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An anatomy of CBT training: trainees’ endorsements of elements, sources and modalities of learning during a postgraduate CBT training course

Published online by Cambridge University Press:  18 October 2013

Sarah G. Rakovshik*
Affiliation:
Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK Oxford Cognitive Therapy Centre, Warneford Hospital, Oxford, UK
Freda McManus
Affiliation:
Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK Oxford Cognitive Therapy Centre, Warneford Hospital, Oxford, UK
*
*Author for correspondence: S. G. Rakovshik, Oxford Cognitive Therapy Centre, Warneford Hospital, Oxford OX3 7JX, UK (email: [email protected])

Abstract

This study examines trainees’ evaluations of a postgraduate CBT training course to determine which aspects are perceived as having the greatest effect on competence. A course evaluation was completed by three cohorts (n = 73) of a yearlong master's-level CBT training course, and statistical comparisons were conducted to examine the perceived impact of discrete aspects of training. There were significant differences between endorsements of the impact of various aspects of the learning experience. Overall, supervision was perceived to have a greater influence on trainees’ competence than clinical instruction. Interactions with trainers were given the highest rating, followed by learning from personal reflection and peer interactions. The varied aspects of extensive CBT training were perceived by students to be differentially effective in enhancing CBT skills. Supervision was perceived to have the strongest impact on competence, and trainees’ own reflections on their practice in preparation for supervision perceived as an important contributor to supervision's efficacy. The relatively low rating of peer-related learning suggests acceptability for distance training (e.g. internet-based), which excludes peer interaction found in traditional training. Due to limitations inherent in study design, only tentative conclusions can be offered. Further research involving more rigorous hypothesis testing is recommended.

Type
Education and supervision
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2013 

