Self‐practice/self‐reflection as an alternative to personal training‐therapy in cognitive behavioural therapy training: A qualitative analysis

Chigwedere, Craig; Thwaites, Richard; Fitzmaurice, Brian; Donohoe, Gary

doi:10.1002/cpp.2331

Cited by 10 publications

(17 citation statements)

References 41 publications

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“…These findings are consistent with the existing SP/SR literature (Bennett-Levy, 2019;Bennett-Levy et al, 2001;Chigwedere et al, 2019;Gale and Schröder, 2014;McGillivray et al, 2015;Spendelow and Butler, 2016). For instance, Bennett-Levy et al (2001) found in their initial study that SP/SR training led to a greater understanding of the cognitive model and its process of change.…”

Section: Declarative and Procedural Learningsupporting

confidence: 87%

“…Specifically to anxiety and exposure interventions, McGillivray et al (2015) noted that the literature has demonstrated that SP/SR promotes an increased understanding of avoidant and compensatory behaviours in maintaining dysfunction. The enhanced understanding of techniques and their limitations has also been reported previously (Chigwedere et al, 2019;Gale and Schröder, 2014;McGillivray et al, 2015), and has been shown to enhance therapists' ability to flexibly adapt such techniques (Gale and Schröder, 2014;McGillivray et al, 2015).…”

Section: Declarative and Procedural Learningmentioning

confidence: 66%

“…SP/SR has now been used in a range of training settings for those learning CBT, from novice therapists to more experienced practitioners (e.g. Bennett-Levy et al, 2001;Chigwedere et al, 2019;Davis et al, 2015;Thwaites et al, 2014;Thwaites et al, 2017). These programmes have typically incorporated cognitive exercises, both as class and workbook exercises, as well as behavioural experiments.…”

Section: Introductionmentioning

confidence: 99%

“…In particular, the method has demonstrated positive impacts on interpersonal elements of psychotherapy, including a greater attunement to clients and enhanced empathy for clients and their presenting difficulties (Bennett-Levy et al, 2003;Bennett-Levy et al, 2015;Chigwedere et al, 2019;McGillivray et al, 2015;Thwaites et al, 2014). SP/SR exercises also improve understanding of cognitive behavioural theory, enhance skill and nuance in the application of cognitive behavioural strategies, and increase therapist confidence (Bennett-Levy et al, 2001;Bennett-Levy et al, 2015;Chigwedere et al, 2019;Davis et al, 2015;McGillivray et al, 2015). On a personal level it has been shown to help trainees to gain more self-awareness, to improve their own psychological functioning, and to improved self-reflection skills (Bennett-Levy, 2019; Gale and Schröder, 2014;Thwaites et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

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Experiential learning for trainee therapists through a shame attack exercise

Collard

Clarke

2020

tCBT

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Research on self-practice/self-reflection (SP/SR) programmes in training cognitive behavioural therapy (CBT) have shown promising outcomes over the past decade. To date, the SP/SR framework research has generally focused on entire programmes and has rarely assessed the utility of specific exercises as teaching tools. This study aimed to determine the utility of an exposure intervention known as a shame attack in helping to facilitate CBT training in a clinical psychology programe when delivered in a SP/SR framework. It also sought to examine the potential for the exercise to be used as a form of competency-based assessment. Forty-one student trainees engaged in self-directed shame attack exercises and provided written reflections on their experiences. The reflections were then studied via thematic analysis. The results indicate that the exercise provides an avenue for competency-based assessment of trainee therapists’ conceptual knowledge, formulation skills and intervention planning. It also promoted learning outcomes relating to a ‘deeper’ and more nuanced appreciation of CBT theory and practice. The shame attack exercise provided for personal development and the opportunity to experience typical client challenges with engaging in exposure interventions, which have the potential for enhancing empathy and cognitive behavioural skills. Key learning aims (1) To understand the usefulness of a shame attack exercise for training within a SP/SR framework. (2) To examine the potential for using SP/SR as a form of competency-based training. (3) To demonstrate the benefits of experiential learning through SP/SR in training CBT.

