Beyond the Label: Relationship Between Community Therapists' Self-Report of a Cognitive Behavioral Therapy Orientation and Observed Skills
Beyond the Label: Relationship Between Community Therapists' Self-Report of a Cognitive Behavioral Therapy Orientation and Observed Skills
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DOI：
10.1007/s10488-014-0618-5
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发表时间：
2016-01-01
影响因子：
2.6
通讯作者：
Beck, Aaron T.
中科院分区：
文献类型：
--
作者：
Creed, Torrey A.;Wolk, Courtney Benjamin;Beck, Aaron T.
政策制定者、支付者和消费者经常根据治疗师报告的理论方向做出决定，但很少有人知道这些标签是代表实际的还是潜在的技能。在接受CBT培训之前，治疗师（n = 321）报告了理论取向。专家们在训练前、训练中和训练后使用认知疗法评定量表评定CBT能力。CBT和非CBT识别的治疗师表现出等同的，不称职的基线CBT技能。CBT识别的治疗师在中期培训时表现出更高的CBT技能，但在培训结束时，各组表现出同等的能力。基线CBT取向既不是有效的，也不是后来的能力有用的标志。政策，临床和研究的影响进行了讨论。
Policy-makers, payers, and consumers often make decisions based on therapists' reported theoretical orientations, but little is known about whether these labels represent actual or potential skills. Prior to CBT training, therapists (n = 321) reported theoretical orientations. Experts rated CBT competency using the Cognitive Therapy Rating Scale Therapy at pre-, mid-, and post-training. CBT- and non-CBT identified therapists showed equivalent, non-competent baseline CBT skills. CBT-identified therapists showed greater CBT skills at mid-training, but by end of training, groups evidenced equivalent achieved competency. Baseline CBT orientations were neither valid, nor useful markers of later competency. Policy, clinical and research implications are discussed.