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测试一个用于培养对阻力标记适当反应能力的刻意练习工作坊。

Testing a deliberate practice workshop for developing appropriate responsivity to resistance markers.

机构信息

Department of Psychology, York University.

Department of Psychological and Brain Sciences, University of Massachusetts Amherst.

出版信息

Psychotherapy (Chic). 2021 Jun;58(2):175-185. doi: 10.1037/pst0000311. Epub 2020 Jul 16.

Abstract

Deliberate practice (DP) is an emerging training method for improving individual performance that may be worth adapting and testing for applicability to groups, given the prevalence of group training for continuing education. This study compared an adapted DP workshop to the same traditional, non-DP workshop for managing ambivalence and resistance. The same presenter delivered the workshops to 88 randomly assigned community psychotherapists. The DP workshop involved repeated interaction with multiple recreations of resistance, with consistent group feedback especially on ideal expert performance. The control workshop was more didactic, with fewer opportunities for practice and feedback. We assessed video vignette performance and coded 20-min interviews with ambivalent interviewees from the community. Both workshops produced equivalent trainee satisfaction and significant increases in self-reported skills. However, the DP versus control group demonstrated better observer-rated skill on all performance measures postworkshop. Although skills declined to 4-month retest in both groups, the DP trainees retained their relative advantage over traditional workshop trainees. Moreover, at the 4-month follow-up, DP versus control trainees were rated as more empathic by community interviewees and self-reported practicing the skills at higher rates. These findings support the continued investigation of DP as a means for improving therapist skill in continuing education workshops. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

摘要

刻意练习(DP)是一种新兴的提高个人表现的训练方法,鉴于群体培训在继续教育中普遍存在,考虑到将其应用于群体的适用性,可能值得进行调整和测试。本研究将经过调整的 DP 研讨会与管理矛盾和抵触情绪的相同传统、非 DP 研讨会进行了比较。相同的演讲者向 88 名随机分配的社区心理治疗师提供了研讨会。DP 研讨会涉及与多次抵抗的反复互动,有一致的小组反馈,尤其是在理想的专家表现方面。控制研讨会更具说教性,练习和反馈的机会较少。我们评估了视频短片的表现,并对来自社区的有抵触情绪的受访者进行了 20 分钟的访谈并进行了编码。两个研讨会都提高了学员的满意度,并显著提高了自我报告的技能。然而,在研讨会结束后,DP 组与对照组在所有表现评估上的技能都有更好的观察者评分。尽管在两个组中,技能都在 4 个月的复测中下降,但 DP 学员相对于传统研讨会学员仍然保持了相对优势。此外,在 4 个月的随访中,DP 组与对照组的学员在同理心方面的评价更高,自我报告的技能实践率也更高。这些发现支持进一步研究 DP 作为一种提高治疗师在继续教育研讨会中技能的方法。(PsycInfo 数据库记录(c)2021 APA,保留所有权利)。

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