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Psychotherapeutische Kompetenzen in der kognitiven Verhaltenstherapie

Psychotherapist competence in cognitive-behavioral therapy

  • Schwerpunkt: Der psychotherapeutische Prozess - Übersichten
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Zusammenfassung

Hintergrund

Psychotherapeutische Kompetenzen stellen eine wichtige Dimension des Therapeutenfaktors dar, die zunehmende Beachtung in der Forschung und der Ausbildung findet.

Ziel der Arbeit

Der vorliegende Beitrag fasst einen relevanten Ausschnitt des Stands der Forschung zur therapeutischen Kompetenz zusammen und verdeutlicht die Perspektiven sowie die Schwierigkeiten bei deren Erfassung aus Forschungssicht.

Material und Methoden

Hierzu wird zunächst eine inhaltliche Definition vorgelegt, bevor Methoden und Ergebnisse der Prozessforschung zu therapeutischen Kompetenzen in der kognitiven Verhaltenstherapie beleuchtet werden.

Ergebnisse

Generell zeigen sich deutliche Zusammenhänge zwischen Therapieerfolg und therapeutischen Kompetenzen, nicht jedoch zwischen Therapieerfolg und Manualtreue.

Schlussfolgerung

Therapeutisch kompetentes Handeln impliziert die Anpassung verfügbarer Interventionsmethoden an den jeweiligen Therapiekontext und ist u. a. durch Dimensionen wie Flexibilität oder „responsiveness“ charakterisiert. Informationsverarbeitungsprozesse des Therapeuten in der Erfassung psychotherapeutischer Kompetenzen sollten daher berücksichtigt werden.

Abstract

Background

Psychotherapeutic competence represents an important dimension in the therapist factor and is becoming of increasing interest in research and clinical training.

Aim

The paper provides a summary of a relevant section of the state of research on therapeutic competence and emphasizes the perspectives and difficulties in their acquisition from a research viewpoint.

Material and methods

The paper provides a definition of competencies and then focuses on the methods and results of process research on therapeutic competence in cognitive behavioral therapy.

Results

In general significant correlations have been found between therapy outcome and therapeutic competencies but not between therapy success and adherence to protocols.

Conclusion

Competent actions in therapy imply the adaptation of available interventional methods to the individual therapy context and is characterized by dimensions, such as flexibility and responsiveness. Information processing of the therapist in the acquisition of psychotherapeutic competence should therefore be taken into consideration.

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Literatur

  • Ackerman SJ, Hilsenroth MJ (2003) A review of therapist characteristics and techniques positively impacting the therapeutic alliance. Clin Psychol Rev 23:1–33

    Article  Google Scholar 

  • Addis ME, Cardemil EV, Duncan BL, Miller SD (2006) Does manualization improve therapy outcomes? In: Norcross JC, Beutler LE, Levant RF (Hrsg) Evidencebased practices in mental health: debate and fundamental questions. American Psychological Association, Washington DC, S 131–160

    Google Scholar 

  • Baldwin SA, Imel ZE (2013) Therapist effects. In: Lambert MJ (Hrsg) Bergin und Garfield’s handbook of psychotherapy and behavior change, 6 Aufl. Wiley, New York, S 258–297

    Google Scholar 

  • Barber JP, Sharpless BA, Klostermann S et al (2007) Assessing intervention competence and its relation to therapy outcome: a selected review derived from the outcome literature. Prof Psychol Res Prac 38:493–500

    Article  Google Scholar 

  • Bennett-Levy J, Thwaites R, Haarhoff B, Perry H (2015) CBT from the inside out: a self-practice/self-reflection workbook for therapists. Guilford, New York

    Google Scholar 

  • Boswell JF, Gallagher MW, Sauer-Zavala SE, Bullis J, Gorman JM, Shear MK, Woods S, Barlow DH (2013) Patient characteristics and variability in adherence and competence in cognitive-behavioral therapy for panic disorder. J Consult Clin Psychol 81:443–454

    Google Scholar 

  • Caspar F (1997) What goes on in a psychotherapist’s mind? Psychother Res 7:105–125

    Article  Google Scholar 

  • Caspar F (2009) Therapeutisches Handeln als individueller Konstruktionsprozess. In: Margraf J, Schneider S (Hrsg) Lehrbuch der Verhaltenstherapie, Bd 1. Springer, Berlin S 213–225

  • Caspar F, Grosse Holtforth M (2009) Responsiveness – Eine entscheidende Prozessvariable in der Psychotherapie. Z Klin Psychol Psychother 38:61–69

    Article  Google Scholar 

  • Consbruch KV, Clark DM, Stangier U (2012) Assessing therapeutic competence in cognitive therapy for social phobia. Psychometric Properties of the Cognitive Therapy Competence Scale for Social Phobia (CTCS-SP). Behav Cogn Psychother 40:149–161

    Google Scholar 

  • Ginzburg DM, Bohn C, Höfling V et al (2012) Treatment specific competence predicts outcome in cognitive therapy for social anxiety disorder. Behav Res Ther 50:747–752

