Iatros the Healer Iatros the Healer (c. 450 (c. 450 BC) BC) First do no harm (Hippocrates, 460-399 BC)
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Iatros the Healer Iatros the Healer (c. 450 (c. 450 BC)BC)
First do no harm (Hippocrates, 460-399 BC)
The concept of iatrogenesis The concept of iatrogenesis (unintended practitioner-(unintended practitioner-
caused harm)caused harm)Addressed in medicine &
education
Prevalence of iatrogenesis Prevalence of iatrogenesis in psychotherapyin psychotherapy
Macro, meso & micro level impact
1 million clients 68% completed, 4.5% moved off benefits
3/550 (.01%) accurately predicted
negative outcome
Highly trained practitioners are over-represented in complaints
The ‘above average effect’
0/129 therapists perceived their
practice as below average
50% in top 10%!!
Research question: Is psychotherapy training informing
practice?
Internationally
UK
Research question:Is psychotherapy training informing practice??
A qualitative study of iatrogenesis
Personal philosophy & practice?
Where a therapist’s personal philosophy & practice do not
fitwell together, could
this engender unintentional harm?
What is your personal
philosophy?
IAPTIAPT above average effect
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