To see if this is true, the researchers analysed data from 255 mental health clients treated at 16 outpatient clinics in Norway by 70 different psychotherapists (including 46 psychologists, 14 psychiatrists and 8 physiotherapists specialising in a form of "psychodynamic body treatment"). The clients are described as having a wide range of clinical symptoms and disorders, the most frequent diagnoses being anxiety disorder and depression, and over half the sample met the diagnostic criteria for a personality disorder. The majority of the therapists followed a psychodynamic approach, just over 29 per cent were humanistic therapists and over 28 per cent used cognitive techniques.
The therapists filled out questionnaires about their professional doubts and confidence (for example, they said whether they ever worried that they were doing more harm than good); answered questions about their coping strategies; and also about how much compassion they showed themselves (for example, they said whether they cherished themselves, or whether they are their own worst enemy; how much they self-protect or self-blame). The clients meanwhile completed measures of their interpersonal problems and their symptom distress before and after treatment, and periodically for two years after treatment ended (the results are based on comparing pre-treatment scores with the average of the distress and symptom scores that were recorded at all the post-treatment time points).
Consistent with past research, therapists who were self-doubting appeared to be more effective at their job - their clients showed greater reductions in interpersonal distress. But furthermore, and as the researchers predicted, there was an interaction between therapists' self-doubt and self-compassion. That is, the most successful client outcomes were seen for therapists who expressed a combination of professional self-doubt and greater personal self-compassion. This combination "seems to pave the way for an open, self-reflective stance that allows psychotherapists to respect the complexity of their work, and, when needed, to correct the therapeutic course in order to help clients more effectively with their challenges," the researchers said.
Source:
Nissen-Lie, H., Rønnestad, M., Høglend, P., Havik, O., Solbakken, O., Stiles, T., & Monsen, J. (2015). Love Yourself as a Person, Doubt Yourself as a Therapist? Clinical Psychology & Psychotherapy DOI: 10.1002/cpp.1977
I've argued for years (and I'm a retired therapist) that self-doubt is essential for a therapist. Anyone who has looked at the various schools and theories of psychology and psychotherapy has to have a healthy dose of self doubt if they have a conscience. The problem with most therapists, in my opinion, is that they follow the idealogical bent of their existing ego preferences; "I subscribe to this school of therapy because I find it appealing or because this is what I was taught." I like to joke that a self confident therapist is a contradiction in terms...