Chapter 3
Self-Assessment of Our Competence as Therapists
Elizabeth S. Sburlati,
James Bennett-Levy,
Elizabeth S. Sburlati
Search for more papers by this authorJames Bennett-Levy
Search for more papers by this authorElizabeth S. Sburlati,
James Bennett-Levy,
Elizabeth S. Sburlati
Search for more papers by this authorJames Bennett-Levy
Search for more papers by this authorBook Editor(s):Elizabeth S. Sburlati,
Heidi J. Lyneham,
Carolyn A. Schniering,
Ronald M. Rapee,
Elizabeth S. Sburlati
Search for more papers by this authorHeidi J. Lyneham
Search for more papers by this authorCarolyn A. Schniering
Search for more papers by this authorRonald M. Rapee
Search for more papers by this authorSummary
This chapter discusses the importance of therapist self-assessment of competence and subsequent professional development when treating child and adolescent anxiety and depressive disorders. We review a number of methods for improving self-assessment; address specific issues in self-assessment when working with anxiety and depressive disorders, and with children and adolescents; indicate some common obstacles to self-assessment, and suggest professional development strategies for overcoming these. By improving therapist self-assessment and ensuring therapists receive appropriate professional development, we anticipate that children and adolescents seeking assistance for anxiety and depressive disorders may receive a better standard of care.
References
- Abbass, Allan, Stephen Arthey, Jason Elliott, Tim Fedak, Dion Nowoweiski, Jasmina Markovski, and Sarah Nowoweiski. 2011. “Web-Conference Supervision for Advanced Psychotherapy Training: A Practical Guide.” Psychotherapy, 48: 109–18. DOI: 10.1037/a0022427
- Angold, Adrian, E. Jane Costello, and Alaattin Erkanli. 1999. “Comorbidity.” Journal of Child Psychology and Psychiatry, 40: 57–87. DOI: 10.1111/1469-7610.00424
- Beidas, Rinad S., Julie M. Edmunds, Steven C. Marcus, and Philip C. Kendall. 2012. “Training and Consultation to Promote Implementation of an Empirically Supported Treatment: A Randomized Trial.” Psychiatric Services, 63: 660–5. DOI: 10.1176/appi.ps.201100401
- Belar, Cynthia D., Robert A. Brown, Lee E. Hersch, Lynne M. Hornyak, Ronald H. Rozensky, Edward P. Sheridan, … and Geoffrey W. Reed. 2001. “Self-Assessment in Clinical Health Psychology: A Model for Ethical Expansion of Practice.” Professional Psychology: Research and Practice, 32: 135–41. DOI: 10.1037/0735-7028.32.2.135
- Bennett-Levy, James, and Alexis Beedie. 2007. “The Ups and Downs of Cognitive Therapy Training: What Happens to Trainees’ Perception of Their Competence during a Cognitive Therapy Training Course?” Behavioural and Cognitive Psychotherapy, 35: 61–75. DOI: 10.1017/S1352465806003110
- Bennett-Levy, James, Russell Hawkins, Helen Perry, Paul Cromarty, and Jeremy Mills. 2012. “Online Cognitive Behavioural Therapy Training for Therapists: Outcomes, Acceptability, and Impact of Support.” Australian Psychologist, 47: 174–82. DOI: 10.1111/j.1742-9544.2012.00089.x
- Bennett-Levy, James, and Christine Padesky. 2014. “Use It or Lose It: Post-workshop Reflection Enhances Learning and Utilization of CBT Skills.” Cognitive and Behavioral Practice, 21, 12–19. DOI: 10.1016/j.cbpra.2013.05.001.
- Bennett-Levy, James, and Richard Thwaites. 2007. “ Self and Self-Reflection in the Therapeutic Relationship: A Conceptual Map and Practical Strategies for the Training, Supervision and Self-Supervision of Interpersonal Skills.” In Paul Gilbert and Robert L. Leahy (Eds.), The therapeutic relationship in the cognitive behavioral psychotherapies (pp. 255–82). New York: Routledge.
- Bennett-Levy, James, Richard Thwaites, Anna Chaddock, and Melanie Davis. 2009. “ Reflective Practice in Cognitive Behavioural Therapy: The Engine of Lifelong Learning.” In Jacqui Stedmon and Rudi Dallos (Eds.), Reflective practice in psychotherapy and counselling (pp. 115–35). Maidenhead, England: Open University Press.
