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Originally Posted by Echos Myron
It's hard to believe that the US would be so lax in their training across the board. There are differences in quality across universities in the UK (I happen to be at a very good one) but to skirt over attachment theory in general in the US sounds really odd.
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It's not odd at all given the fact that the whole healthcare system here is a multi-billion for-profit industry that strives for short-terms solutions, quick "fixes" and immediate profits. In this system, deep understanding of the problem doesn't pay off monetarily. Medical insurances only pay for limited number of sessions and so the whole system is incentivized to focus on managing the symptoms rather than to deal with root causes. Many clients are constrained with their financial resources and, understandably, aren't necessarily excited about doing deep work that requires a lot of time and money. They often just can't afford this type of work. And many therapists spend much more time filling out insurance papers than actually doing the work they are meant to do.
As far as I know, the big chunk of UK healthcare is still under NHS which allows practirioners to actually practice instead of spending most of their time building marketing and administrative skills. Here, nationalized medical care has never even been in political proposals until Bernie Sanders came out with this "radical" idea this election cycle.
Quote:
Originally Posted by Echos Myron
I thought the American system was more stringent than the UK (we don't have licensing here).
Thanks for clarifying on other points.
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It's stringent in terms of formalities that have nothing to do with how good you are as a practitioner. It is true that you have to go through years of internship (during which you are NOT PAID) and take and pass a couple of exams in order to get licensed but information you are required to memorize has virtually ZERO information about attachment theory and all trauma-related material and 90% of information about which DSM label you should give in which case and how you should act in different situations in order not to get sued. So, all that stringent "training" is aimed at making you good at filling out documentation and avoiding legal troubles. There is so many BS forms therapists have to fill out here when they work for agencies that there is no time for learning how to do the work they are supposed to do. Which makes the whole system a sheer fraud.
People like myself, who really want to deepen their knowledge and sharpen their skills have to do a lot of self-education and self-training here. And enormous amount of personal work that consists of much MORE that just talk therapy. There is no other way to do it if one truly wants to be a real deal.