Pohl U, Richter H, Bohus M
Universitätsklinik für Psychiatrie und Psychosomatik, Abteilung für Psychiatrie und Psychotherapie, Freiburg.
Psychother Psychosom Med Psychol. 2000 Jan;50(1):22-8. doi: 10.1055/s-2000-13234.
The assessment of therapists' behaviour an essential part of psychotherapy research, especially for controlling the validity of studies. In the last decade, particularly in English-speaking countries, research has been developed that studied two constructs important in this context: adherence and competence. Adherence refers to the extent to which therapists use the strategies recommended in a therapy manual; competence refers to the quality of the use of these strategies. This article is a review of research associated with adherence and competence scales and its relevance. First of all, definitions and examples of use are presented and discussed. Secondly, some of the most important scales that have been developed in this context are described. Thirdly, aspects of realisation are presented. Finally, the pros and cons of this type of research are discussed. It is argued that despite some problems adherence and competence scales are a significant contribution to the systematic assessment of therapist behaviour.
对治疗师行为的评估是心理治疗研究的重要组成部分,尤其是对于控制研究的效度而言。在过去十年中,特别是在英语国家,已经开展了相关研究,探讨了在此背景下两个重要的构念:依从性和胜任力。依从性是指治疗师使用治疗手册中推荐策略的程度;胜任力是指这些策略的使用质量。本文是对与依从性和胜任力量表相关的研究及其相关性的综述。首先,给出并讨论了使用的定义和示例。其次,描述了在此背景下开发的一些最重要的量表。第三,介绍了实施方面的情况。最后,讨论了这类研究的优缺点。有人认为,尽管存在一些问题,但依从性和胜任力量表对治疗师行为的系统评估做出了重大贡献。