Skip to main content
Log in

Is de ene therapeut beter dan de andere?

Een verkenning van therapeuteffecten in Nederland

  • Artikel
  • Published:
Tijdschrift voor Psychotherapie

• Dit onderzoek richt zich op verschillen in effectiviteit tussen therapeuten in Nederland en op therapeutfactoren die deze verschillen in effectiviteit kunnen verklaren. Bij een groep van zestien therapeuten werd de behandeleffectiviteit bepaald. De therapeuten werden verdeeld in ‘meest effectieve’ en ‘minst effectieve’ therapeuten, waarbij de meest effectieve een significant grotere mate van verbetering hadden op klachtniveau dan de minst effectieve. Sekse, leeftijd, aantal jaren werkervaring, discipline, referentiekader, zelfvertrouwen in het algemeen en vertrouwen in de competenties als therapeut konden dit verschil in effectiviteit niet verklaren. Er bleek een (negatief) significante samenhang te zijn tussen de mate van verbetering en vertrouwen in de eigen competenties als therapeut. Implicaties, beperkingen en suggesties voor vervolgonderzoek worden besproken.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Literatuur

  1. Ackerman, S.J. & Hilsenroth, M.J.(2003). A review of therapist characteristics and techniques positively impacting on the therapeutic alliance. Clinical Psychology Review, 23, 1-33.

    Article  PubMed  Google Scholar 

  2. Bandura, A. (1997). Self-efficacy: the exercise of control. New York: Freeman.

    Google Scholar 

  3. Barkham,M., Stiles,W.B., Connell,J., Twigg,E., Leach, C. & Lucock, M.(2008). Effects of psychological therapies in randomized trials and practice-based studies. British Journal of Clinical Psychology, 47, 397-415.

    Article  PubMed  Google Scholar 

  4. Brosan, L., Reynolds, S. & Moore, R.G. (2006). Factors associated with competence in cognitive therapists. Behavioural and Cognitive Psychotherapy, 35, 179-190.

    Article  Google Scholar 

  5. Brown, J., Lambert, M., Jones, E. & Minami, T. (2005). Identifying highly effective psychotherapists in a managed care environment. American Journal of Managed Care, 11, 513-520.

    PubMed  Google Scholar 

  6. Castonguay,L.G.&Beutler,L.E.(2006). Principles of therapeutic change:a task force on participants, relationships, and technique factors. Journal of Clinical Psychology, 62, 631-638.

    Article  PubMed  Google Scholar 

  7. 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.

    Article  PubMed  CAS  Google Scholar 

  8. Hansen,N.B., Lambert, M.J. & Forman, E.M. (2002). The psychotherapy dose-response effect and its implications for treatment delivery services. Clinical Psychology: Science and Practice, 10, 507-508.

    Article  Google Scholar 

  9. Henry,W.P., Schacht, T.E. & Strupp,H.H. (1990). Patient and therapist introject, interpersonal process, and differential psychotherapy outcome. Journal of Consulting and Clinical Psychology, 5, 68-774.

    Google Scholar 

  10. Henry,W.P., Strupp,H.H., Butler, S.F., Schacht, T.E. & Binder, J.L. (1993). Effects of training in time-limited dynamic psychotherapy: changes in therapist behavior. Journal of Consulting and Clinical Psychology, 61, 434-440.

    Article  PubMed  CAS  Google Scholar 

  11. Hansen,N.B., Lambert, M.J. & Forman, E.M. (2002). The psychotherapy dose-response effect and its implications for treatment delivery services. Clinical Psychology: Science and Practice, 10, 507-508.

    Article  Google Scholar 

  12. Henry,W.P., Schacht, T.E. & Strupp, H.H. (1990). Patient and therapist introject, interpersonal process, and differential psychotherapy outcome. Journal of Consulting and Clinical Psychology, 5, 68-774.

    Google Scholar 

  13. Henry,W.P., Strupp,H.H., Butler, S.F., Schacht, T.E. & Binder, J.L. (1993). Effects of training in time-limited dynamic psychotherapy: changes in therapist behavior. Journal of Consulting and Clinical Psychology, 61, 434-440.

    Article  PubMed  CAS  Google Scholar 

  14. Huppert, J.D., Barlow, D.H., Bufka, L.F., Gorman, J.M., Shear, M.K. &Woods, S.W. (2001). Therapists, therapist variables and cognitive-behavioral therapy outcome in amulticenter trial for panic disorder. Journal of consulting and Clinical Psychology, 69, 747-755.