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Section: Declarative and Procedural Learningsupporting

confidence: 87%

Section: Declarative and Procedural Learningmentioning

confidence: 66%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Experiential learning for trainee therapists through a shame attack exercise

Collard

Clarke

2020

tCBT

View full text Add to dashboard Cite

show abstract

“…This can indeed increase the risks mentioned above. Self-practice, self-reflection (Chigwedere et al, 2019) and the critical incident analysis model can be useful tools for these therapists. A survey of compassion satisfaction, burnout and secondary traumatic stress of British therapists working with traumatized individuals reported that a higher risk of secondary traumatic stress was predicted in therapists engaging in more individual supervision and self-care activities and those with a personal trauma history (Sodeke-Gregson et al, 2013).…”

Section: Summary and Discussionmentioning

confidence: 99%

Cultural adaptations of CBT: a summary and discussion of the Special Issue on Cultural Adaptation of CBT

Naeem

2019

tCBT

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Cognitive behavioural therapy (CBT) in its current form might not be acceptable to service users from a variety of backgrounds. Therefore, it makes sense to adapt CBT when working with diverse populations. Contributors to this special issue of theCognitive Behaviour Therapisthave tackled the issues around the cultural adaptation of CBT from various perspectives, using a variety of methods, and have addressed topics ranging from cultural adaptation to improving access to CBT. Here, I briefly summarize and discuss the papers in this special issue. I start with a systematic review of CBT for social anxiety across cultures. Seven articles cover aspects of adaptation of therapies for people from different backgrounds. Three papers discuss the issues of gender and sexuality when using CBT, while another three papers focus on refugees, asylum seekers and the homeless, and two papers describe the application of CBT with religious populations. Finally, there are seven papers on issues related to service delivery, practice and training and supervision when working with a diverse population. Collectively, papers in this special issue provide us with sufficient evidence that cultural considerations play a vital role when using CBT, offer practical suggestions for improving cultural competence and most importantly, can catalyse future research. However, the full potential of culturally adapted interventions will not be realized until and unless access to CBT is improved. Therefore, there is a need to build robust evidence to convince funders, policy makers and service managers.

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Should personal practice be part of cognitive behaviour therapy training? Results from two self‐practice/self‐reflection cohort control pilot studies

Scott

Yap

Bunch

et al. 2020

Clin Psychology and Psychoth

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There are good theoretical and empirical grounds to suggest that personal practices (PPs; e.g., self‐practice/self‐reflection [SP/SR] programmes, meditation programmes and personal therapy) can have a positive impact on therapist skills and client outcomes. However, to date, a weakness in many PP studies is the lack of cohort control groups. The two pilot studies reported in this paper examined SP/SR programmes integrated into postgraduate psychology training and are the first to include cohort control groups. Study 1 compared outcomes of students assigned to either SP/SR (n = 17) or a cognitive behaviour therapy (CBT) book study group (n = 13) during their first clinical placement. Study 2 compared outcomes of students who completed the SP/SR programme as part of CBT training (n = 12) with participants who completed the same CBT training in the previous year without an SP/SR programme (n = 17). Significant improvements in therapist confidence for the SP/SR groups were found in both studies. Study 2 also showed significantly higher therapist self‐awareness and lower burnout scores in the SP/SR group. These studies are limited by their small sample size and the lack of random allocation. Nevertheless, they provide preliminary empirical evidence demonstrating large effects of PP on trainees' personal and therapist selves and offer a basis for further research using randomized controlled designs with larger sample sizes.

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Self‐practice/self‐reflection as an alternative to personal training‐therapy in cognitive behavioural therapy training: A qualitative analysis

Abstract: The themes found equivalents in existing goals of traditional therapists' training-therapy. Though brief, SP/SR may be a credible alternative/adjunctive training-therapy.

Cited by 10 publications

References 41 publications

Experiential learning for trainee therapists through a shame attack exercise

Experiential learning for trainee therapists through a shame attack exercise

Cultural adaptations of CBT: a summary and discussion of the Special Issue on Cultural Adaptation of CBT

Should personal practice be part of cognitive behaviour therapy training? Results from two self‐practice/self‐reflection cohort control pilot studies

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