315 | Theoretical Integrity in Play Therapy: Why One Model Matters (The Case Against Integrative Play Therapy)

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You're listening to the Play Therapy Podcast with Dr. Brenna Hicks,

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your source for centered and focused play therapy coaching.

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Hi,

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I'm Dr. Brenna Hicks,

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The Kid Counselor.

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This is the Play Therapy Podcast where you get

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a master class in child-centered play therapy

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and practical support and application for your

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work with children and their families.

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In today's episode,

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I'm answering a question from Cassie in North Carolina

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about

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the belief that

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integrative play therapy is the most helpful approach.

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So we'll dive into that momentarily.

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I just wanted to say thank you to you all.

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So many of you recently have been sending emails just sharing with me your journey

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and your revelations,

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your growth,

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your change,

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your healing,

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what CCPT is doing in your life in the children with whom you work.

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And their families,

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and it's just been really encouraging to me for those

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of you that have reached out with emails and just

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shared your stories.

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Thank you for those.

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I love to hear that.

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And one of the things that I was thinking about yesterday,

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I,

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I got one last night

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and I was thinking yesterday,

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what

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gratitude I have for having it reinforced that I'm doing what I'm meant to do.

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And I feel that very much God put me on this path for this reason,

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for this time,

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for this season in our industry,

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and I'm very grateful that you all

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listen and you hang out with me.

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So thank you for the emails and I

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just really appreciate y'all that have reached out and

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been letting me have a sneak peek of what's

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happening in your playrooms and in your lives.

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OK.

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So let me dive into a portion of Cassie's

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email and then we'll talk through this together.

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This is,

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this is an important one.

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So I'm actually,

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thank you,

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Cassie.

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I'm really glad we get to talk through this.

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So the email in part says a large portion of

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my professors who are RPT-S's and RPTs and fellow students

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swear by integrative play therapy and the philosophy that there

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is no one size fits all solution in play therapy.

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I would love to hear your thoughts on this as someone who is a CCPT purist.

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Well,

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Cassie,

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I do have thoughts on this as a CCPT purist,

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so I'm really excited.

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Let's

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start with

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addressing the there is no one size fits all solution.

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I think you could actually make that argument.

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I don't disagree with that notion.

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I don't think there is a one size fits all solution.

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I don't think it's about one size fitting all.

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I think it is about one theory fitting all.

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So,

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if we look at the meta-analytic data

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that has been published

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with decades' worth of research

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and with all kinds of empirical validation,

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All aggregated into one large meta-analytic study,

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we know that it was proven

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that non-directive approaches

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and humanistic approaches are more effective

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than directive non-humanistic approaches.

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So that right there

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leads toward

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we should be humanistic and non-directive because we know it's more effective.

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The entire premise

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of therapy.

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And counseling

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and mental health.

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is that we are ethically obligated

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to use

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theory

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that is

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empirically supported and validated.

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We are not allowed

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ethically,

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legally,

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morally,

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professionally,

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clinically,

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whatever,

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you name it,

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we're not allowed

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to go in and do whatever the heck we want in a session.

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That's not counseling,

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that's not therapy.

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So we know if we look at research

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that the humanistic non-directive models are more effective,

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that in and of itself

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lends itself in the humanistic theoretical model.

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All right,

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so then we look at the humanistic theories.

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And we see

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that CCPT

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has been proven effective

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across the board

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universally.

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If you search CCPT and

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diagnosis

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issue,

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presenting concern.

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Race,

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culture,

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religion,

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SES,

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ACEs,

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you name it,

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CCPT and

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whatever the scenario is.

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You will find that CCPT has been proven effective.

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So I am very much a CCPT purist,

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but I'm not CCPT pure

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because I like it the most,

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although I do.

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I'm not CCPT pure because

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I've seen it work,

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although I have.

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I'm not CCPT pure just because I feel like I should be,

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although I do feel that I should be.

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I am CCPT pure

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because it is the most effective approach.

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I have science backing up

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my choice.

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And it resonates with me.

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I think another factor here is you have to find the model

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that fits you.

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You have to be congruent

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and you have to have a theoretical orientation

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that aligns

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with your personality,

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your beliefs,

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your ability to

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engage therapeutically with a client.

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If you are

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trying to be adherent to a model that doesn't fit you,

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it's only going to cause disruption and frustration

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on all sides.

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So I absolutely believe that

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it is not a one size fits all,

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and I think that there is a lot that goes into the decision

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of what theoretical model to

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Fully buy into.

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I think another

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factor here

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is integrative play therapy

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is dangerous.

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And here's why I say that,

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and I know that it's gonna make a lot of people bristle,

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but

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I have reasoning,

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just hear me out.

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When you start adding lots of things

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into the pot.

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There's no empirical support for it anymore.

