Flückiger Podcasts
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Osame är tillbaka och vi pratar vidare utifrån de, kanske något dystra, forskningsfynden som vi går igenom i avsnitt 11. I detta avsnittet fokuserar vi på terapeutens bidrag till terapins effektivitet och vad som kännetecknar riktigt effektiva terapeuter.
Referenser
Anderson, T., McClintock, A. S., Himawan, L., Song, X., & Patterson, C. L. (2016). A Prospective Study of Therapist Facilitative Interpersonal Skills as a Predictor of Treatment Outcome. Journal of Consulting and Clinical Psychology, 84(1), 57–66. https://doi.org/10.1037/ccp0000060
Anderson, T., Ogles, B. M., Patterson, C. L., Lambert, M. J., & Vermeersch, D. A. (2009). Therapist effects: Facilitative interpersonal skills as a predictor of therapist success. Journal of Clinical Psychology, 65(7), 755–768. https://doi.org/10.1002/jclp.20583
Delgadillo, J., Saxon, D., & Barkham, M. (2018). Associations between therapists’ occupational burnout and their patients’ depression and anxiety treatment outcomes. Depression and Anxiety, 35(9), 844–850. https://doi.org/10.1002/da.22766
Fried, E. I., & Nesse, R. M. (2015). Depression is not a consistent syndrome: An investigation of unique symptom patterns in the STAR*D study. Journal of Affective Disorders, 172, 96–102. https://doi.org/10.1016/j.jad.2014.10.010
Goldberg, S. B., Babins-Wagner, R., Rousmaniere, T., Berzins, S., Hoyt, W. T., Whipple, J. L., Miller, S. D., & Wampold, B. E. (2016). Creating a climate for therapist improvement: A case study of an agency focused on outcomes and deliberate practice. Psychotherapy, 53(3), 367–375. https://doi.org/10.1037/pst0000060
Goldberg, S. B., Hoyt, W. T., Nissen-Lie, H. A., Nielsen, S. L., & Wampold, B. E. (2018). Unpacking the therapist effect: Impact of treatment length differs for high- and low-performing therapists. Psychotherapy Research, 28(4), 532–544. https://doi.org/10.1080/10503307.2016.1216625
Goldberg, S. B., Rousmaniere, T., Miller, S. D., Whipple, J., Nielsen, S. L., Hoyt, W. T., & Wampold, B. E. (2016). Do psychotherapists improve with time and experience? A longitudinal analysis of outcomes in a clinical setting. Journal of Counseling Psychology, 63(1), 1–11. https://doi.org/10.1037/cou0000131
Heinonen, E., & Nissen-Lie, H. A. (2020). The professional and personal characteristics of effective psychotherapists: a systematic review. Psychotherapy Research, 30(4), 417–432. https://doi.org/10.1080/10503307.2019.1620366
Johns, R. G., Barkham, M., Kellett, S., & Saxon, D. (2019). A systematic review of therapist effects: A critical narrative update and refinement to review. Clinical Psychology Review, 67, 78–93. https://doi.org/10.1016/j.cpr.2018.08.004
Kobak, K. A., Wolitzky-Taylor, K., Craske, M. G., & Rose, R. D. (2017). Therapist Training on Cognitive Behavior Therapy for Anxiety Disorders Using Internet-Based Technologies. Cognitive Therapy and Research, 41(2), 252–265. https://doi.org/10.1007/s10608-016-9819-4
Lutz, W., Schwartz, B., & Delgadillo, J. (2022). Measurement-Based and Data-Informed Psychological Therapy. Annual Review of Clinical Psychology, 18(1). https://doi.org/10.1146/annurev-clinpsy-071720-014821
Magnusson, K., Andersson, G., & Carlbring, P. (2018). The consequences of ignoring therapist effects in trials with longitudinal data: A simulation study. Journal of Consulting and Clinical Psychology, 86(9), 711–725. https://doi.org/10.1037/ccp0000333
Moe, F. D., & Thimm, J. (2021). Personal therapy and the personal therapist. Nordic Psychology, 73(1), 3–28. https://doi.org/10.1080/19012276.2020.1762713
Nordahl, H. M., Borkovec, T. D., Hagen, R., Kennair, L. E. O., Hjemdal, O., Solem, S., Hansen, B., Haseth, S., & Wells, A. (2018). Metacognitive therapy versus cognitive–behavioural therapy in adults with generalised anxiety disorder. BJPsych Open, 4(5), 393–400. https://doi.org/10.1192/bjo.2018.54
