top of page

The Clinical Effectiveness Institute

Join the ongoing inquiry into clinical effectiveness

The Clinical Effectiveness Institute is developing a rigorous account of what effective psychotherapy requires from clinicians.  CEI examines the capacities that organize clinical work: assessment, formulation, clinical judgment, regulation, therapeutic alliance, therapist participation, and the evaluation of psychological change.

Follow CEI’s work to receive:

  • New essays and publications

  • Free seminar announcements

  • Registration for CEI trainings and intensives

  • New developments in the Clinical Discernment Framework

  • Invitations to public conversations and professional events

  • Updates on CEI’s research and institutional work

What CEI is investigating

CEI’s work is organized around foundational clinical questions:

  • What is the psychological process beneath the content of the session?

  • How does a therapist develop and revise a working formulation?

  • How does regulation shape what becomes possible in psychotherapy?

  • What creates a genuine therapeutic alliance?

  • What responsibilities belong to the therapist?

  • What distinguishes support, relief, insight, progress, and psychological reorganization?

  • How do we evaluate whether psychotherapy is helping?

These questions belong across theoretical orientations. CEI brings clinicians together around the quality of the thinking that organizes their work.

Essays and clinical writing

CEI publishes essays about the clinical situations therapists regularly encounter and rarely receive enough help understanding.  The essays examine what happens when rapport conceals stagnation, attunement replaces clinical judgment, interventions precede understanding, or the therapist’s own responses become part of the clinical material.

Each publication offers clinicians a way to think more clearly about what is happening and what the work requires.

Seminars and professional education

CEI offers free seminars and advanced professional education for psychotherapists, supervisors, educators, and clinical leaders.

Current and developing programs include:

  • Assessing Regulation in Real Time

  • The Clinical Discernment Framework

  • Building an Explicit Therapeutic Alliance: Beyond Rapport Toward Real Clinical Agreement

  • Beyond Modality: Developing Clinical Judgment

  • From Content to Process: Learning to Read the Clinical Material

  • Assessment, Formulation, Intervention: Restoring the Clinical Sequence

  • Clinical Leadership in Psychotherapy

  • What Counts as Psychological Change?

  • Supervision Beyond Intervention: Teaching Clinicians How to Think

Stay connected...

Subscribe to receive CEI essays, seminar invitations, new program announcements, and updates on the institute’s developing work.

CEI approaches its work as an evolving professional inquiry. Subscribers gain a direct view into the ideas, frameworks, and educational programs taking shape—and an invitation to think alongside the institute as the work develops.

© 2026 Sarah Shore Consulting, LLC, doing business as the Clinical Effectiveness Institute. All rights reserved.

CEI materials are provided for professional education and general informational purposes. They do not constitute psychotherapy, supervision, consultation, legal advice, or individualized clinical guidance. Clinicians remain responsible for exercising independent professional judgment and complying with applicable laws, regulations, ethical standards, and licensing requirements.

  • Facebook
  • Instagram
  • YouTube
bottom of page