Therapist competence in cognitive-behavioural therapies: Review of the contemporary empirical evidence

Behaviour Change

Volumn 20, Issue 1, 2003, Pages 1-12

  Kazantzis, Nikolaos ^a  

^a MASSEY UNIVERSITY   (New Zealand)

Author keywords

[No Author keywords available]

Indexed keywords

BEHAVIOR THERAPY; COGNITIVE THERAPY; COGNITIVE THERAPY SCALE; COMPETENCE; EMPIRICISM; EVIDENCE BASED MEDICINE; HUMAN; MAJOR DEPRESSION; PREDICTION; PSYCHOANALYSIS; PSYCHOMETRY; PSYCHOSIS; PSYCHOTHERAPIST; RATING SCALE; RELIABILITY; REVIEW; STAFF TRAINING; TREATMENT OUTCOME;

EID: 0141922631     PISSN: 08134839     EISSN: None     Source Type: Journal    
DOI: 10.1375/bech.20.1.1.24845     Document Type: Review

References (72)

1. Addis, M.E., & Krasnow, A.D. (2000). A national survey of practicing psychologists' attitudes towards psychotherapy treatment manuals. Journal of Consulting and Clinical Psychology, 68, 331-339.
2. Barber, J.P., & Crits-Christoph, P. (1996). Development of a therapist adherence/competence rating scale for supportive-expressive dynamic psychotherapy: A preliminary report. Psychotherapy Research, 6, 81-94.
3. Barber, J.P., Crits-Cristoph, P., & Lubrosky, L. (1996). Effects of therapist adherence and competence on patient outcome in brief dynamic therapy. Journal of Consulting and Clinical Psychology, 64, 619-622.
4. Barber, J.P., Liese, B.S., & Abrams, M.J. (2003). Development of the cognitive therapy adherence and competence scale. Psychotherapy Research, 13, 205-221.
5. Barber, J.P., Mercer, D., Krakauer, I., & Calvo, N. (1996). Development of an adherence/competence rating scale for individual drug counselling. Drug and Alcohol Dependence, 43, 125-132.
6. Barlow, D.H. (1994). Psychological interventions in the era of managed competition. Clinical Psychology: Science and Practice, 1, 109-122.
7. Barlow, D.H. (1996). Health care policy, psychotherapy research, and the future of psychotherapy. American Psychologist, 51, 1050-1058.
8. Beck, A.T., Rush, A.J., Shaw, B.F., & Emery, G. (1979). Cognitive Therapy of Depression. New York: Guilford.
9. Beck, A.T., Ward, C.H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561-571.
10. Bent, R.J. (1992). The professional core competency areas. In R.L. Peterson, J.D. McHolland, R.J. Bent, E. Davis-Russell, G.E. Edwall, K. Polite, et al. (Eds.), The Core Curriculum in Professional Psychology. Washington, DC: American Psychological Association.
11. Beutler, L. E., Machado, P. P., & Neufeldt, S. (1994). Therapist variables. In. A. E. Bergin & S. L. Garfield (Eds.), Handbook of Psychotherapy and Behavior Change (4th ed., pp. 229-269). New York: Wiley.
12. Blackburn, I.M., James, I.A., Milne, D.L., Baker, C., Standard, S., Garland, A., et al. (2001). The Revised Cognitive Therapy Scale (CTS-R): Psychometric properties. Behavioural and Cognitive Psychotherapy, 29, 431-446.
13. Blagys, M.D., & Hilsenroth, M.J. (2000). Distinctive features of short-term psychodynamic-interpersonal psychotherapy: A review of the comparative psychotherapy process literature. Clinical Psychology: Science and Practice, 7, 167-188.
14. Bryant, M.J., Simons, A.D., & Thase, M.E. (1999). Therapist skill and patient variables in homework compliance: Controlling a uncontrolled variable in cognitive therapy outcome research. Cognitive Therapy and Research, 23, 381-399.
15. Carroll, K.M. (2001). Constrained, confounded and confused: Why we really know so little about therapists in treatment outcome research. Addiction, 96, 203-206.