    Article  Google Scholar 

  • Hautzinger M (1986) Die Beurteilung von Verhaltenstherapeuten bei der Behandlung depressiver Patienten. Z Personenzentrierte Psychol Psychother 5:315–328

  • Hollon SD, Evans MD, Auerbach A et al (1988) Development of a system for rating therapies for depression: Differentiating cognitive therapy, interpersonal psychotherapy and clinical management pharmacotherapy. Unpublished manuscript, Nashville, Vanderbilt University

  • Imel ZE, Baer JS, Martino S, Ball SA, Carroll KM (2011) Mutual influence in therapist competence and adherence to motivational enhancement therapy. Drug Alcohol Depend 115:229–236

    Article  Google Scholar 

  • Kahl-Popp J (2009) Die interne Seite psychotherapeutischer Kompetenz. PDP – Psychodyn Psychother 8:115–123

    Google Scholar 

  • Kazdin AE (1997) The therapist as a neglected variable in psychotherapy research [Special series]. Clin Psychol 4:40–89

    Google Scholar 

  • Kendall PC, Beidas RS (2007) Smoothing the trail for dissemination of evidence-based practices for youth: flexibility within fidelity. Prof Psychol 38:13–20

  • Körner J (2014) Matrix psychotherapeutischer Kompetenzen. Psychotherapeut 59:152–154

    Article  Google Scholar 

  • Kuyken W, Tsivrikos D (2009) Therapist competence, comorbidity and cognitive-behavioral therapy for depression. Psychother Psychosom 78:42–48

    Article  Google Scholar 

  • Leichsenring F, Salzer S, Beutel ME et al (2013) Psychodynamic therapy and cognitive-behavioral therapy in social anxiety disorder: a multicenter randomized controlled trial. Am J Psychiatry 170:759–767

    Google Scholar 

  • Revenstorf D (2009) Therapeutische Kompetenz und Methodenäquivalenz. PDP 8:135–146

    Google Scholar 

  • Stangier U, Schramm E, Heidenreich T et al (2011) Cognitive therapy versus interpersonal psychotherapy in social phobia: a randomized controlled trial. Arch Gen Psychiatry 68:692–700

    Article  Google Scholar 

  • Stangier U, Hilling C, Heidenreich T et al (2013) Maintenance cognitive-behavioral therapy and manualized psychoeducation in the treatment of recurrent depression: a multicenter prospective randomized controlled trial. Am J Psychiatry 170:624–632

    Article  Google Scholar 

  • Stangier U, Consbruch K v, Clark DM et al (2014) Effective components of cognitive therapy for social anxiety disorder. Paper presented on the 44th Congress of the European Association for Behavioural & Cognitive Therapies, The Hague, The Netherlands 10–13 September

  • Strunk DR, Brotman MA, DeRubeis RJ et al (2010) Therapist competence in cognitive therapy for depression: predicting subsequent symptom change. J Consult Clin Psychol 78:429–437

    Google Scholar 

  • Trepka C, Rees A, Shapiro DA et al (2004) Therapist competence and outcome of cognitive therapy for depression. Cognit Ther Res 28:143–157

    Article  Google Scholar 

  • Waltz J, Addis ME, Koerner K et al (1993) Testing the integrity of a psychotherapy protocol: assessment of adherence and competence. J Consult Clin Psychol 61:620–630

    Google Scholar 

  • Webb A, DeRubeis RJ, Barber JP (2010) Therapist adherence/competence and treatment outcome: a meta-analytic review. J Consult Clin Psychol 78:200–211

    Google Scholar 

  • Weck F, Rudari V, Hilling C et al (2013) Relapses in recurrent depression one year after maintenance cognitive-behavioral therapy: the role of therapist adherence, competence, and the therapeutic alliance. Psychiatr Res 210:140–145

    Article  Google Scholar 

  • Young J, Beck AT (1980) The development of the cognitive therapy scale. Unpublished manuscript, Center for Cognitive Therapy, Philadelphia

  • Zarafonitis-Müller S, Kuhr K, A. Bechdolf A (2014) Der Zusammenhang der Therapeutenkompetenz und Adhärenz zum Therapieerfolg in der Kognitiven Verhaltenstherapie – metaanalytische Ergebnisse. Fortschr Neurol Psychiatr 82:502–510

    Google Scholar 

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Authors and Affiliations

  1. Klinische Psychologie und Psychotherapie, Institut für Psychologie, J.W. Goethe-Universität, Varrentrappstr. 40–42, 60486, Frankfurt a. M., Deutschland

    Ulrich Stangier

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  1. Ulrich Stangier
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Correspondence to Ulrich Stangier.

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U. Stangier gibt an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Anja Hilbert, Leipzig

Alexandra Martin, Wuppertal

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Stangier, U. Psychotherapeutische Kompetenzen in der kognitiven Verhaltenstherapie. Psychotherapeut 60, 193–198 (2015). https://doi.org/10.1007/s00278-015-0022-y

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  • DOI: https://doi.org/10.1007/s00278-015-0022-y

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