    Article  PubMed  CAS  Google Scholar 

  15. Jacobson, N.S. & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12-19.

    Article  PubMed  CAS  Google Scholar 

  16. Jong, K. de (2012). De rol van de behandelaar: de ‘vergeten’ factor in ROM. Tijdschrift voor Psychiatrie, 54, 197-201.

    PubMed  Google Scholar 

  17. Jong, K. de, Moerbeek, M. & Leeden, M. van der (2010). A priori power analysis in longitudinal three-level multilevelmodels: an example with therapist effects. Psychotherapy Research, 20, 273-284.

    Article  PubMed  Google Scholar 

  18. Jong, K. de, Nugter, M.A., Polak, M.G., Wagenborg, J.E.A., Spinhoven, P. & Heiser, W. J. (2007). The outcome questionnaire (OQ-45) in a Dutch population: a cross-cultural validation. Clinical Psychology and Psychotherapy, 14, 288-301.

    Article  Google Scholar 

  19. Jong, K. de, Sluis, P. van, Nugter,M.A., Heiser,W. J. & Spinhoven, P. (2012). Understanding the differential impact of outcome monitoring: therapist variables that moderate feedback effect in a randomized clinical trial. Psychotherapy Research, 22, 464-474.

    Article  PubMed  Google Scholar 

  20. Jong, K. de, Timman, R., Hakkaart-van Roijen, L., Vermeulen, P., Kooiman, K., Passchier, J. & Busschbach, J. van (2012). The effect of outcome monitoring feedback to clinicians and patients in outpatient mental health: randomized controlled trial. Manuscript submitted for publication.

  21. Lambert, M.J.,Morton, J. J.,Hatfield,D.R., Harmon, C., Hamilton, S., Reid, R.C., Shimokawa, K., Christopherson, C.& Nurlingame, G.M. (2004). Administration and scoring manual for the OQ-45.2 (Outcome Questionnaire).

  22. Lutz,W., Scott, L.C.,Martinovich, Z., Lyons, J.S. & Stiles,W.B. (2007). Therapist effects in outpatient psychiatry: A three-level growth curve approach. Journal of Counseling Psychology, 54, 32-39.

    Article  Google Scholar 

  23. Nathan, P.E., Stuart, S.P. & Dolan, S.L. (2000). Research on psychotherapy efficacy and effectiveness: Between Scylla and Charybdis? Psychological Bulletin, 126, 964-981.

    Article  PubMed  CAS  Google Scholar 

  24. Okiishi, J., Lambert, M.J.,Nielsen, S.L. & Ogles, B.M. (2003).Waiting for supershrink: an emperical analysis of therapist effects. Clinical Psychology and Psychotherapy, 10, 361-367.

    Article  Google Scholar 

  25. Okiishi, J.C., Lambert, M.J., Eggett,D.,Nielsen, L., Dayton,D.D. & Vermeersch,D.A. (2006).An analysis of therapist treatment effects: toward providing feedback to individual therapists on their patients’ psychotherapy outcome. Journal of Clinical Psychology, 62, 1157-1172.

    Article  PubMed  Google Scholar 

  26. Scholz,U., Doña, B.G., Sud, S. & Schwarzer, R. (2002). Is general self-efficacy a universal construct? Psychometric findings from 25 countries. European Journal of Psychological Assessment, 18, 242-251

    Article  Google Scholar 

  27. Teeuw,B., Schwarzer,R. & Jerusalem,M. (1994). Dutch adaptation of the general self-efficacy scale.

Download references

Author information

Authors and Affiliations

Authors

Additional information

K. LA CROIX, klinisch psycholoog, is praktijkhouder bij Psychologie La Croix te Amsterdam en docent bij het SPON te Nijmegen.

K. DE JONG is onderzoeker bij de Universitiet Leiden en psycholoog bij Psychologie La Croix te Amsterdam.

I.W. DE GROOT psycholoog, is werkzaam als stafadviseur en ROM-coördinator bij Dimence.

De auteurs bedanken de therapeuten en cliënten van het team Angst en Stemming van Dimence te Deventer, van ’t Centrum te Twello, van GGZ Noord-Holland-Noord te Schagen en de eerstelijnspsychologen van Amici.

About this article

Cite this article

la Croix, K., de Jong, K. & de Groot, E. Is de ene therapeut beter dan de andere?. TIJDSCHRIFT PSYCHOTHERAPIE 39, 172–187 (2013). https://doi.org/10.1007/s12485-013-0030-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12485-013-0030-8

Navigation