct comparison trials fair in #psychotherapy.
2) The first meta-analysis ever found: “More generally, virtually no difference in effectiveness was observed between the class of all behavioral therapies (e.g. #behavior modification) and the nonbehavioral therapies (e.g., Rogerian, #psychodynamicpsycnet.apa.org/record/1978-10…
3) A meta-analysis for #youth #mentaldisorders found: “there was no #evidence of any differences among treatments” tandfonline.com/doi/abs/10.108…
4) A review of 17 meta-analyses found: “The smallness of this effect size confirms Rosenzweig's supposition in 1936 about the likely results of such comparisons.” AKA Since 1936 we knew no differences in outcomes was the norm. psycnet.apa.org/record/2002-10…
5) An #AdventureTherapy scoping review I conducted found: “Little to no differences were found to isolate specific #therapeutic factors” researchgate.net/publication/32…
6) But according to this recent article, #WildernessTherapy, and only accredited wilderness therapy, is 424% more effective than #treatment-as-usual. Got it… theguardian.com/us-news/2022/n…
7) The article shares the terrifying story of a young person being sexually assaulted at a wilderness therapy program (while accredited but not as of this year) so it’s longer no 424% more effective than everything else. Including itself.
8) Every study cited in the thread found #psychotherapy effective. But no specific #therapy more than the next. There are some small specific instances when these differences matter but wilderness therapy is not 424% more effective than anything.
9) #OutdoorTherapy can work, but clients aren't props, dependent variables, or passive agents. They are the wild card and the most wonderful part of the story. Harming therapy recipients is cruel, disgusting, and horrifying. And then using them to promote another program...wow.

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Will Dobud PhD

Will Dobud PhD Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @WillDobud

Nov 16
1) This is the cover of Good Will Hunting. Many people argue Robin William’s portrayal of a therapist in cinematic history [despite strangling and threatening the client in that famous scene]. Still, look at where Robin’s character did his best work: #Outdoors Image
2) This thread is about therapy outdoors as I was recently labelled as an “abuser”. I understand where this comes from my #research about survivors’ experiences in #WildernessTherapy. Good Will Hunting is not about Wilderness Therapy. They aren’t the same thing.
3) In 2020, I co-edited a book with Prof Nevin Harper titled Outdoor Therapies. This book examined #AdventureTherapy, #Nature-Based Therapy, Horticulture, #ForestTherapy, #Surf Therapy, #AnimalAssisted, &, yes, #WildernessTherapy.
Read 17 tweets
Nov 15
The list of concerns I have with this article cannot be contained to one tweet but let's start with a few.
1) WinGate was an accredited program until only this year. It is likely the horrific assault occurred while accredited. Why this was omitted from the article but mentioning the program is currently not unaccredited is worrying.
2) The article mentions that accredited #WildernessTherapy programs achieve 424% better outcomes than "treatment as usual" [aka anything but wilderness]. The problems with this study are endless and no #therapy is 424% more effective than doing absolutely nothing.
Read 4 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us on Twitter!

:(