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Improving the Quality of Cognitive Behaviour Therapy Case Conceptualization: The Role of Self-Practice/Self-Reflection

  • Beverly Haarhoff (a1), Kerry Gibson (a1) and Ross Flett (a1)

Abstract

Background: CBT case conceptualization is considered to be a key competency. Prior to the publication in 2009 of Kuyken, Padesky and Dudley's book, little has been documented concerning methods for training conceptualization skills and the conceptualization process is usually perceived as predominantly an intellectual process. In this paper, the Declarative-Procedural-Reflective model of therapist skill acquisition provides a route to understanding how different kinds of knowledge systems can be integrated to enhance therapist skill acquisition. Method: Sixteen recent graduates of a postgraduate diploma in cognitive behaviour therapy worked independently through a self-practice/self-reflection workbook designed to lead them through a series of CBT interventions commonly used to elicit the information required for a CBT conceptualization. Results: The participants’ self-reflections were thematically analyzed and uncovered the following inter-related themes: increased theoretical understanding of the CBT model, self-awareness, empathy, conceptualization of the therapeutic relationship, and adaptation of clinical interventions and practice. Conclusions: A tentative conclusion reached, based on the self-reflections of the participants, was that targeted self-practice/self-reflection enhanced case conceptualization skill by consolidating the Declarative, Procedural and Reflective systems important in therapist skill acquisition.

Copyright

Corresponding author

Reprint requests to Beverly Haarhoff, Department of Psychology, Massey University, 33 Rosecamp Road, Beach Haven, Auckland 0626, New Zealand. E-mail: b.a.haarhoff@massey.ac.nz

