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Self-Evaluation of Cognitive Therapy Performance: Do Therapists Know How Competent They Are?

Published online by Cambridge University Press:  16 June 2008

Lee Brosan ,
Shirley Reynolds  and
Richard G. Moore
Lee Brosan*
Affiliation:
Psychological Treatment Service, Cambridge, UK
Shirley Reynolds
Affiliation:
University of East Anglia, UK
Richard G. Moore
Affiliation:
Psychological Treatment Service, Cambridge, UK
*
Reprint requests to Lee Brosan, Psychological Treatment Service, Box 190, Addenbrooke's Hospital, Cambridge, UK. E-mail: leonora.brosan@cambsmh.nhs.uk
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Abstract

The quality control of therapy in routine clinical practice depends to a large degree on the ability of therapists to evaluate accurately their own performance in administering therapy. However, the literature in many fields casts doubt on the accuracy of people's self-evaluations. This study aimed to examine the accuracy of therapists' judgments about their own competence in cognitive therapy. Twenty-two therapists rated a tape of one of their cognitive therapy sessions from the middle of therapy using the Cognitive Therapy Scale (CTS) and provided information about their profession and their training in cognitive therapy. An independent expert rater, blind to all information about the therapist, also rated these tapes on the CTS. Therapists were coded as Competent or Less Competent on the basis of the observer-rated CTS score. Whilst there was a significant correlation between self-ratings and expert ratings of competence, therapists significantly over-rated their competence relative to the expert rater. Less competent therapists over-rated their own competence to a greater degree than therapists who met criteria for competence. The finding that therapists, especially less competent therapists, over-rate their competence in cognitive therapy has serious implications for ensuring effective practice of cognitive therapy in routine clinical situations.

Keywords

Cognitive therapycompetence
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 36 , Issue 5 , October 2008 , pp. 581 - 587
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2008

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References

Blackburn, I.M, James, I.A., Milne, D.L., Baker, C., Standart, S., Garland, A. and Reichelt, F.K. (2001). The Revised Cognitive Therapy Scale (CTS-R): psychometric properties. Behavioural and Cognitive Psychotherapy, 29, 431–446.Google Scholar
Brosan, L., Reynolds, S. and Moore, R.G. (2007). Factors associated with competence in cognitive therapists. Behavioural and Cognitive Psychotherapy, 35, 179–190.CrossRefGoogle Scholar
Buckley, P., Conte, H.R., Plutchik, R. and Karasu, T.B. (1981). Psychotherapy skill profiles of psychiatric residents. Journal of Nervous and Mental Diseases, 169, 733–737.CrossRefGoogle ScholarPubMed
Chevron, E.S. and Rounsaville, B.J. (1983). Evaluating the clinical skills of psychotherapists: a comparison of techniques. Archives of General Psychiatry, 40, 1129–1132.CrossRefGoogle ScholarPubMed
Department of Health (2007). Commissioning a Brighter Future: improving access to psychological therapies. London: Department of Health.Google Scholar
Dobson, K.S., Shaw, B.F. and Vallis, T.M. (1985). Reliability of a measure of the quality of cognitive therapy. British Journal of Clinical Psychology, 24, 295–300.CrossRefGoogle ScholarPubMed
Dunning, D. (2006).Strangers to ourselves? The Psychologist, 19, 600–603.Google Scholar
Freeman, A., Pretzer, J., Fleming, B. and Simon, K.M. (1990). Clinical Applications of Cognitive Therapy. New York: Plenum Press.CrossRefGoogle Scholar
Lafferty, P., Beutler, L.E. and Crago, M. (1989). Differences between more and less effective psychotherapists: a study of select therapist variables. Journal of Consulting and Clinical Psychology, 57, 76–80.CrossRefGoogle ScholarPubMed
Miller, W.R., Yahne, C.E., Moyers, T.B., Martinez, J. and Pirritano, M. (2004). A randomized trial of methods to help clinicians learn Motivational Interviewing. Journal of Consulting and Clinical Psychology, 72, 1050–1062.CrossRefGoogle ScholarPubMed
Roth, A. and Fonagy, P. (2004). What Works for Whom: a critical review of psychotherapy research (2nd ed.). New York: Guilford.Google Scholar
Shaw, B.F., Elkin, I., Yamaguchi, J., Olmsted, M., Vallis, M., Dobson, K.S., Lowery, A., Sotsky, S.M., Watkins, J. T. and Imber, S.D. (1999). Therapist competence ratings in relation to clinical outcome in cognitive therapy of depression. Journal of Consulting and Clinical Psychology, 67, 837–846.CrossRefGoogle ScholarPubMed
Young, J. and Beck, A.T. (1980). Cognitive Therapy Scale Rating Manual. Unpublished manuscript, University of Pennsylvania, Philadelphia, PA.Google Scholar
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