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... "However, competent practice also requires moving beyond and adjusting our work so that its fits into mainstream, evidence based, healthcare."
If Freud, Skinner, Horney, Beck, Rogers, Yalom, Hayes, Linnehan, etc. had "adjusted their work so that it fits into mainstream, evidence-based healthcare" then we would not be where we are today. That said, I do agree that we need to move beyond Frued and that an individual's theoretical orientation should be based on science... Is there room, in your opinion, for it to also be based on the therapist's worldview and culture? There is a lot of outcome research that demonstrates an orientation's congruence with their worldview is an effective "common factor" of effective therapy.
1.) They didn't have to get pre-auths prior to service.
2.) For psychotherapy, no. For life-coaching, yes.