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The impact of a deliberate practice workshop on therapist demand and support behavior with community volunteers and simulators.
Psychotherapy ( IF 3.218 ) Pub Date : 2020-09-10 , DOI: 10.1037/pst0000333
Serena Shukla , Alyssa A. Di Bartolomeo , Henny A. Westra , David A. Olson , Nazanin Shekarak Ghashghaei

The present study used a newly developed simplified coding system, the Therapist Demand and Support Code, to examine specific therapist behaviors in the context of a previously conducted training trial on Deliberate Practice (DP). The parent trial randomized trainees to a DP workshop or its Traditional, more didactic counterpart (Westra et al., 2020). In both groups, trainees were taught to use Support, rather than Demand, for managing ambivalence and resistance, with the DP group having more feedback and practice. In this study, 68 trainees interviewed both an ambivalent community volunteer and an ambivalent simulator 4 month post workshop. The DP group was found to exhibit significantly fewer Demand behaviors than the Traditional group, with the latter also being significantly quicker to use Demand in the interviews. Moreover, the simulator evoked significantly greater Demand from therapists, regardless of the Training group, suggesting the simulators were more resistant. Although therapist use of Support was equal for community volunteers across training groups, Traditional workshop trainees decreased Support when interviewing the more resistant simulators, whereas DP trainees increased their Support with this same group. This is consistent with findings that DP trainees were more appropriately responsive, making fewer Demands following interviewee counterchange talk and using more Support at these times. These results provide some initial validation of the simplified therapist behavior coding system and offer further evidence for the benefits of DP workshop training for managing resistance. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译:

精心策划的实践研讨会对社区志愿者和模拟器的治疗师需求和支持行为的影响。

本研究使用了新开发的简化编码系统,治疗师需求和支持代码,以在先前进行的关于故意实践(DP)的训练试验的背景下检查特定的治疗师行为。亲本试验将受训者随机分配到DP讲习班或其传统的,更具说教性的对口单位(Westra等人,2020年)。在这两个小组中,都培训了受训者使用支持而不是需求来管理矛盾和抵制,而DP组则有更多的反馈和练习。在这项研究中,有68名受训人员在研讨会结束后4个月采访了矛盾的社区志愿者和矛盾的模拟器。发现DP组的需求行为比传统组要少得多,传统组在采访中使用需求的速度也要快得多。此外,无论培训小组如何,模拟器都会引起治疗师的极大需求,这表明模拟器更具抵抗力。尽管治疗师在各个培训小组中对社区志愿者的支持使用是平等的,但是传统讲习班学员在采访更具抵抗力的模拟器时减少了支持,而DP学员则在同一小组中增加了他们的支持。这与DP受训人员的反应更加适当,在受访者进行抗辩谈话后减少需求量以及在这些时间使用更多支持的发现相一致。这些结果为简化的治疗师行为编码系统提供了一些初步的验证,并为DP车间培训管理抵抗力的好处提供了进一步的证据。(PsycInfo数据库记录(c)2020 APA,保留所有权利)。
更新日期:2020-09-10
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