Clinical supervision in cognitive behavior therapy improves therapists' competence: a single-case experimental pilot study
Clinical supervision in cognitive behavior therapy improves therapists' competence: a single-case experimental pilot study
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DOI：
10.1080/16506073.2020.1737571
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发表时间：
2020-03-27
影响因子：
4.7
通讯作者：
Andersson, Gerhard
中科院分区：
文献类型：
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作者：
Alfonsson, Sven;Lundgren, Tobias;Andersson, Gerhard
临床督导是心理治疗师培训的基石，但很少有关于督导对治疗师能力影响的实证评估。因此，本研究的目的是评估标准化监督对认知行为治疗（CBT）评估者评估能力的影响。在单病例实验多基线设计中，六名接受过 CBT 基础培训的治疗师接受了基于方案的 CBT 临床监督。监督侧重于特定的 CBT 能力，并使用角色扮演等体验式学习方法。每位治疗师在无监督和有监督的阶段记录每周的治疗疗程。第三方评估者使用修订后的认知治疗量表（CTS-R）评估治疗师的 CBT 能力。统计分析表明，治疗师的 CTS-R 分数在监督阶段显着增加，监督重点区域的平均项目增加 M = 0.71（范围 = 0.50-1.0）。这是第一个可以证实监督影响 CBT 能力的实证研究之一。结果还表明，监督可以手动化，并且被监督者对更积极的培训方法有积极的看法。需要进一步的研究来复制结果并找到提高监督影响的方法。
Clinical supervision is a cornerstone in psychotherapists' training but there are few empirical evaluations on the effects of supervision on therapists' competencies. The aim of this study was therefore to evaluate the effects of standardized supervision on rater-assessed competency in Cognitive Behavior Therapy (CBT). Six therapists with basic training in CBT were provided with protocol-based clinical supervision in CBT in a single-case experimental multiple baseline design. The supervision focused on specific CBT competencies and used experiential learning methods such as role-play. Each therapist recorded weekly treatment sessions during phases without and with supervision. The therapists' CBT competence was assessed by third-party raters using the Revised Cognitive Therapy Scale (CTS-R). Statistical analyses showed that the therapists' CTS-R scores increased significantly during the phase with supervision with a mean item increase of M = 0.71 (range = 0.50-1.0) on the supervision focus areas. This is one of the first empirical studies that can confirm that supervision affect CBT competencies. The results also suggest that supervision can be manualized and that supervisees have a positive perception of more active training methods. Further studies are needed to replicate the results and to find ways to improve the impact of supervision.