16. Carroll, K.M., Nich, C., Sifry, R.L., Nuro, K.F., Frankforter, T.L., Ball, S.A., et al. (2000). A general system for evaluating therapist adherence and competence in psychotherapy research for the addictions. Drug and Alcohol Dependence, 57, 225-238.
17. Connolly Gibbons, M.B., Crits-Christoph, P., Levinson, J., & Barber, J. (2003). Flexibility in manual-based psychotherapies: Predictors of therapist interventions in interpersonal and cognitive-behavioural therapy. Psychotherapy Research, 13, 169-185.
18. Cooper, S. (1975). Hold the hardware: The use and abuse of tapes in clinical teaching and learning. American Journal of Orthopsychiatry, 45, 573-579.
19. Crits-Christoph, P., & Mintz, J. (1991). Implications of therapist effects for the design and analysis of comparative studies of psychotherapies. Journal of Consulting and Clinical Psychology, 59, 20-26.
20. Crits-Christoph, P., Siqueland, L., Blaine, J., Frank, A., Luborsky, L., Onken, L.S., et al. (1997). The National Institute on Drug Abuse Collaborative Cocaine Treatment Study: Rationale and methods. Archives of General Psychiatry, 54, 721-726.
21. Crits-Cristoph, P., Siqueland, L., Blaine, J., Frank, A., Luborsky, L., Onken, L.S., et al. (1999). Psychosocial treatments for cocaine dependence: National Institute on Drug Abuse Collaborative Cocaine Treatment Study. Archives of General Psychiatry, 56, 493-502.
22. DeRubeis, R.J., & Feeley, M. (1990). Determinants of change in cognitive therapy for depression. Cognitive Therapy and Research, 14, 469-482.
23. Dobson, K.S., & Christensen, A. (2001). Lessons from the conduct of clinical research trials. Behavior Therapist, 24, 155-156.
24. Dobson, K.S., & Kazantzis, N. (2003). Role of the therapist in cognitive-behavioural therapy [Special Section]. Psychotherapy Research, 13, 131-121.
25. Dobson, K.S., & Shaw, B.F. (1988). The use of treatment manuals in cognitive therapy: Expertise and issues. Journal of Consulting and Clinical Psychology, 56, 673-680.
26. Dobson, K.S., Shaw, B.F., & Vallis, T.M. (1985). Reliability of a measure of the quality of cognitive therapy. British Journal of Clinical Psychology, 24, 295-300.
27. Elkin, I. (1999). A major dilemma in psychotherapy outcome research: Disentangling therapists from therapies. Clinical Psychology: Science and Practice, 6, 10-32.
28. Elkin, I., Parloff, M.B., Hadley, S.W., & Aurtry, J.H. (1985). NIMH Treatment of Depression Collaborative Research Program: Background and research plan. Archives of General Psychiatry, 42, 305-316.
29. Foley, S.H., O'Malley, S., Rounsaville, B.J., Prusoff, B.A., & Weissman, M.M. (1987). The relationship of patient difficulty to therapist performance in interpersonal psychotherapy of depression. Journal of Affective Disorders, 12, 207-217.
30. Haddock, G., Devane, S., Bradshaw, T., McGovern, J., Tarrier, N., Kinderman, P., et al. (2001). An investigation into the psychometric properties of the Cognitive Therapy Scale for Psychosis (CTS-Psy). Behavioural and Cognitive Psychotherapy, 29, 221-233.
31. Hollon, S.D., DeRubeis, R.J., Evans, M.D., Wiemer, M.J., Garvey, M.J., Grove, M.M., et al. (1992). Cognitive therapy and pharmacotherapy for depression. Archives of General Psychiatry, 49, 774-781.
32. Hollon, S.D., Evans, M.D., Auerbach, A., DeRubeis, R.J., Elkin, I., Lowery, H.A., et al. (1984). Development of a system for rating therapies for depression: Differentiating cognitive therapy, interpersonal psychotherapy, and clinical management pharmacotherapy. Unpublished manuscript.
33. Hollon, S.D., Evans, M.D., Elkin, I., & Lowery, H.A. (1984). System for rating therapies for depression. Paper presented at the Annual Meeting of the American Psychiatric Association, Los Angeles, CA.
