Have you ever dealt with a colleague that believes in extremely (in my opinion) outdated or even just false claims and treats them as scientific facts? I work with several older men but one of them practices "provocative therapy" as in you just play the devil's advocate with your patient and side with the negative half of their thinking. In theory I could see this working situationally, but as a whole philosophy regardless of the patient's issue I think it's ridiculous.

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I feel a lot of therapy models are outdated. People have envolved or evolving and therapy models need to change as well. I’m unorthodox in my treatment and it works. I do agree with you provocative theory should not be happening in todays society. Playing devils advocate in todays thinking can be dangerous siding with one’s negative thoughts.

I think it's sort of the nature of the beast. Older practitioners become set in their ways and tend to stick to whatever practices they've become accustomed to. That said, I mean, if patients keep coming in, they must be doing something right. As long as they're not harming anyone, I don't see the big deal. Just agree to disagree.

I agree with everyone above. I think we have all dealt with someone like that. I sure hope that we aren't that way when we get to that point in our careers.

I really don't support provocative therapy in any of its form. It doesn't work on everyone plus you really have to know what you're doing and closely monitor your clients. Provocative therapy just brings people closer to the edge.

What is provocative therapy? Are there any research articles published in any respected journal describing provocative therapy?

If there is no theoretical basis for what your colleague is doing and no research on anything by that, they are inventing something based upon their own feelings and it just is not therapy.

Therapy techniques should be based upon what the research and science tells us tempered by experience.

Do you need to confront this colleague or are they someone who is just annoying and unskilled? Are you in any sort of supervisory role with them? Are you able to ignore their incompetence or do you feel a need to confront them?

If you want to confront them, simply ask, What is the theoretical basis for what you do? And can you please point me to some published articles describing it?

Then see how they respond.

And yes, people like that are of serious concern.

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