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References

Baldwin, TT, Ford, JK (1988). Transfer of training – a review and directions for future research. Personnel Psychology 41, 63105.Google Scholar
Beck, AT (1986). Cognitive therapy: a sign of retrogression or progress. Behavior Therapist 9, 23.Google Scholar
Becker, K, Stirman, S (2011). The science of training in evidence-based treatments in the context of implementation programs: current status and prospects for the future. Administration and Policy in Mental Health and Mental Health Services Research 38, 217222.CrossRefGoogle ScholarPubMed
Beidas, RS, Kendall, PC (2010). Training therapists in evidence-based practice: a critical review of studies from a systems-contextual perspective. Clinical Psychology: Science and Practice 17, 130.Google ScholarPubMed
Beidas, RS, Koerner, K, Weingardt, KR, Kendall, PC (2011). Training research: practical recommendations for maximum impact. Administration and Policy in Mental Health and Mental Health Services Research 38, 223237.Google Scholar
Bennett-Levy, J, Lee, NK (2012). Self-practice and self-reflection in cognitive behaviour therapy training: what factors influence trainees’ engagement and experience of benefit? Behavioural and Cognitive Psychotherapy. Published online 2 November 2012. doi:10.1017/S1352465812000781.Google Scholar
Bennett-Levy, J, McManus, F, Westling, BE, Fennell, M (2009). Acquiring and refining CBT skills and competencies: which training methods are perceived to be most effective? Behavioural and Cognitive Psychotherapy 37, 571583.CrossRefGoogle ScholarPubMed
Blume, BD, Ford, JK, Baldwin, TT, Huang, JL (2009). Transfer of training: a meta-analytic review. Journal of Management 36, 10651105.Google Scholar
Chevron, ES, Rounsaville, BJ (1983). Evaluating the clinical skills of psychotherapists: a comparison of techniques. Archives of General Psychiatry 40, 11291132.CrossRefGoogle ScholarPubMed
Fairburn, CG, Cooper, Z (2011). Therapist competence, therapy quality, and therapist training. Behaviour Research and Therapy 35, 373378.Google Scholar
Herschell, AD, Kolko, DJ, Baumann, BL, Davis, AC (2010). The role of therapist training in the implementation of psychosocial treatments: a review and critique with recommendations. Clinical Psychology Review 30, 448466.Google Scholar
Howell, DC (2013). Statistical Methods for Psychology, 8th edn. Belmont, CA: Cengage Wadsworth.Google Scholar
Kuyken, W, Tsivrikos, D (2009). Therapist competence, comorbidity and cognitive-behavioral therapy for depression. Psychotherapy and Psychosomatics 78, 4248.Google Scholar
Longmore, RJ, Worrell, M (2007). Do we need to challenge thoughts in cognitive behavior therapy? Clinical Psychology Review 27, 173187.CrossRefGoogle ScholarPubMed
Mannix, KA, Blackburn, IM, Garland, A, Gracie, J, Moorey, S, Reid, B, J, Scott (2006). Effectiveness of brief training in cognitive behaviour therapy techniques for palliative care practitioners. Palliative Medicine 20, 579584.Google Scholar
McManus, F, Peerbhoy, D, Larkin, M, Clark, DM (2010 a). Learning to change a way of being: an interpretative phenomenological perspective on cognitive therapy for social phobia. Journal of Anxiety Disorders 24, 581589.Google Scholar
McManus, F, Westbrook, D, Vazquez-Montes, M, Fennell, M, Kennerley, H (2010 b). An evaluation of the effectiveness of diploma-level training in cognitive behaviour therapy. Behaviour Research and Therapy 48, 11231132.Google Scholar
Milne, D, Aylott, H, Fitzpatrick, H, Ellis, MV (2008). How does clinical supervision work? Using a ‘best evidence synthesis’ approach to construct a basic model of supervision. Clinical Supervisor 27, 170190.Google Scholar
Muse, K, McManus, F (2013). A systematic review of methods for assessing competence in cognitive–behavioural therapy. Clinical Psychology Review 33, 484499.Google Scholar
NICE (2004 a). Depression: management of depression in primary and secondary care (Clinical guideline 23). London: National Institute for Clinical Excellence.Google Scholar
NICE (2004 b). Anxiety: management of anxiety (panic disorder, with or without agoraphobia, and generalised anxiety disorder) in adults in primary, secondary and community care (Clinical guideline 22). London: National Institute for Clinical Excellence.Google Scholar
NICE (2005). Post-traumatic stress disorder (PTSD): the management of PTSD in adults and children in primary and secondary care (Clinical guideline 26). London: National Institute for Clinical Excellence.Google Scholar
Rakovshik, SG, McManus, F (2010). Establishing evidence-based training in cognitive behavioral therapy: a review of current empirical findings and theoretical guidance. Clinical Psychology Review 30, 496516.CrossRefGoogle ScholarPubMed
Shafran, R, Clark, DM, Fairburn, CG, Arntz, A, Barlow, DH, Ehlers, A, Wilson, GT (2009). Mind the gap: improving the dissemination of CBT. Behaviour Research and Therapy 47, 902909.Google Scholar
Sharpless, BA, Barber, JP (2009). A conceptual and empirical review of the meaning, measurement, development, and teaching of intervention competence in clinical psychology. Clinical Psychology Review 29, 4756.Google Scholar
Shaw, BF, Dobson, KS (1988). Competency judgments in the training and evaluation of psychotherapists. Journal of Consulting and Clinical Psychology 56, 666672.Google Scholar
Shaw, BF, Elkin, I, Yamaguchi, J, Olmsted, M, Vallis, TM, Dobson, KS, Imber, SD (1999). Therapist competence ratings in relation to clinical outcome in cognitive therapy of depression. Journal of Consulting and Clinical Psychology 67, 837846.Google Scholar
Sholomskas, DE, Syracuse-Siewert, G, Rounsaville, BJ, Ball, SA, Nuro, KF, Carroll, KM (2005). We don't train in vain: a dissemination trial of three strategies of training clinicians in cognitive-behavioral therapy. Journal of Consulting and Clinical Psychology 73, 106115.Google Scholar
Waller, G (2009). Evidence-based treatment and therapist drift. Behaviour Research and Therapy 47, 119127.Google Scholar
Westbrook, D, Sedgwick-Taylor, A, Bennett-Levy, J, Butler, G, McManus, F (2008). A pilot evaluation of a brief CBT training course: impact on trainees’ satisfaction, clinical skills and patient outcomes. Behavioural and Cognitive Psychotherapy 36, 569579.CrossRefGoogle Scholar
Young, J, Beck, A (1980). Cognitive therapy scale rating manual (unpublished manuscript). University of Pennsylvania, Philadelphia, PA.Google Scholar
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