Nidich, S., Mills, P. J., Rainforth, M., Heppner, P., Schneider, R. H., Rosenthal, N. E., Salerno, J., Gaylord-King, C., & Rutledge, T. (2018). Non-trauma-focused meditation versus exposure therapy in veterans with post-traumatic stress disorder: a randomised controlled trial. The lancet. Psychiatry, 5(12), 975–986. https://doi.org/10.1016/S2215-0366(18)30384-5
Saxon, D., Firth, N., & Barkham, M. (2017). The Relationship Between Therapist Effects and Therapy Delivery Factors: Therapy Modality, Dosage, and Non-completion. Administration and Policy in Mental Health and Mental Health Services Research, 44(5), 705–715. https://doi.org/10.1007/s10488-016-0750-5
Schöttke, H., Flückiger, C., Goldberg, S. B., Eversmann, J., & Lange, J. (2017). Predicting psychotherapy outcome based on therapist interpersonal skills: A five-year longitudinal study of a therapist assessment protocol. Psychotherapy Research, 27(6), 642–652. https://doi.org/10.1080/10503307.2015.1125546
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Vi diskuterar betydelsen av bland annat utbildning, kompetens och följsamhet till manualer när det kommer till psykoterapi tillsammans med vår gäst Osame Salim. Vi berör bland annat frågor som; blir man en bättre terapeut av att fortbilda sig? Får man bättre resultat av att bli bättre på specifika manualer? Är psykologer bättre än exempelvis gymnasielärare på att bedriva psykoterapi? Vad är överhuvudtaget psykoterapi och hur kan man lära sig det?
Referenser
Anderson, T., Crowley, M. E. J., Himawan, L., Holmberg, J. K., & Uhlin, B. D. (2016). Therapist facilitative interpersonal skills and training status: A randomized clinical trial on alliance and outcome. Psychotherapy Research, 26(5), 511–529. https://doi.org/10.1080/10503307.2015.1049671
Anderson, T., Finkelstein, J. D., & Horvath, S. A. (2020). The facilitative interpersonal skills method: Difficult psychotherapy moments and appropriate therapist responsiveness. Counselling and Psychotherapy Research, 20(3), 463–469.
Bennett-Levy, J. (2019). Why therapists should walk the talk: The theoretical and empirical case for personal practice in therapist training and professional development. Journal of Behavior Therapy and Experimental Psychiatry, 62, 133–145. https://doi.org/10.1016/j.jbtep.2018.08.004
Boswell, J. F., Gallagher, M. W., Sauer-Zavala, S. E., Bullis, J., Gorman, J. M., Shear, M. K., Woods, S., & Barlow, D. H. (2013). Patient characteristics and variability in adherence and competence in cognitive-behavioral therapy for panic disorder. Journal of Consulting and Clinical Psychology, 81(3), 443–454. https://doi.org/10.1037/a0031437
Burlingame, G. M., & Barlow, S. H. (1996). Outcome and Process Differences Between Professional and Nonprofessional Therapists in Time-Limited Group Psychotherapy. International Journal of Group Psychotherapy, 46(4), 455–478. https://doi.org/10.1080/00207284.1996.11491505
Erekson, D. M., Janis, R., Bailey, R. J., Cattani, K., & Pedersen, T. R. (2017). A longitudinal investigation of the impact of psychotherapist training: Does training improve client outcomes? Journal of Counseling Psychology, 64(5), 514–524. https://doi.org/10.1037/cou0000252
Goldberg, S. B., Rousmaniere, T., Miller, S. D., Whipple, J., Nielsen, S. L., Hoyt, W. T., & Wampold, B. E. (2016). Do psychotherapists improve with time and experience? A longitudinal analysis of outcomes in a clinical setting. Journal of Counseling Psychology, 63(1), 1–11. https://doi.org/10.1037/cou0000131
Hill, C. E., Baumann, E., Shafran, N., Gupta, S., Morrison, A., Rojas, A. E. P., Spangler, P. T., Griffin, S., Pappa, L., & Gelso, C. J. (2015). Is training effective? A study of counseling psychology doctoral trainees in a psychodynamic/interpersonal training clinic. Journal of Counseling Psychology, 62(2), 184–201. https://doi.org/10.1037/cou0000053
Hill, C.E & Knox, S. (2013) Training and supervision in psychotherapy. In Lambert, M. J. (Ed.), Bergin and Garfield’s handbook of psychotherapy and behavior change (6th ed). John Wiley & Sons.
