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一项增强型认知行为治疗监督的 N = 1 评估。

An N = 1 evaluation of enhanced CBT supervision.

机构信息

Newcastle University, UK.

出版信息

Behav Cogn Psychother. 2013 Mar;41(2):210-20. doi: 10.1017/S1352465812000434. Epub 2012 May 28.

DOI:10.1017/S1352465812000434
PMID:22632440
Abstract

BACKGROUND

Clinical supervision plays an essential role in the development of mental health professionals and is increasingly viewed as a discrete professional specialization. However, research has rarely addressed core issues such as the measurement and manipulation of clinical supervision, so there are very few direct comparisons between the different supervision methods.

AIMS

To operationalize two related approaches, cognitive-behavioural (CBT) and evidence-based clinical supervision (EBCS), demonstrate their fidelity, and then evaluate their relative effectiveness in facilitating the experiential learning of one supervisee.

METHOD

Within a multiple-baseline, N = 1 design, we rated audiotapes of supervision on a competence rating scale.

RESULTS

Findings generally favoured the EBCS approach, which was associated with higher fidelity by the supervisor and increased engagement in experiential learning by the supervisee.

CONCLUSIONS

This preliminary but novel evaluation indicated that CBT supervision could be enhanced. Implications follow for supervisor training and a more rigorous N = 1 evaluation.

摘要

背景

临床监督在心理健康专业人员的发展中起着至关重要的作用,并且越来越被视为一种独特的专业专长。然而,研究很少涉及临床监督的测量和操作等核心问题,因此不同监督方法之间几乎没有直接比较。

目的

操作两种相关方法,认知行为(CBT)和循证临床监督(EBCS),证明其保真度,然后评估它们在促进一名监督者的经验学习方面的相对有效性。

方法

在多项基线、N=1 的设计中,我们使用能力评分量表对监督的录音带进行评分。

结果

研究结果普遍倾向于 EBCS 方法,该方法与监督者的更高保真度和监督者更积极参与经验学习相关。

结论

虽然这是初步但新颖的评估,但表明 CBT 监督可以得到加强。这对主管培训和更严格的 N=1 评估产生了影响。

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引用本文的文献

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Empirical research in clinical supervision: a systematic review and suggestions for future studies.临床督导中的实证研究:系统评价及对未来研究的建议。
BMC Psychol. 2019 Aug 22;7(1):54. doi: 10.1186/s40359-019-0327-7.
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A Descriptive Analysis of the Interactions During Clinical Supervision.临床督导期间互动情况的描述性分析
Front Psychol. 2019 Mar 27;10:669. doi: 10.3389/fpsyg.2019.00669. eCollection 2019.
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Proposing a Mechanistic Model of Clinician Training and Consultation.提出临床医生培训与会诊的机制模型。
Clin Psychol (New York). 2018 Sep;25(3). doi: 10.1111/cpsp.12260. Epub 2018 Jul 29.