Acquiring and Refining CBT Skills and Competencies: Which Training Methods are Perceived to be Most Effective?
Acquiring and Refining CBT Skills and Competencies: Which Training Methods are Perceived to be Most Effective?
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DOI：
10.1017/s1352465809990270
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发表时间：
2009-10-01
影响因子：
1.8
通讯作者：
Fennell, Melanie
中科院分区：
文献类型：
--
作者：
Bennett-Levy, James;McManus, Freda;Fennell, Melanie
背景：CBT培训和监督的理论和实证基础已经开始出现。最近，CBT治疗师能力的地图越来越复杂，有证据表明，CBT培训和监督可以提高CBT技能。然而，证据基础表明，哪些具体的训练技术是最有效的CBT能力的发展是缺乏的。目的：本文解决了这样一个问题：经验丰富的治疗师认为什么样的培训或监督方法对训练CBT能力最有效？方法：120名经验丰富的CBT治疗师评估他们经验中哪些培训或监督方法在提高不同类型的治疗相关知识或技能方面最有效。结果：与主要预测一致，发现不同的训练方法被认为是不同的效果。例如，阅读、讲座/演讲和建模被认为对获得陈述性知识最有用，而主动学习策略（角色扮演、自我体验工作）以及建模和反思实践被认为对提高程序技能最有效。自我体验工作和反思练习被认为对提高反思能力和人际交往能力特别有帮助。结论：本研究为思考治疗师技能的获取和完善提供了一个框架，可以帮助培训师、主管和临床医生以最有效的培训策略来确定他们的学习目标。
Background: A theoretical and empirical base for CBT training and supervision has started to emerge. Increasingly sophisticated maps of CBT therapist competencies have recently been developed, and there is evidence that CBT training and supervision can produce enhancement of CBT skills. However, the evidence base suggesting which specific training techniques are most effective for the development of CBT competencies is lacking. Aims: This paper addresses the question: What training or supervision methods are perceived by experienced therapists to be most effective for training CBT competencies? Method: 120 experienced CBT therapists rated which training or supervision methods in their experience had been most effective in enhancing different types of therapy-relevant knowledge or skills. Results: In line with the main prediction, it was found that different training methods were perceived to be differentially effective. For instance, reading, lectures/talks and modelling were perceived to be most useful for the acquisition of declarative knowledge, while enactive learning strategies (role-play, self-experiential work), together with modelling and reflective practice, were perceived to be most effective in enhancing procedural skills. Self-experiential work and reflective practice were seen as particularly helpful in improving reflective capability and interpersonal skills. Conclusions: The study provides a framework for thinking about the acquisition and refinement of therapist skills that may help trainers, supervisors and clinicians target their learning objectives with the most effective training strategies.