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If you do a little bit of EMDR and you do a little bit of CCPT

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and you do a little bit of CBT and you do a little bit of Adlerian,

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and you do a little bit of Jungian,

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and you do a little bit of Gestalt and you

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Are all of those theoretical models proven

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independently and exclusively?

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Meaning you are adherent wholly

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to Adlerian play therapy.

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Has it been proven?

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Yes,

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you are.

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100% adherent

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to.

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Filial,

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has that been proven?

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Yes.

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Has anyone tested

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everything mixed together in one

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theoretical soup?

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No.

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We have no evidence

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that when we start adding things in or taking things away,

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that it works.

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That is dangerous.

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Clinically,

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it's unethical to do something that we

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don't know has empirical support and validation.

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So for me,

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If you choose to be wholly Adlerian,

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you choose to be wholly Jungian,

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you choose to be holy whatever.

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You at least have theoretical support and validation for what you're doing.

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I actually am very supportive of that.

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If CCPT is not the fit for you

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and you feel more called and connected to a different theoretical model,

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if you are 100% adherent to that model,

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you know you're going to have success because it is proven.

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You start adding,

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subtracting,

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multiplying,

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including

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whatever you have no idea

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what you're doing

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B that it's going to work.

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C,

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what the outcomes are,

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and D,

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if

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one thing worked,

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one thing didn't,

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how will you ever know?

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You have no sense of causality at that point.

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And we are no longer operating

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from a theoretically proven model.

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So the eclectic approach,

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the integrative approach,

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while that has become a very popular notion,

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and I understand lots and lots of people

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believe that that is an appropriate way to work with children.

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I caution against it because I don't think there's any support that it is effective.

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So,

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from a CCPT purism standpoint,

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but also from a mental health

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clinical

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purism standpoint.

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We are not allowed to just do whatever we want in session.

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We are no longer operating under guidelines.

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We have to have support and validation for every decision that we make,

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and the only way we stay grounded,

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the only way we know what we are to do,

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the only framework that we possess

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comes from our theory.

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You can't mix 6 theories together

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and think that you're going to have effective treatment.

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Because we've convoluted the whole thing.

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Now we have no idea what's up,

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left,

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right,

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down,

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and,

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and what's going on.

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And just anecdotally,

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I have had so many therapists reach out to me

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and say

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I used to be.

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Eclectic,

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integrative.

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Actually,

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they usually say,

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I know you hate this word

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before they say that they were eclectic.

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I know how much you hate that.

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So I used to be all these things.

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I used to do an activity one week and then I would be child-centered another week,

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and then I would talk to them the next week and then

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parents would sit in on the session the next week and then

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And I was miserable.

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My clients were miserable.

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I saw no gains.

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There was no progress.

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Everyone was frustrated.

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I was constantly stressed.

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I was constantly

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wondering if what I was doing was having any impact whatsoever,

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and the list goes on and on and on

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and then the pivot.

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And when I decided to be wholly CCPT.

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It has changed everything.

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My kids are healing.

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My kids are making change.

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My kids are self-actualizing.

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I feel more confident.

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I feel more stable.

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I feel like I know what's supposed to be happening in sessions.

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Parents are more pleased.

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Parents are seeing change.

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The trickle effect is so quick and so big.

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When we are wholly adherent.

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You cannot be wholly adherent when you have 6 theories all at once.

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So,

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Cassie,

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thank you so much for the question.

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I hope that

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that reminds us,

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those of us that are all in CCPT I hope

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that that reminds us why we're doing what we're doing.

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For those of you that may have lots of

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integrative theories and you do have an eclectic practice,

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take this as a challenge to consider

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whether

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you're satisfied with your outcomes.

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Take this as a time to question whether

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it would be more helpful to be all in.

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It doesn't have to be CCPT,

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but if you're listening to this podcast,

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I have a feeling that you are drawn to CCPT.

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So if that's the case,

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go all in.

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But if you are not to that point where you have gone all in on a theory,

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you should.

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That's what's asked of us.

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When we go to grad school,

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one of the outcomes of our graduate study is that

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we are supposed to leave knowing our theoretical model.

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And if you did not do a theoretical orientation assessment in grad school,

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do one online and figure out what resonates with you.

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Mine was Rogers to the hilt

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and hence I'm CCPT.

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You might be a different

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theorist.

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And go in that direction.

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But you have to pick a lane and you have to adhere and you have to stick to it

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so that we know that we're going to have efficacy and the outcomes that we want.

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I hope that encourages you.

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I hope that

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that challenges you.

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Cassie,

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again,

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thank you for the question.

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If y'all want to reach out to me,

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please do.

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brenna@thekidcounselor.com.

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Love y'all.

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We'll talk again soon.

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Bye.

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Thank you for listening to the Play Therapy Podcast with Dr.

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Brenna Hicks.

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For more episodes and resources,

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please go to www.playtherapypodcast.com.