Researchers postulate that a lack of training in exposure therapy may underlie the poor dissemination that has been observed. The current study sought to provide support for the progressive cascading model (PCM), which was developed to train novice therapists in exposure-based techniques. The PCM is promising considering its scalability and financial feasibility. Forty-two trainee therapists completed a rotation at a university clinic specializing in obsessive–compulsive disorder where they were trained within the PCM. After training, therapists delivered exposure therapy in a more intense manner with fewer cautious delivery behaviors (e.g., allowing anxiety reduction strategies) and distress reduction behaviors (e.g., reassuring safety). Therapists also had fewer negative beliefs about exposure therapy and reported lower disgust sensitivity post-training. The PCM appears to be a potentially effective training model for teaching exposure-based techniques and warrants additional research. Such a model is timely considering the poor dissemination of exposure therapy and the movement toward competency-based education in graduate school.

中文翻译：

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渐进式级联模型改善了学习强迫症暴露疗法的实习治疗师的暴露交付。

研究人员推测，暴露疗法缺乏培训可能是所观察到的传播不良的原因。当前的研究试图为渐进级联模型 (PCM) 提供支持，该模型旨在培训新手治疗师使用基于暴露的技术。考虑到其可扩展性和财务可行性，PCM 很有前景。四十二名实习治疗师在专门研究强迫症的大学诊所完成了轮换，他们在 PCM 内接受了培训。培训后，治疗师以更强烈的方式实施暴露疗法，减少谨慎的实施行为（例如，允许采取减轻焦虑的策略）和减轻痛苦的行为（例如，确保安全）。治疗师对暴露疗法的负面看法也较少，并报告了训练后的厌恶敏感性较低。PCM 似乎是一种潜在有效的训练模型，用于教授基于暴露的技术，值得进一步研究。考虑到暴露疗法的传播不力以及研究生院向以能力为基础的教育运动，这样的模型是及时的。