34. Iwata, B.A., Wallace, M.D., Kahng, S., Lindberg, J.S., Roscoe, E.M., Conners, J., et al. (2000). Skill acquisition in the implementation of functional analysis methodology. Journal of Applied Behavior Analysis, 33, 181-194.
35. Jacobson, N.S. (1998). How important are cognitive interventions in cognitive therapy? Presented at the World Congress of Behavioral and Cognitive Therapies, July 21-26 Acapulco, Mexico.
36. Jacobson, N.S., Dobson, K.S., Fruzzetti, A.E., Schmaling, K.B., & Salusky, S. (1991). Marital therapy as a treatment for depression. Journal of Consulting and Clinical Psychology, 59, 547-557.
37. Jacobson, N.S., Dobson, K.S., Traux, P.A., Addis, M.E., Koerner, K., Gollan, J.K., et al. (1996). A component analysis of cognitive-behavioral treatment for depression. Journal of Consulting and Clinical Psychology, 64, 295-304.
38. Jacobson, N.S., & Gortner, E.T. (2000). Can depression be de-medicalized in the 21st century? Scientific revolutions, counter-revolutions, and the magnetic field of normal science. Behaviour, Research and Therapy, 38, 103-117.
39. Jacobson, N.S., & Hollon, S.D. (1996). Prospectus for future comparisons between drugs and psychotherapy: Lessons from the CBT-versus-pharmacotherapy exchange. Journal of Consulting and Clinical Psychology, 64, 104-108.
40. Kazantzis, N. (2000). Power to detect homework effects in psychotherapy outcome research. Journal of Consulting and Clinical Psychology, 68, 166-170.
41. Kazantzis, N., Deane, F.P., & Ronan, K.R. (2000). Homework assignments in cognitive and behavioral therapy: A meta-analysis. Clinical Psychology: Science and Practice, 7, 189-202.
42. Kazantzis, N., & Ronan, K.R. (Eds.). (in press). Integrating between session homework activities in psychotherapy [Special Issue]. Journal of Psychotherapy Integration.
43. Kazdin, A.E. (1996). Evaluation in clinical practice: Introduction to the series. Clinical Psychology: Science and Practice, 3, 144-145.
44. Kazdin, A.E. (Ed.). (1997). The therapist as a neglected variable in psychotherapy research [Special Section]. Clinical Psychology: Science and Practice, 4, 40-89.
45. Kemp, N., & Mallinckrodt, B. (1996). Impact of professional training on case conceptualisation of clients with a disability. Professional Psychology: Research and Practice, 27, 378-385.
46. Kendall, P.C., & Chambless, D.L. (Eds.). (1998). Empirically supported psychological therapies [Special Section]. Journal of Consulting and Clinical Psychology, 66, 1-167.
47. Lambert, M.J., Chiles, J.A., & Vermeersh, D.A. (1998). Compendium of current psychotherapy treatment manuals. In G.P. Koocher, J.C. Norcross, & S.C. Hill III Psychologists' Desk Reference (pp. 202-209). New York: Oxford.
48. Liese, B.S.., Barber, J.P., & Beck, A.T. (1995). The cognitive therapy adherence and competence scale. Unpublished instrument, Kasas City, Kansas: University of Kansas Medical Centre.
49. Luborsky, L., & DeRubeis, R.J. (1984). The use of psychotherapy treatment manuals: A small revolution in psychotherapy research style. Clinical Psychology Review, 4, 5-14.
50. McGglinchey, J.B., & Dobson, K.S. (in press). Treatment fidelity for cognitive-behavioral therapies for depression. Journal of Cognitive Psychotherapy.
51. Milne, D., Claydon, T., Blackburn, I.M., James, I., & Sheikh, A. (2001). Rationale for a new measure of competence in therapy. Behavioural and Cognitive Psychotherapy, 29, 21-33.
52. Moncher, F.J., & Prin, R.J. (1991). Treatment fidelity in outcome studies. Clinical Psychology Review, 11, 247-266.
53. Nathan, P.E., & Gorman, J.M. (Eds.). (1998). A Guide to Treatments That Work. New York: Oxford University Press.
