Linden Michael, Langhoff C, Rotter M
Psychosomatic Rehabilitation at the Charité, University Medicine Berlin and the Department of Behavioral and Psychosomatic Medicine, Rehabilitation Center Seehof Teltow/Berlin, D 14513 Teltow/Berlin, Germany.
Psychiatr Danub. 2007 Dec;19(4):308-16.
Quality assurance is an important issue in psychotherapy research and practice, which is methodologically still in development. Apart from unstructured supervision, reliable assessment instruments are needed.
A theoretical concept is outlined that allows to define the main techniques which constitute behavior therapy. An assessment instrument is introduced, which allows to measure whether a therapist applies these standards in therapy and to evaluate their quality.
The development of the "Behavior Therapy-Competence-Checklist (BTCC)" is described. 182 tape-recorded therapy sessions of 14 behavioral therapists who were working full time in routine care were evaluated.
The most often used behavior therapy techniques were preparation of homework assignments (71.4%) and modification of cognitions (41.6%). Most rare were macro-behavioral-analysis (19.5%) and problem solving (19.5%). The mean-total score of the BTCC was 3.4 on a scale that ranges from 1 (bad) to 7 (very good). The lowest scores were found for "problem solving" (2.7). The highest scores were found for "establishment of a therapeutic relationship" (5.2).
Therapeutic competency can be operationalized and measured with the BTCC. The quality of behavior therapists under conditions of routine is moderate. They show the tendency to prefer certain therapeutic options and do not use the full spectrum of therapeutic options. Such findings point to areas in need of training.
质量保证是心理治疗研究与实践中的一个重要问题，在方法学上仍在发展中。除了无结构的督导外，还需要可靠的评估工具。
概述一个理论概念，该概念能够定义构成行为疗法的主要技术。介绍一种评估工具，该工具能够衡量治疗师在治疗中是否应用了这些标准并评估其质量。
描述了“行为疗法能力检查表（BTCC）”的开发过程。对14名全职从事常规护理工作的行为治疗师的182次录音治疗会话进行了评估。
最常使用的行为治疗技术是布置家庭作业（71.4%）和认知调整（41.6%）。最不常用的是宏观行为分析（19.5%）和问题解决（19.5%）。BTCC的平均总分在1（差）至7（非常好）的量表上为3.4。“问题解决”得分最低（2.7）。“建立治疗关系”得分最高（5.2）。
治疗能力可以通过BTCC进行操作化和测量。常规条件下行为治疗师的质量中等。他们表现出倾向于偏好某些治疗选择，而没有使用所有的治疗选择。这些发现指出了需要培训的领域。
