My care manager, my computer therapy and me: The relationship triangle in computerized cognitive behavioural therapy

AbstractAccurately evaluating how competently one is performing can be a precursor to seeking training and supervision, therefore contributing to safe, effective practice. Little is known about what predicts accurate self-evaluation. Prior research findings are inconsistent, with overestimation of self-rated competence in some studies and underestimation in others. We aimed to explore the relationship between therapists' reflective ability and the level of agreement between self-rated competence and competence rated by an experienced CBT assessor. Thirteen trainees undertaking a postgraduate CBT diploma submitted a series of recordings accompanied by self-ratings using the Cognitive Therapy Scale – Revised (CTS-R) and related written reflective analyses. Independent assessors marked the written analyses using a standardized marking scheme and rated the therapy sessions using the CTS-R. Trainees tended to overestimate or underestimate their competence in comparison to the independent assessors. The level of agreement between the assessors' ratings and self-evaluation of competence tended to improve during training, while reflective ability did not. Reflective ability was significantly related to level of agreement between self-rated and assessor-rated competence. Trainees do not consistently demonstrate the bias for overestimating their competence previously found in qualified therapists. During training, the tendency of an individual to over- or underestimate their competence may not remain stable, but tends to become more consistent with ratings undertaken by an experienced CBT assessor. Trainees who were rated as more reflective, tended to agree more closely with independent assessors on evaluation of competence. Therefore, enhancing reflective ability may help therapists to more accurately self-evaluate their competence.

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Understanding the relationship between patient language and outcomes in internet-enabled cognitive behavioural therapy: A deep learning approach to automatic coding of session transcripts

Psychotherapy Research ◽

10.1080/10503307.2020.1788740 ◽

2020 ◽

pp. 1-13 ◽

Cited By ~ 1

Author(s):

M. P. Ewbank ◽

R. Cummins ◽

V. Tablan ◽

A. Catarino ◽

S. Buchholz ◽

...

Keyword(s):

Deep Learning ◽

Cognitive Behavioural Therapy ◽

Behavioural Therapy ◽

Learning Approach ◽

Cognitive Behavioural ◽

Automatic Coding ◽

The Relationship

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Clinician and practice characteristics influencing delivery and outcomes of the early part of outpatient cognitive behavioural therapy for anorexia nervosa

The Cognitive Behaviour Therapist ◽

10.1017/s1754470x14000105 ◽

2014 ◽

Vol 7 ◽

Cited By ~ 4

Author(s):

Amy Brown ◽

Victoria Mountford ◽

Glenn Waller

Keyword(s):

Anorexia Nervosa ◽

Weight Gain ◽

Therapeutic Alliance ◽

Cognitive Behavioural Therapy ◽

Behavioural Therapy ◽

Effective Implementation ◽

Practice Characteristics ◽

Cognitive Behavioural ◽

The Relationship

AbstractCognitive-behavioural therapy (CBT) can be effective for anorexia nervosa. However, there is evidence that the delivery of treatments for the eating disorders is inconsistent. This study examined evidence that clinician characteristics and practice can influence the effective implementation of CBT. The participants were 100 qualified clinicians who routinely offered outpatient CBT to adults with anorexia nervosa. They completed a survey of their demographic characteristics, level of anxiety, clinical practice in CBT for anorexia nervosa, and beliefs about the relationship between weight gain and therapeutic alliance in the early part of such treatment. Greater reported levels of weight gain were associated with the use of manuals, early focus on weight gain as a target, structured eating, and a belief that weight gain precedes a good working alliance. Clinician anxiety and early focus on the therapeutic alliance rather than structured eating were associated with poorer outcomes. These conclusions need to be tested within clinical and research settings. However, they suggest that clinicians should be encouraged to use manual-based approaches when treating anorexia nervosa using CBT, as focusing on techniques might result in the best possible outcome in this early part of treatment.

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Evidence-based practice in cognitive–behavioural therapy

Archives of Disease in Childhood ◽

10.1136/archdischild-2020-321249 ◽

2021 ◽

pp. archdischild-2020-321249

Author(s):

Paul Stallard

Keyword(s):

Cognitive Behavioural Therapy ◽

Emotional Distress ◽

Strong Evidence ◽

Chronic Conditions ◽

Behavioural Therapy ◽

Evidence Based ◽

Cognitive Behavioural ◽

Cognitive Patterns ◽

Distorted Cognitions ◽

The Relationship

Cognitive–behavioural therapy (CBT) is a practical, goal-focused approach that helps children understand the relationship between their thoughts, feelings and behaviours. The aim is to identify the dysfunctional and distorted cognitions associated with their psychological problems and to create more functional and balanced cognitive patterns that create less emotional distress and more helpful behaviours. CBT has strong evidence as an effective intervention for children and adolescents with emotional problems. The benefits for children with physical health and chronic conditions appear promising, although further research is required to substantiate these gains.

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