Gori Alessio, Topino Eleonora, Cacioppo Marco, Schimmenti Adriano, Caretti Vincenzo
Department of Health Sciences, University of Florence, Via di San Salvi 12, Pad. 26, 50135 Florence, Italy.
Integrated Psychodynamic Psychotherapy Institute (IPPI), Via Ricasoli 32, 50122 Florence, Italy.
Eur J Investig Health Psychol Educ. 2023 Nov 2;13(11):2478-2497. doi: 10.3390/ejihpe13110173.
Therapist expertise is a complex, multifaceted, and continually evolving concept. Defining this construct and its constituent components can yield a substantial contribution to the field of psychotherapy, consequently enhancing the comprehension of the fundamental factors that underlie its effectiveness. Within this framework, the present research aimed at developing and assessing the psychometric properties of the Psychotherapy Expertise Questionnaire (PEQ), a self-report measure to assess therapist expertise. A sample of 260 psychotherapists of various theoretical orientations were involved in this research. They completed a survey that included the PEQ as well as other self-reported measures aimed at evaluating personality traits, self-efficacy, self-esteem, and insight orientation. The analysis provided evidence of a good fit for both a correlational model with eight factors and a higher-order model, where the eight subdimensions were grouped into subjective (performance; cognitive functioning; personal and relational qualities of the therapist; therapist self-assessment) and objective (experience; reputation with clients and colleagues; training and professional updating; deontological ethics and setting rules) factors. The eight dimensions, two higher-order factors, and total score all showed excellent levels of internal consistency. Furthermore, significant associations were found between PEQ scores and insight orientation, general self-efficacy, self-esteem, personality traits, and time exercising clinical practice. To conclude, the Psychotherapy Expertise Questionnaire (PEQ) is a valuable, theoretically guided, and psychometrically robust self-report measure designed to assess therapist expertise and its constitutive dimensions. This measure can have practical applications in guiding tailored training and customised supervision.
治疗师专业技能是一个复杂、多面且不断发展的概念。定义这一概念及其构成要素能够对心理治疗领域做出重大贡献，从而增进对其有效性背后基本因素的理解。在此框架内，本研究旨在开发并评估心理治疗专业技能问卷（PEQ）的心理测量特性，这是一种用于评估治疗师专业技能的自我报告量表。260名不同理论取向的心理治疗师参与了本研究。他们完成了一项调查，其中包括PEQ以及其他旨在评估人格特质、自我效能感、自尊和洞察取向的自我报告量表。分析结果表明，八因素相关模型和高阶模型都具有良好的拟合度，其中八个子维度被归为主观因素（表现；认知功能；治疗师的个人及人际关系特质；治疗师自我评估）和客观因素（经验；在客户和同事中的声誉；培训与专业更新；职业道德与规则设定）。八个维度、两个高阶因素以及总分均显示出极高的内部一致性水平。此外，还发现PEQ得分与洞察取向、一般自我效能感、自尊、人格特质以及临床实践时长之间存在显著关联。总之，心理治疗专业技能问卷（PEQ）是一种有价值的、基于理论指导且心理测量稳健的自我报告量表，旨在评估治疗师专业技能及其构成维度。该量表在指导个性化培训和定制化督导方面具有实际应用价值。
