The degree to which clinical experience is a significant factor in predicting positive psychotherapeutic outcomes is an open question. Empirical studies comparing experienced and beginning practitioners on differences in client outcomes have yielded mixed results. While multiple sources have indicated that trainees are generally effective therapists, few of these studies have examined the effectiveness of graduate-level therapists in a psychodynamic training program. In this study, conducted in the United States, we use a practice-based research approach to examine the outcomes of clients working with trainees at a community mental health clinic in the northeast United States. The theoretical orientation identified by the clinic and training program is psychodynamic with an interpersonal and/or relational emphasis. Results indicated that clients working with trainees at this clinic demonstrated improvement across several indicators of symptoms and psychosocial functioning over the time they received treatment. Implications for training and service reimbursement are discussed.

中文翻译：

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心理动力培训诊所学员的心理治疗有效性：一项基于实践的研究

临床经验是预测积极的心理治疗结果的重要因素的程度是一个悬而未决的问题。比较有经验的和初学者对客户结果差异的实证研究得出了不同的结果。尽管有多种来源表明受训人员通常是有效的治疗师，但这些研究中很少有研究人员在心理动力培训计划中检验了研究生级治疗师的有效性。在美国进行的这项研究中，我们使用基于实践的研究方法来检查与美国东北部社区心理健康诊所的受训者一起工作的服务对象的结果。临床和培训计划确定的理论取向是心理动力学的，具有人际关系和/或关系方面的强调。结果表明，在该诊所与受训人员一起工作的客户在接受治疗期间，在症状和社会心理功能的几个指标上均表现出改善。讨论了培训和服务报销的含义。