References

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Beck, J. (1995). Cognitive Therapy: basics and beyond. New York: Guilford Press.
Beck, J. (2005). Cognitive Therapy for Challenging Problems. New York: Guilford Press.
Beck, A. T., Rush, A. J., Shaw, B. F. and Emery, G. (1979). Cognitive Therapy of Depression. New York: Guilford Press.
Bennett-Levy, J. (2002). Cognitive Therapy in Three Dimensions: mapping the impact of self-practice and self-reflection (SP/SR) in the training of cognitive therapists. Unpublished doctoral dissertation, Southern Cross University, Lismore, NSW Australia.
Bennett-Levy, J. (2006). Therapist skills: a cognitive model for their acquisition and refinement. Behavioural and Cognitive Psychotherapy, 34, 5778.
Bennett-Levy, J. and Beedie, A. (2007). The ups and downs of cognitive therapy training: what happens to trainees’ perception of their competence during a cognitive therapy training course? Behavioural and Cognitive Psychotherapy, 35, 6175.
Bennett-Levy, J., Lee, N., Travers, K., Pohlman, S. and Hamernik, E. (2003). Cognitive therapy from the inside: enhancing therapist skills through practicing what we preach. Behavioural and Cognitive Psychotherapy, 31, 143158.
Bennett-Levy, J., McManus, F., Westling, B. and Fennell, M. (2009). Acquiring and refining CBT skills and competencies: which training methods are perceived to be the most effective? Behavioural and Cognitive Psychotherapy, 37, 571583
Bennett-Levy, J. and Thwaites, R. (2007). Self and self-reflection in the therapeutic relationship: a conceptual map and practical strategies for the training, supervision and self-supervision of interpersonal skills. In Gilbert, P., and Leahy, R. (Eds.), The Therapeutic Relationship in the Cognitive Behavioural Psychotherapies (pp. 255281). London: Routledge.
Bennett-Levy, J., Turner, F., Beaty, T., Smith, M., Paterson, B. and Farmer, S. (2001). The value of self-practice of cognitive therapy techniques and self-reflection in the training of cognitive therapists. Behavioural and Cognitive Psychotherapy, 29, 203220.
Blackburn, I., James, I., Milne, D., Baker, C., Standart, S., Garland, A. and Reichelt, F. (2001). The revised Cognitive Therapy Scale (CTS-R): psychometric properties. Behavioural and Cognitive Psychotherapy, 29, 431446.
Braun, V. and Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77101.
Dobson, K. S. and Shaw, B. F. (1993). The training of cognitive therapists: what have we learned from treatment manuals. Psychotherapy, 30, 573577.
Eells, T. (1997). Handbook of Psychotherapy Case Formulation. New York: Guilford Press.
Eells, T. D. (2007). Handbook of Psychotherapy Case Formulation (2nd ed.). New York: Guilford Press.
Eifert, G. H. (1996). More theory-driven and less diagnosis-based behaviour therapy. Journal of Behaviour Therapy and Experimental Psychiatry, 27, 7586.
Epstein, S. (1994). Integration of the cognitive and the psychodynamic unconscious. American Psychologist, 49, 709724.
Farrand, P., Perry, J. and Linsley, S. (2010). Enhancing self-practice/self-reflection (SP/SR) approach to cognitive behaviour training through the use of reflective blogs. Behavioural and Cognitive Psychotherapy, 38, 473477.
Fothergill, C. and Kuyken, W. (2002). Quality of cognitive therapy case formulation rating-scale (Unpublished).
Goleman, D. (1996). Emotional Intelligence. London: Bloomsbury.
Greenberger, D. and Padesky, C. A. (1995). Mind over Mood: a cognitive therapy treatment manual for clients. New York: Guilford Press.
Haarhoff, B. (2008). The Map, the Navigator, and the Explorer: evaluating the content and quality of CBT case conceptualizations and the role of self-practice/self-reflection as a training intervention., Unpublished doctoral dissertation, Massey University, Auckland, New Zealand.
Haarhoff, B. A. and Stenhouse, L. M. (2004). Practice makes perfect: practicing cognitive behaviour therapy techniques and training. New Zealand Clinical Psychologist, 4, 2630.
Kendjelic, E. and Eells, T. (2007). Generic psychotherapy case formulation training improves formulation quality. Psychotherapy: Theory Research, Practice, Training. 44, 6677.
Kennedy-Merrick, S., Haarhoff, B., Stenhouse, L., Merrick, P. and Kazantzis, N. (2008). Training cognitive behaviour therapy practitioners in New Zealand: from university to clinical practice. New Zealand Journal of Psychology, 37, 817.
Kuyken, W., Padesky, C. and Dudley, R. (2009). Collaborative Case Conceptualization. New York: Guilford Press.
Leahy, R. (2001). Overcoming Resistance in Cognitive Therapy. New York: Guilford Press.
Leahy, R. (2003). Cognitive Therapy Techniques: a practitioner's guide. New York: Guilford Press.
Leahy, R. (2007). Schematic mismatch in the therapy relationship. In Gilbert, P. and Leahy, R. (Eds.), The Therapeutic Relationship in the Cognitive Behavioural Psychotherapies (pp. 229254). London: Routledge.
Mathieson, F., Barnfield, T. and Beaumont, G. (2009). Are we as good as we think we are? Self-assessment versus other forms of assessment and competence in psychotherapy. The Cognitive Behaviour Therapist, 2, 4350.
Milne, D. L., Baker, C., Blackburn, I. M., James, I. and Reichelt, K. (1999). Effectiveness of cognitive therapy training. Journal of Behaviour Therapy and Experimental Psychiatry, 30, 8192.
Myles, P. J. and Milne, D. L. (2004). Outcome evaluation of a brief shared learning programme in cognitive behavioural therapy. Behavioural and Cognitive Psychotherapy, 32, 177188.
Nezu, A., Nezu, C., Friedman, S. and Hayes, S. (1997). Case formulation in behavior therapy: problem solving and functional analytic strategies. In Eells, T. (Ed.), Handbook of Psychotherapy Case Formulation (pp. 368401.). New York: Guilford Press.
Padesky, C.A. (1996). Developing cognitive therapist competency: teaching and supervision models. In Salkovskis, P. (Ed.), Frontiers of Cognitive Therapy (pp. 266292). New York: Guilford Press.
Padesky, C. A. and Mooney, K. A. (1990). Clinical tip presenting the cognitive model to clients. International Cognitive Therapy Newsletter, 6, 2829.
Persons, J. and Tompkins, M. (1997). Cognitive-behavioral case formulation. In Eells, T. (Ed.), Handbook of Psychotherapy Case Formulation (pp. 314339.). New York: Guilford Press.
Persons, J. B. and Tompkins, M. A. (2007). Cognitive-behavioural case formulation. In , Eells. T. (Ed.), Handbook of Pychotherapy Case Formulation (pp. 290316). New York: Guilford Press.
Rudd, M. and Joiner, T. (1997). Countertransference and the therapeutic relationship: a cognitive perspective. Journal of Cognitive Psychotherapy: An International Quarterly, 11, 231249.
Safran, J. and Segal, Z. (1996). Interpersonal Process in Cognitive Therapy. Northvale: Jason Aronson Inc.
Young, J. E. (1995). Young Compensation Inventory. New York: Cognitive Therapy Centre of New York.
Young, J. and Beck, A. T. (1980). Cognitive Therapy Scale: Rating Manual. Unpublished.
Young, J. E. and Brown, G. (1990). Young Schema Questionnaire. New York: Cognitive Therapy Centre of New York.
Young, J., Klosko, J. and Weishaar, M. (2003). Schema Therapy: a practitioner's guide. New York: Guilford Press.
Young, J. E. and Rygh, J. (1994). Young-Rygh Avoidance Inventory. New York: Cognitive Therapy Centre of New York.

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Improving the Quality of Cognitive Behaviour Therapy Case Conceptualization: The Role of Self-Practice/Self-Reflection

  • Beverly Haarhoff (a1), Kerry Gibson (a1) and Ross Flett (a1)

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Improving the Quality of Cognitive Behaviour Therapy Case Conceptualization: The Role of Self-Practice/Self-Reflection

  • Beverly Haarhoff (a1), Kerry Gibson (a1) and Ross Flett (a1)
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