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The application of therapeutic theory to routine psychotherapy practice is a complex area, and needs to be done by a competent and well-trained practitioner. The case study is recognised as a valid method to illustrate the processes of therapy and how theoretical knowledge can be applied to practice scenarios to bring about change. This simulated case study illustrates the application of therapeutic variables based on evidence based relationships and responsiveness. A therapist and client-simulated case illustrate these applications, and an accompanying narrative elucidates the role these play in the therapeutic encounter. Finally, the chapter describes how some of the issues identified in the case study as practitioner deficiencies can be used to inform a deliberate practice (DP) training regime supported by supervision and the use of data. In doing so, this chapter builds on the previous chapters in this book and provides a picture of how the twenty-first century practitioner and supervisor can use data to better inform their individual, and collective work, with the ultimate aim of improving expertise in order to increase client outcomes.

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