- Blackburn, Ivy-Marie, Ian A. James, Derek L. Milne, and F. Katharina Reichelt. 2001. Cognitive Therapy Scale – Revised (CTS-R). Unpublished manuscript. Newcastle upon Tyne, England.
- Blackburn, Ivy-Marie, Ian A. James, Derek L. Milne, Chris Baker, Sally Standart, Anne Garland, and F. Katharina Reichelt. 2001. “The Revised Cognitive Therapy Scale (CTS-R): Psychometric Properties.” Behavioural and Cognitive Psychotherapy, 29: 431–46. DOI: 10.1017/S1352465801004040
- Brosan, Lee, Shirley Reynolds, and Richard G Moore. 2008. “Self-Evaluation of Cognitive Therapy Performance: Do Therapists Know How Competent They Are?” Behavioural and Cognitive Psychotherapy, 36: 581–7. DOI: 10.1017/S1352465808004438
-
Brown, Ellie, Naomi Moller, and Christine Ramsey-Wade. 2013. “Recording Therapy Sessions: What Do Clients and Therapists Really Think?” Counselling and Psychotherapy Research: Linking Research with Practice, 13: 254–62. DOI: 10.1080/14733145.2013.768286
10.1080/14733145.2013.768286 Google Scholar
- Caverzagie, Kelly J., Judy A. Shea, and Jennifer R. Kogan. 2008. “Resident Identification of Learning Objectives after Performing Self-Assessment Based upon the ACGME Core Competencies .” Journal of General Internal Medicine, 23: 1024–7. DOI: 10.1007/s11606-008-0571-7
- K. Anders Ericsson (Ed.). 2009. Development of Professional Expertise: Toward Measurement of Expert Performance and Design of Optimal Learning Environments. Cambridge: Cambridge University Press.
- James, Anthony C., Georgina James, Felicity A. Cowdrey, Angela Soler, and Aislinn Choke. 2013. “Cognitive Behavioural Therapy for Anxiety Disorders in Children and Adolescents.” Cochrane Database of Systematic Reviews, 6: 1–104. DOI: 10.1002/14651858.CD004690.pub3
- Kaslow, Nadine J., Catherine L. Grus, Linda F. Campbell, Nadya A. Fouad, Robert L. Hatcher, and Emil R. Rodolfa. 2009. “Competency Assessment Toolkit for Professional Psychology.” Training and Education in Professional Psychology, 3: S27–S45. DOI: 10.1037/a0015833
- Kaslow, Nadine J., Nancy J. Rubin, Linda Forrest, Nancy S. Elman, Barbara A. Van Horne, Sue C. Jacobs, … Beverly E. Thorn. 2007. “Recognizing, Assessing, and Intervening with Problems of Professional Competence .” Professional Psychology: Research and Practice, 38: 479–92. DOI: 10.1037/0735-7028.38.5.479
-
Kingery, Julie N., Tami L. Roblek, Cynthia Suveg, Rachel L. Grover, Joel T. Sherrill, and R. Lindsay Bergman. 2006. “They're Not Just “Little Adults”: Developmental Considerations for Implementing Cognitive–Behavioral Therapy with Anxious Youth.” Journal of Cognitive Psychotherapy: An International Quarterly, 20: 263–73. DOI: 10.1891/jcop.20.3.263
10.1891/jcop.20.3.263 Google Scholar
- Kobak, Kenneth A., Michelle G. Craske, Raphael D. Rose, and Kate Wolitsky-Taylor. 2013. “Web-Based Therapist Training on Cognitive Behavior Therapy for Anxiety Disorders: A Pilot Study.” Psychotherapy, 50: 235–47. DOI: 10.1037/a0030568
-
Lambert, Michael J. 2010. Prevention of Treatment Failure: The use of Measuring, Monitoring, and Feedback in Clinical Practice. Washington, DC: American Psychological Association. DOI: 10.1037/12141-000
10.1037/12141-000 Google Scholar
- March, John S., Susan Silva, Stephen Petrycki, John Curry, Karen Wells, John Fairbank, … Joanne Severe. 2007. “The Treatment for Adolescents with Depression Study (TADS): Long-Term Effectiveness and Safety Outcomes.” Archives of General Psychiatry, 64: 1132–43. DOI: 10.1001/archpsyc.64.10.1132
- McManus, Freda, Sarah Rakovshik, Helen Kennerley, Melanie Fennell, and David Westbrook. 2012. “An Investigation of the Accuracy of Therapists’ Self-Assessment of Cognitive-Behaviour Therapy Skills.” British Journal of Clinical Psychology, 51: 292–306. DOI: 10.1111/j.2044-8260.2011.02028.x
- Newnham, Elizabeth A., and Andrew C. Page. 2010. “Bridging the Gap between Best Evidence and Best Practice in Mental Health.” Clinical Psychology Review, 30: 127–42. DOI: 10.1016/j.cpr.2009.10.004
- Niemi, Päivi M., and Juhani Tiuraniemi. 2010. “Cognitive Therapy Trainees’ Self-Reflections on Their Professional Learning.” Behavioural and Cognitive Psychotherapy, 38: 255–74. DOI: 10.1017/S1352465809990609
-
Ollendick, Thomas H., and Laura D. Hovey. 2010. “ Anxiety Disorders.” In Jay C. Thomas and Michel Hersen (Eds.), Handbook of Clinical Psychology Competencies
(pp. 1219–44). New York: Springer.
