Therapist effects: facilitative interpersonal skills as a predictor of therapist success

Abstract

This study examined sources of therapist effects in a sample of 25 therapists who saw 1,141 clients at a university counseling center. Clients completed the Outcome Questionnaire-45 (OQ-45) at each session. Therapists' facilitative interpersonal skills (FIS) were assessed with a performance task that measures therapists' interpersonal skills by rating therapist responses to video simulations of challenging client-therapist interactions. Therapists completed the Social Skills Inventory (SSI) and therapist demographic data (e.g., age, theoretical orientation) were available. To test for the presence of therapist effects and to examine the source(s) of these effects, data were analyzed with multilevel modeling. Of demographic predictor variables, only age accounted for therapist effects. The analysis with age, FIS, and SSI as predictors indicated that only FIS accounted for variance in outcomes suggesting that a portion of the variance in outcome between therapists is due to their ability to handle interpersonally challenging encounters with clients.

Efectos del terapeuta en el tratamiento de adolescentes con fobia social generalizada.

“…En este caso los expertos y los cuasiexpertos obtienen mejores resultados que los inexpertos en el postest, y en las medidas de seguimiento a los 6 y 12 meses. Estas diferencias se podrían explicar atendiendo a los resultados del estudio realizado por Anderson, Ogles, Patterson, Lambert, y Vermeersch (2009), en el que se pone de manifiesto tanto la relación entre la experiencia del terapeuta y las habilidades interpersonales como la capacidad predictora de estas últimas respecto de la eficacia del terapeuta en la aplicación de los tratamientos psicológicos, debido a su papel a la hora de afrontar y resolver exitosamente problemas interpersonales durante la aplicación del tratamiento. De hecho el grado de competencia de los terapeutas se asocia con mayor eficacia a la hora de tratar a los pacientes más graves (Strunk, Brotman, DeRubeis, y Hollon, 2010).…”

“…Además, la presente investigación deja pendiente el estudio de la inclusión de la flexibilidad en la aplicación del Programa (Connolly, Crits-Christoph, Levinson y Barber, 2003), el del efecto de la ausencia de control respecto del conocimiento del Programa y la adherencia durante su aplicación (Dobson y Kazantzis, 2003;Kim, Wampold y Bolt, 2006), el de la inclusión de paraprofesionales o el entrenamiento en el manejo de situaciones potencialmente problemáticas previo a su aplicación controlada (Anderson, Ogles, Patterson, Lambert, y Vermeersch, 2009). …”

Two Clinicians’ Personal Story of TBI Recovery

“…In the next section, 14 qualities and actions of effective therapists are listed. This list is based on the best available evidence (see e.g., Anderson, Ogles, Patterson, Lambert, & Vermeersch, 2009;Baldwin, Wampold, & Imel, 2007;Duncan, Miller, Hubble, & Wampold, 2010;Lambert, Harmon, Slade, Whipple, & Hawkins, 2005;Norcross, 2011;Wampold, 2007) as well as theory and policy (e.g., APA Presidential Task Force on Evidence-Based Practice, 2006).…”

Wisdom in professional knowledge: Why it can be valuable to listen to the voices of senior psychotherapists

“…It seems likely that studies of clinicians nominated by their peers as "master" therapists (Jennings & Skovholt, 1999;Jennings, Skovholt, Goh, & Lian, 2013) or "passionate" therapists (Dlugos & Friedlander;Miller, 2007), research into the cultivation of therapist expertise (Miller, S., Hubble, Chow, & Seidel, 2013, 2015, and investigations of characteristics of effective therapists (Anderson, Ogles, Patterson, Lambert, & Vermeersch, 2009;Nissen-Lie, Monsen, & Rønnestad, 2010;Nissen-Lie, Rønnestad, Høglend, Havik, Ole Solbakken, Stiles, & Monsen, 2015) could contribute to an understanding of therapist wisdom, Wisdom 7 because all these constructs can be viewed as aspects of an overarching dimension of "exceptionality". On the whole, wisdom does not appear to have emerged as a particularly salient theme within this body of work.…”