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Trainee therapist personality and the rating of cognitive behavioural and dynamic interpersonal therapy processes
Clinical Psychology & Psychotherapy ( IF 3.2 ) Pub Date : 2022-02-24 , DOI: 10.1002/cpp.2730
Andrew J Lewis 1 , Vance Locke 2 , Brody Heritage 3 , Sarah Seddon 4
Affiliation  

Therapist factors are generally thought to be important predictors of the capacity to understand and respond to clinical material. The current study aims to identify which features of personality and clinical symptomatology predict a trainee therapist's rating of cognitive behavioural (CB) and psychodynamic interpersonal (PI) processes in video recordings of these therapies. Eighty psychology trainees completed the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) and watched two video recordings of therapy sessions showing prototypical examples of CB and PI psychotherapy, rating the processes they could identify using the Comparative Psychotherapy Process Scale (CPPS). Trainees accurately differentiated CB from PI process while viewing the CB session but rated the CB video higher in PI processes than the PI video itself. Bayesian regression models showed that the most consistent MMPI-2-RF scale that predicted variance in ratings was hypomanic activation (RC9) predicting higher ratings of all psychotherapy processes in both conditions, while clinical scale factors such as Aggressiveness-Revised (AGGR-r) and personality scale factors of Psychoticism-Revised (PSYC-r) and Negative Emotionality/Neuroticism-Revised (NEGE-r) showed some notable but less consistent predictions. The variances in psychotherapy process ratings accounted for by MMPI-2-RF scales ranged from 15% to 51%. The study suggests that some clinical symptoms and personality factors do influence the rating of psychotherapy processes by psychology trainees, but further studies would be required to substantiate such findings. These findings have relevance to therapist training and selection for clinical training and therapist mental health.

中文翻译:

实习治疗师的个性和认知行为和动态人际治疗过程的评级

治疗师因素通常被认为是理解和响应临床材料的能力的重要预测因素。目前的研究旨在确定人格和临床症状学的哪些特征可以预测实习治疗师在这些疗法的视频记录中对认知行为 (CB) 和心理动力学人际 (PI) 过程的评分。80 名心理学学员完成了明尼苏达州多相人格量表 2 重组表 (MMPI-2-RF),并观看了两段治疗会议的录像,展示了 CB 和 PI 心理治疗的典型例子,对他们可以使用比较心理治疗过程量表识别的过程进行评分(CPPS)。受训者在观看 CB 会话时准确区分了 CB 和 PI 流程,但在 PI 流程中对 CB 视频的评价高于 PI 视频本身。贝叶斯回归模型显示,预测评级差异的最一致的 MMPI-2-RF 量表是轻躁狂激活 (RC9),预测两种情况下所有心理治疗过程的评级较高,而临床量表因素,如攻击性修正 (AGGR-r)精神病修订版(PSYC-r)和消极情绪/神经质修订版(NEGE-r)的人格量表因子显示出一些值得注意但不太一致的预测。MMPI-2-RF 量表所解释的心理治疗过程评分的差异范围为 15% 至 51%。该研究表明,一些临床症状和人格因素确实会影响心理学学员对心理治疗过程的评价,但需要进一步的研究来证实这些发现。这些发现与临床培训和治疗师心理健康的治疗师培训和选择有关。
更新日期:2022-02-24
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