University Centre for Rural Health, University of Sydney, PO Box 3074, Lismore, NSW 2480, Australia.
J Behav Ther Exp Psychiatry. 2019 Mar;62:133-145. doi: 10.1016/j.jbtep.2018.08.004. Epub 2018 Oct 4.
The key proposition of this invited essay is that personal practice (PP), coupled with self-reflection, is central to the development of the most effective therapists. To date, the discussion about personal practice in therapist training and professional development has largely revolved around the value of personal therapy, subscribed to by some schools of psychotherapy but not by others. However, since the turn of the century a new landscape of personal practices for therapists has emerged. In particular, two forms of personal practice, meditation programs and self-practice/self-reflection (SP/SR) programs, have developed a growing evidence base. Here it is proposed that there is now a strong theoretical and empirical case to accord personal practice an explicit role in therapist training and professional development. The case rests on recent research suggesting that: (1) personal and interpersonal qualities of therapists play a key role in client outcomes; and (2) personal practice is the most effective way to achieve changes in therapists' personal and interpersonal qualities. It is suggested that the research agenda needs to move beyond asking whether or not personal practice is effective towards a more sophisticated set of questions: what personal practice, facilitated by whom, is most effective with which practitioners, in what contexts, at what point in time? To make further progress, trainers and researchers need to be supported to include personal practices in therapist training and to undertake research to evaluate their impacts.
本文的主要观点是,个人实践(PP)与自我反思相结合,是培养最有效治疗师的核心。迄今为止,关于治疗师培训和专业发展中的个人实践的讨论主要围绕着个人治疗的价值展开,一些心理治疗学派认同这一观点,但其他学派则不然。然而,自本世纪初以来,治疗师的个人实践出现了新的局面。特别是,两种形式的个人实践,即冥想项目和自我实践/自我反思(SP/SR)项目,已经有了越来越多的证据支持。本文提出,现在有强有力的理论和经验依据将个人实践明确纳入治疗师培训和专业发展中。这一观点基于最近的研究,这些研究表明:(1)治疗师的个人和人际素质对客户的结果起着关键作用;(2)个人实践是治疗师个人和人际素质发生变化的最有效途径。有人认为,研究议程需要超越询问个人实践是否有效的问题,而是转向更复杂的一系列问题:哪种个人实践,由谁来促进,对哪些从业者最有效,在什么情况下,在什么时间点?为了取得进一步的进展,培训师和研究人员需要得到支持,将个人实践纳入治疗师培训,并开展研究以评估其影响。