Hoyer, J., Čolić, J., Pittig, A., Crawcour, S., Moeser, M., & Ginzburg, D. et al. (2017). Manualized cognitive therapy versus cognitive-behavioral treatment-as-usual for social anxiety disorder in routine practice: A cluster-randomized controlled trial. Behaviour Research And Therapy, 95, 87-98. doi: 10.1016/j.brat.2017.05.012
Nissen-Lie, H. A., Rønnestad, M. H., Høglend, P. A., Havik, O. E., Solbakken, O. A., Stiles, T. C., & Monsen, J. T. (2017). Love Yourself as a Person, Doubt Yourself as a Therapist?: Relationship of Therapist Professional and Personal Functioning to Therapeutic Outcome. Clinical Psychology & Psychotherapy, 24(1), 48–60. https://doi.org/10.1002/cpp.1977
Okiishi, J., Lambert, M. J., Nielsen, S. L., & Ogles, B. M. (2003). Waiting for supershrink: An empirical analysis of therapist effects. Clinical Psychology & Psychotherapy, 10(6), 361– 373. https://doi.org/10.1002/cpp.383
Owen, J., Wampold, B. E., Kopta, M., Rousmaniere, T., & Miller, S. D. (2016). As good as it gets? Therapy outcomes of trainees over time. Journal of Counseling Psychology, 63(1), 12–19. https://doi.org/10.1037/cou0000112
Rapley, H. A., & Loades, M. E. (2019). A systematic review exploring therapist competence, adherence, and therapy outcomes in individual CBT for children and young people. Psychotherapy Research, 29(8), 1010–1019. https://doi.org/10.1080/10503307.2018.1464681
Schöttke, H., Flückiger, C., Goldberg, S. B., Eversmann, J., & Lange, J. (2017). Predicting psychotherapy outcome based on therapist interpersonal skills: A five-year longitudinal study of a therapist assessment protocol. Psychotherapy Research, 27(6), 642–652. https://doi.org/10.1080/10503307.2015.1125546
Stiles, W. B. (2009). Responsiveness as an Obstacle for Psychotherapy Outcome Research: It’s Worse Than You Think. Clinical Psychology: Science and Practice, 16(1), 86–91. https://doi.org/10.1111/j.1468-2850.2009.01148.x
Strupp, H. H & Hadley, S. W. (1979). Specific vs Nonspecific Factors in Psychotherapy: A Controlled Study of Outcome. Archives of General Psychiatry, 36(10), 1125. https://doi.org/10.1001/archpsyc.1979.01780100095009
Wampold, B. E., & Imel, Z. E. (2015). The great psychotherapy debate: The evidence for what makes psychotherapy work (Second edition). Routledge.
Webb, C. A., DeRubeis, R. J., & Barber, J. P. (2010). Therapist adherence/competence and treatment outcome: A meta-analytic review. Journal of Consulting and Clinical Psychology, 78(2), 200–211. https://doi.org/10.1037/a0018912
Zarafonitis-Müller, S., Kuhr, K., & Bechdolf, A. (2014). [The relationship between therapist's competence and adherence to outcome in cognitive-behavioural therapy - results of a metaanalysis]. Fortschritte der Neurologie · Psychiatrie, 82(09), 502–510. https://doi.org/10.1055/s-0034-1366798
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