Using fine-grained indexes of therapists' experience and training to predict treatment outcomes in a university-based training clinic for children and families.

Powell, John L.; Hunter, Heather L.; Beasley, Lana O.; Vernberg, Eric M.

doi:10.1037/a0018369

Cited by 15 publications

(10 citation statements)

References 23 publications

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“…According to the phase model theory (Howard et al, 2003), reme- diation focuses on alleviating the client's symptoms and enhancing coping skills, which will lead to symptom reduction. The findings here run counter to most in the literature that show either: (a) experienced psychotherapists display better client outcomes than trainees (e.g., Burlingame et al, 1989;Powell et al, 2010), or (b) that there are no differences based on experience level (e.g., Nyman et al, 2010). Instead, results of the current study indicate there were differences; however, the most advanced psychotherapists did not achieve the best outcomes.…”

Section: Discussioncontrasting

confidence: 99%

“…For example, Burlingame, Fuhriman, Paul, and Ogles (1989) showed that experienced psychotherapists had better outcomes on symptoms and target complaints than trainees when conducting time-limited therapy. Similarly, two studies reported that more doctoral clinical and training hours led to lower client drop-out rates when compared with doctoral students who had fewer hours (Driscoll et al, 2003;Powell, Hunter, Beasley, & Vernberg, 2010). In contrast, several studies indicated either modest effect sizes or no differences in outcomes between trainees and more experienced psychotherapists (e.g., Nyman, Nafziger, & Smith, 2010;Stein & Lambert, 1995).…”

Section: Psychotherapy Training Modelsmentioning

confidence: 99%

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Differences among trainees in client outcomes associated with the phase model of change.

et al. 2013

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This study investigated psychotherapy trainees' ability to facilitate change in outcomes (e.g., well-being, symptom reduction, and life functioning) specifically related to the phase model. Four different psychotherapist experience levels (beginning practicum, advanced practicum, intern/postdoc, and psychologist) were compared to determine whether there are training differences related to significant change for psychotherapy outcomes according to the phase model. A total of 1,318 clients from a university counseling center, treated by 64 psychotherapists, were included in the analysis for this study. Results indicate that interns/postdocs' clients achieve more significant change than psychologists' and advanced practicum students' clients related to life functioning. In addition, interns/postdocs' clients achieve more significant change related to symptom reduction, when compared with the clients of psychologists. Implications for these results, given the hypotheses of both the phase model and competency models, are discussed.

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Section: Discussioncontrasting

confidence: 99%

Section: Psychotherapy Training Modelsmentioning

confidence: 99%

Differences among trainees in client outcomes associated with the phase model of change.

et al. 2013

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“…In addition, we do not know much about differences between training clinics and nontraining clinics, and whether the findings from training clinics can be applied to non-training settings. The studies in this review that compared trainee psychotherapists to registered psychotherapists found that while trainees improved in effectiveness over the course of their training (Driscoll et al, 2003;Hill et al, 2015;Powell, Hunter, Beasley, & Vernberg, 2010;Reese, Usher et al, 2009), they can still be as effective as registered psychotherapists (Nyman et al, 2010). The preliminary findings are therefore promising that training clinic research can be applied outside of the training environment, but it is premature to apply these findings yet, without more understanding of how psychotherapist competence changes over the course of their training, and how other dimensions of training, such as increased supervision or reduced caseload, might also influence psychotherapy process and outcome.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of research in psychology training clinics: How far have we come?

Dyason¹,

Shanley²,

Hawkins³

et al. 2019

Training and Education in Professional Psychology

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Psychology training clinics provide evidence-based, cost-effective psychological services to the general public, while at the same time providing a training ground for future psychotherapists. Research in training clinics can advance the clinical literature, train psychotherapists in evidence-based practice and improve outcomes for clients. However, since the last published review of research published in psychology training clinics (Todd, Kurcias, & Gloster, 1994), it is unclear how much the training clinic literature has advanced in the last two decades or if findings can be synthesized across sites. A systematic, quantitative literature review with strict inclusion and exclusion criteria described 257 empirical studies conducted in training clinics since the previous review (1993-2015). Studies were coded and categorized into themes by three independent raters. Studies explored the nature and organization of training clinics, client characteristics, assessment, intervention, staff and clinical training, as well as research and research training. Across themes, it appeared that the literature has broadened extensively, highlighting that researchers have embraced training clinics as a sample source. While there was a great breadth of topics researched, there remains insufficient depth in the majority of areas, and a need for multi-site collaborations with a shared research agenda across training clinics. The review highlighted the extent to which training clinics are valuable research locations, although more research is needed to compare different training clinics and between training clinics versus non-training clinics.

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“…Research reviews have reported that therapist variables appear to explain between 5% and 17% of psychotherapy outcome (Crits‐Christoph & Mintz, ; Lutz, Leon, Martinovich, Lyons, & Stiles, ; Wampold & Brown, ). Therapists' experience level (Leon, Martinovich, Lutz, & Lyons, ; Powell, Hunter, Beasley, & Vernberg, ) and their relational abilities have been shown to predict psychotherapy outcome (Lafferty, Beutler, & Crago, ; Najavits & Weiss, ). Moreover, both relational and technical skills influence the capacity to engage patients in a therapeutic alliance (Ackerman & Hilsenroth, ).…”

Section: Introductionmentioning

confidence: 99%

Trainees' self‐evaluation of their development as psychotherapists: An Italian contribution to an international collaborative study on psychotherapy training

Messina

Gelo

Sambin

et al. 2017

Clin Psychology and Psychoth

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This study presents a pilot contribution to the new collaborative, multinational study of psychotherapy trainee development that was undertaken by the Society for Psychotherapy Research Interest Section on Therapist Training and Development (see Orlinsky, Strauss, Rønnestad, et al., ). Although the main project is longitudinal in design, this preliminary study investigated cross-sectional differences between trainees in different years of training and explored the influence of core training experiences-including supervision and personal therapy-on their perceived development as therapists. Using the trainee current-progress report that was designed for the Society for Psychotherapy Research Interest Section on Therapist Training and Development project, 90 trainees at 4 different 4-year training programs in Italy provided self-evaluations of their development and of their therapeutic work experiences. Perceived development included overall change, progress, deterioration, overcoming past limitations, and realization of potential as a therapist. Therapeutic work experiences were assessed using scales of healing and stressful involvement (Orlinsky & Rønnestad, ). Year in training and support in supervision predicted perceived development and healing involvement, whereas experiencing criticism in supervision was associated with stressful involvement. Having had personal therapy, and especially ratings of benefit from personal therapy, was also associated with perceived development and healing involvement. Results are discussed with regard of their implications for psychotherapy training.

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Using fine-grained indexes of therapists' experience and training to predict treatment outcomes in a university-based training clinic for children and families.

Cited by 15 publications

References 23 publications

Differences among trainees in client outcomes associated with the phase model of change.

Differences among trainees in client outcomes associated with the phase model of change.

A systematic review of research in psychology training clinics: How far have we come?

Trainees' self‐evaluation of their development as psychotherapists: An Italian contribution to an international collaborative study on psychotherapy training

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