54. Persons, J.B. (1991). Psychotherapy outcome studies do not accurately represent current models of psychotherapy: A proposed remedy. American Psychologist, 46, 99-106.
55. Schaffer, N.D. (1982). Methodological issues in measuring the skillfulness of therapeutic interventions. Psychotherapy: Theory, Research, and Practice, 20, 486-493.
56. Schoenwald, S.K., Henggele, S.W., Brondino, M.J., & Rowland, M.D. (2000). Multisystemic therapy: Monitoring treatment fidelity. Family Process, 39, 83-103.
57. Shaw, B.F., & Dobson, K.S. (1988). Competency judgments in the training and evaluation of psychotherapists. Journal of Consulting and Clinical Psychology, 56, 666-672.
58. Shaw, B.F., Elkin, I., Yamaguchi, J., Olmsted, M., Vallis, T.M., Dobson, K.S., et al. (1999). Therapist competence ratings in relation to clinical outcome in cognitive therapy of depression. Journal of Consulting and Clinical Psychology, 67, 837-846.
59. Seligman, M.E.P. (1998). Afterword - A plea. In P. E. Nathan & J. M. Gorman (Eds.). A Guide to Treatments That Work (pp. 568-571). New York: Oxford University Press.
60. Startup, M., & Edmonds, J. (1994). Compliance with homework assignments in cognitive-behavioral psychotherapy for depression: Relation to outcome and methods of enhancement. Cognitive Therapy and Research, 18, 567-579.
61. Startup, M., & Shapiro, D.A. (1993). Dimensions of cognitive therapy for depression: A confirmatory factor analysis of session ratings. Cognitive Therapy and Research, 17, 139-151.
62. Strupp, H.H. (1986). Psychotherapy: Research, practice, and public policy (how to avoid dead ends). American Psychologist, 41, 120-130.
63. Strupp, H.H., Butler, S.F., & Rosser, C.L. (1988). Training in psychodynamic therapy. Journal of Consulting and Clinical Psychology, 56, 689-695.
64. Trijsburg, R.W., Frederickss, G.C.F.J., Gorlee, M., Klouwer, E., Den Hollander, A.M., & Duivenvoorden, H.J. (2002). Development of the Comprehensive Psychotherapeutic Interventions Rating Scale (CPIRS). Psychotherapy Research, 12, 287-317.
65. Vallis, M.T., Shaw, B.F., & Dobson, K.S. (1986). The Cognitive Therapy Scale: Psychometric properties. Journal of Consulting and Clinical Psychology, 54, 381-385.
66. Waltz, J., Addis, M.E., Koerner, K., & Jacobson, N.S. (1993). Testing the integrity of a psychotherapy protocol: Assessment of adherence and competence. Journal of Consulting and Clinical Psychology, 61, 620-630.
67. Watters, W.W., Rubenstein, J.S., & Bellissimo, A. (1980). Teaching psychotherapy: Learning objectives in individual psychotherapy. Canadian Journal of Psychiatry, 25, 111-117.
68. Weisman, A.G., Okazaki, S., Gregory, J., Goldstein, M.J., Tompson, M.C., Rea, M., & Miklowitz, D. (1998). Evaluating therapist competency and adherence to behavioral family management with bipolar patients. Family Process, 37, 107-121.
69. Whisman, M.A. (1993). Mediators and moderators of change in cognitive therapy of depression. Psychological Bulletin, 114, 248-265.
70. Williams, R.M., Moorey, S., & Cobb, J. (1991). Training in cognitive-behavior therapy: Pilot evaluation of a training course using the Cognitive Therapy Scale. Behavior Psychotherapy, 19, 373-376.
71. Yeaton, W.H., & Sechrest, L. (1981). Critical dimensions in the choice and maintenance of successful treatments: Strength, integrity, and effectiveness. Journal of Consulting and Clinical Psychology, 49, 156-167.
72. Young, J., & Beck, A.T. (1980). Cognitive Therapy Scale: Rating Manual. (Available from the Beck Institute for Cognitive Therapy and Research, GSB Building, One Belmont Avenue, Suite 700, Bala Cynwyd, PA 19004-1610).