Will Dobud PhD Profile picture
Nov 16 17 tweets 10 min read
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.
4) The wilderness therapy chapter explored a specific Scandinavian practice where new clients are asked if they want normal therapy services OR the outdoor stuff. They get to choose. They prepare for the expedition for many weeks and can leave at any time.
5) I observed this very program for my doctoral research. Of the group of about 10 adolescents, two went home. They chose to and no matter how remote we were, they were home in their beds, with their family, that evening. In this program, “no actually means no”.
6) How wilderness therapy is delivered by many (not all) programs in the US is problematic. No person should call themselves a survivor and #nature should not be used as a prison. The rules enforced are harmful, paternalistic, and totalistic and counterproductive to good therapy.
7) These practices don’t happen everywhere. Sure, Australia has funded boot camps, but my independent program – delivered by #socialworkers cannot practice the way many have in the United States. Every client chooses to participate, or not.
8) We may go #surfing for an afternoon, or #canoe during the #school day. If they want to come on expedition, it’s only two weeks. They know when it ends and can leave at any time. We don’t tell them how to dress, who to talk to, when to sleep, when to eat, etc.
9) All outdoor therapy is not #WildernessTherapy. All #psychotherapy is a cultural endeavour. My great friend Tanya delivers amazing wilderness therapy with young adults in the Himalayas. That’s quite different than Utah. tanyaginwala.com
10) Here is an organization inviting #youngpeople living with #disabilities surfing. This is sort of an adaptive #adventure therapy. surfabilityukcic.org
11) And another bringing #youth affected by #cancer on serious #adventures in Canada. tipoftoes.com
12) Check out #AdventureTherapy #Latvia too. They recently ran a program for folks in an aged care facility. They had an 89 year old on a stand up paddle board. adventuretherapylatvia.lv/en/home/
13) #OutdoorTherapy has problems. Our evidence-base is not what it should be, and a team of international researchers are working on that. We encourage all outdoor practitioners to join us in a client-focused, progressive research program. willdobud.com/ATOM
14) When many people hear #Outdoors and #Therapy in the same sentence, they think of #BratCamp and the worst version of this practice. This is why I have worked with many folks to raise awareness about the problem, which many outdoor therapy providers might not prefer.
15) The article in The Guardian has serious problems. They're arguing that one program is bad because it's #TTI while calling another the 'gold standard' despite it also being part of this horrible #TroubledTeenIndustry. Those are apples and apples.
16) The issue is many people are working outdoors doing safe, effective, ethical, humane, and dignified practices that clients freely engage in. We're working on addressing the rest so no person has to 'survive' therapy or the outdoors.
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More from @WillDobud

Nov 15
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…
Read 9 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

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