The quality of psychotherapy case formulations: A comparison of expert, experienced, and novice cognitive-behavioral and psychodynamic therapists

被引：90
作者：
Eells, TD
Lombart, KG
Kendjelic, EM
Turner, LC
Lucas, CP
机构：
[1] Univ Louisville, Dept Psychiat & Behav Sci, Louisville, KY 40202 USA
[2] Univ Louisville, Dept Physiol & Brain Sci, Louisville, KY 40202 USA
来源：
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY | 2005年 / 73卷 / 04期
关键词：
case formulation; therapist expertise; cognitive-behavioral therapy; psychodynamic therapy;
D O I：
10.1037/0022-006X.73.4.579
中图分类号：
B849 [应用心理学];
学科分类号：
040203 ;
摘要：
Sixty-five expert, experienced, and novice cognitive-behavioral and psyhodynamic psychotherapists provided "think aloud" case formulations in response to 6 standardized patient vignettes varying in disorder and prototypicality. The 390 formulations were reliably transcribed, segmented into idea units, content coded, and rated on multiple dimensions of quality. As hypothesized, the formulations of experts were more comprehensive, elaborated, complex, and systematic. Judges did not rate them as more coherent or precise in the use of language. In addition, the treatment plans of experts were more elaborated and linked better to the formulations. Effect sizes for overall ratings of quality ranged from medium to large. Few differences based on therapy orientation were observed. Results are discussed in terms of therapist training.
引用
收藏
页码：579 / 589
页数：11
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