Whenever I get into conversations about the licensing process, a number of the same questions keep coming up. Many of these questions revolve around the value of having a license exam. It’s perhaps the most pesky, the-answer-should-be-obvious-but-isn’t question: Do licensure examinations make for better therapists?
Supreme Court refuses reparative therapy case, allowing California ban to take effect
Other states are now more likely to follow suit.
The Supreme Court declined on Monday to hear arguments in the court cases challenging California’s ban on reparative therapy for minors. The decision will allow the ban to take effect, and likely will make it easier for other states considering similar bans to enact them.
How to win an argument with a reparative therapy supporter
Their arguments can be quickly and summarily dismantled.
Update: James Guay interviewed me on this piece, as part of his ongoing video series. Watch the video here, and see the original article below.
Non-groundbreaking study: People who work on an unhappy relationship sometimes succeed
Just as you would with any “One simple trick” ad, you should be skeptical of a headline like this:
New Study Reveals Secret To Saving Your Marriage After Infidelity
Uh, yeah, no. HuffPo summarizes a recent UCLA/University of Washington study on couples who experienced infidelity. The study found:
Over the course of the study, 19 of the couples experienced infidelity by one or both partners. Of those couples who cheated, 74 percent revealed their infidelity before or during the study, while 26 percent kept it secret (it was later discovered by researchers).
That distinction became very important in determining which relationships survived. At the end of five years, 43 percent of couples who had revealed the infidelity were divorced compared to 80 percent of the couples whose infidelity was kept secret.
Leaving aside the time-shifting abilities couples apparently displayed here (if I’m reading that right, apparently some couples revealed before the study an instance of infidelity that happened during the study), those numbers are almost surely wrong. More than 19 couples probably experienced infidelity over that time, and however far the actual number is over 19, those couples didn’t tell the researchers about it ever.
Let’s presume that some couples experienced infidelity and the researchers never knew, either during or after the study. That’s not a stretch; many couples don’t report their infidelity, for a variety of reasons. Of these couples, of course some broke up and others stayed together. What would that do to results? Potentially quite a lot. The report says that 80% of couples who kept their infidelity secret for a little while broke up. That sounds like a more formal way of saying four out of five, because it is literally four out of literally five. Such a small sample should immediately raise your skepticism. If even just three other couples in the study experienced infidelity, didn’t tell the researchers about it, and stayed together, the divorce rate for secret-keeping couples would drop to 50% — a rate that (statistically speaking) isn’t meaningfully different from the 43% divorce rate among couples in the study who revealed their affairs. Even leaving aside the issues here about how much research participants can be trusted to self-report cheating, this is also an example (common in couples research) of mistaken assumptions about causation. The researchers here are suggesting that, quite often, acknowledged secret-keeping about infidelity led a marriage to break up. But it is just as plausible that the opposite is true: The breakup caused the secret to come out to the researchers. Neither partner would have as much reason to keep infidelity a secret once their relationship had ended. Now, I can certainly tell you from my own clinical experience that for many couples who come to therapy, the full disclosure of infidelity is vital to keeping their marriage together. But I can also tell you that there are couples who experience infidelity, don’t reveal it to their partners, don’t go to therapy, and still stay together. Is one route better than the other (or at least likelier to lead to a lasting and happier marriage after cheating)? Perhaps. But this study, with its small sample sizes and its unjustified conclusions, doesn’t get us anywhere closer to knowing. All it actually tells us is what we already knew: That sometimes, couples who choose to work on their relationship after revealing an affair are indeed successful in keeping their marriage together.Salaries in mental health are improving
If you’re considering a career in mental health, there’s some good news on the economic front. After stagnation associated with the larger economy’s downturn, salaries in mental health professions appear to be back on the rise.

Source data: Bureau of Labor Statistics Note that the y-axis there starts at $40k, so it’s a little misleading as to proportionality but shows year-over-year changes more clearly. The news seems to be especially good for MFTs in California (I’m one of them, so I’m incredibly biased on this): From 2012 to 2013, the mean annual wage for MFTs here went from $47,230 to $54,470. That’s an increase of more than 15% in just a year. As I said, some pesky cautionary notes: First, the BLS data assumes full-time work, calculating the average annual wage by multiplying the mean hourly wage by 2,080. There are benefits and drawbacks to that approach; it keeps the mean from being dragged down by part-time workers, but also arguably overestimates what the average worker actually makes, since many do work part-time. Second, there is significant state-by-state variability in the numbers. Even if the national means are improving, it can be worth checking to see what the trend is within your state. Third, especially in states with smaller populations of mental health professionals, it isn’t unusual to see big gains or drops in a year simply due to small sample sizes. Data for larger states is more reliable. Finally, the BLS data isn’t perfectly broken down by license; the data shown here uses the BLS categories of Mental Health Counselors (21-1014); Clinical, Counseling, and School Psychologists (19-3031); Marriage and Family Therapists (21-1013); and Mental Health and Substance Abuse Social Workers (21-1023). These are the categories most focused on mental health services and thus the closest parallels to licensure. There should be a new data set for 2014 out within a couple of months; I’ll update this post once that data is available. # # # Your comments here are welcome. You can post them in the comments below, by email to ben[at]bencaldwell[dot]com, or on my Twitter feed.