10.1007/978-0-387-09757-2_44 Google Scholar
- Rakovshik, Sarah G., and Freda McManus. 2010. “Establishing Evidence-Based Training in Cognitive Behavioral Therapy: A Review of Current Empirical Findings and Theoretical Guidance.” Clinical Psychology Review, 30: 496–516. DOI: 10.1016/j.cpr.2010.03.004
- Riva, Maria T., and Jennifer A. Erickson Cornish. 2008. “Group Supervision Practices at Psychology Predoctoral Internship Programs: 15 Years Later.” Training and Education in Professional Psychology, 2: 18–25. DOI: 10.1037/1931-3918.2.1.18.
- Roth, Anthony D., and Stephen Pilling. 2008. “Using an Evidence-Based Methodology to Identify the Competences Required to Deliver Effective Cognitive and Behavioural Therapy for Depression and Anxiety Disorders.” Behavioural and Cognitive Psychotherapy, 36: 129–47. DOI: 10.1017/S1352465808004141
- Sauter, Floor M., David Heyne, and P. Michiel Westenberg. 2009. “Cognitive Behavior Therapy for Anxious Adolescents: Developmental Influences on Treatment Design and Delivery.” Clinical Child and Family Psychology Review, 12: 310–35. DOI: 10.1007/s10567-009-0058-z
- Sburlati, Elizabeth S., Carolyn A. Schniering, Heidi J. Lyneham, and Ronald M. Rapee. 2011. “A Model of Therapist Competencies for the Empirically Supported Cognitive Behavioral Treatment of Child and Adolescent Anxiety and Depressive Disorders.” Clinical Child and Family Psychology Review, 14: 89–109. DOI: 10.1007/s10567-011-0083-6
- Shepherd, Laura, Paul M. Salkovskis, and Martin Morris. 2009. “Recording Therapy Sessions: An Evaluation of Patient and Therapist Reported Behaviours, Attitudes and Preferences.” Behavoural and Cognitive Psychotherapy, 37: 141–50. DOI: 10.1017/S1352465809005190
- Vallis, T. Michael, Brian F. Shaw, and Keith S. Dobson. 1986. “The Cognitive Therapy Scale: Psychometric Properties.” Journal of Consulting and Clinical Psychology, 54: 381–5. DOI: 10.1037/0022-006X.54.3.381
- Walfish, Steven, Brian McAlister, Paul O'Donnell, and Michael J. Lambert. 2012. “An Investigation of Self-Assessment Bias in Mental Health Providers.” Psychological Reports, 110: 639–44. DOI: 10.2466/02.07.17.PR0.110.2.639-644
- Weingardt, Kenneth R., Steven W. Villafranca, and Cindy Levin. 2006. “Technology-Based Training in Cognitive Behavioral Therapy for Substance Abuse Counselors.” Substance Abuse, 27: 19–25. DOI: 10.1300/J465v27n03_04
- Young, Jeffrey, and Aaron T. Beck. 1980. Cognitive Therapy Scale: Rating Manual. Unpublished Manuscript. University of Pennsylvania, Philadelphia, PA.
